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Startup Finance Associate
Heartfelt Technologies
Full-time
On-site
Burlington, MA, United States
About Heartfelt Technologies
Heartfelt Technologies is a fast-growing medical device company on a mission to transform heart failure care through continuous, AI-powered remote monitoring. Our award-winning team is headquartered in Cambridge, UK, and we're now launching our first U.S. office in Boston following FDA IDE Category B approval to conduct a 1,600-patient Medicare-funded clinical trial across the United States. This marks a major milestone for our company as we scale operations globally.
About the Role
We are seeking a detail-oriented and proactive Finance Associate to join our team in Boston. You'll thrive here if you enjoy building processes from scratch and wearing multiple hats in a fast paced, unstructured environment. You will own day-to-day financial operations across both our UK and US companies, working closely with external accountants and internal teams. This role is ideal for someone with a few years of finance or accounting experience who wants to grow into broader ownership over time. You will report directly to the COO and be supported by a fractional CFO.
Key Responsibilities
Own bookkeeping and reconciliations in Xero and Dext for both UK and US entities
Manage accounts payable: process invoices, manage payment runs, ensure approvals
Manage accounts receivable: raise and track invoices, follow up on overdue accounts
Assist with billing processes in the US, including liaising with clinical and operations teams
Coordinate with UK and US accountants to ensure smooth month-end and year-end close
Support financial reporting preparation in Excel
Build, document and iterate on financial workflows that can scale with rapid growth
Maintain up-to-date records to support audits, grant compliance, and operational decision-making
Success in the First 3 Months Means
You've established confidence in managing Xero and Dext workflows with accuracy and consistency
You've built foundational AP/AR processes that support our early growth and scale efficiently
Completion of month-end tasks is accurate and timely with minimal oversight
You've built a solid working relationship with external accountants and internal leads
You've adapted quickly to a dynamic environment and taken ownership of outcomes, not just tasks
What We're Looking For
2-4 years of experience in finance, accounting, or bookkeeping within a start up, or a small fast-moving company
Hands-on experience with Xero and Dext (or similar platforms)
Strong Excel skills and comfort with monthly financial reporting
Comfort working in an environment where priorities can shift and processes evolve
Strong written and verbal communication skills
Right to work in the US; role is based in Boston
Why This Role?
This is an opportunity to join a mission-driven, high-growth company at a pivotal moment in its US expansion. You will have meaningful responsibility from day one and the chance to shape and grow the finance function as the company scales. This is a great role for someone looking to deepen their expertise and take on increasing ownership.
Benefits
Competitive salary based on experience
Medical, dental, and vision insurance
Paid time off and U.S. federal holidays
Opportunity to shape a new office in a high-growth company making a real-world impact
Work with a collaborative global team driven by purpose and innovation
Job Type: Full-time
Pay: $65,000.00 - $75,000.00 per year
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Ability to Commute:
Burlington, MA 01803 (Required)
Ability to Relocate:
Burlington, MA 01803: Relocate before starting work (Required)
Work Location: In person
Heartfelt Technologies is a fast-growing medical device company on a mission to transform heart failure care through continuous, AI-powered remote monitoring. Our award-winning team is headquartered in Cambridge, UK, and we're now launching our first U.S. office in Boston following FDA IDE Category B approval to conduct a 1,600-patient Medicare-funded clinical trial across the United States. This marks a major milestone for our company as we scale operations globally.
About the Role
We are seeking a detail-oriented and proactive Finance Associate to join our team in Boston. You'll thrive here if you enjoy building processes from scratch and wearing multiple hats in a fast paced, unstructured environment. You will own day-to-day financial operations across both our UK and US companies, working closely with external accountants and internal teams. This role is ideal for someone with a few years of finance or accounting experience who wants to grow into broader ownership over time. You will report directly to the COO and be supported by a fractional CFO.
Key Responsibilities
Own bookkeeping and reconciliations in Xero and Dext for both UK and US entities
Manage accounts payable: process invoices, manage payment runs, ensure approvals
Manage accounts receivable: raise and track invoices, follow up on overdue accounts
Assist with billing processes in the US, including liaising with clinical and operations teams
Coordinate with UK and US accountants to ensure smooth month-end and year-end close
Support financial reporting preparation in Excel
Build, document and iterate on financial workflows that can scale with rapid growth
Maintain up-to-date records to support audits, grant compliance, and operational decision-making
Success in the First 3 Months Means
You've established confidence in managing Xero and Dext workflows with accuracy and consistency
You've built foundational AP/AR processes that support our early growth and scale efficiently
Completion of month-end tasks is accurate and timely with minimal oversight
You've built a solid working relationship with external accountants and internal leads
You've adapted quickly to a dynamic environment and taken ownership of outcomes, not just tasks
What We're Looking For
2-4 years of experience in finance, accounting, or bookkeeping within a start up, or a small fast-moving company
Hands-on experience with Xero and Dext (or similar platforms)
Strong Excel skills and comfort with monthly financial reporting
Comfort working in an environment where priorities can shift and processes evolve
Strong written and verbal communication skills
Right to work in the US; role is based in Boston
Why This Role?
This is an opportunity to join a mission-driven, high-growth company at a pivotal moment in its US expansion. You will have meaningful responsibility from day one and the chance to shape and grow the finance function as the company scales. This is a great role for someone looking to deepen their expertise and take on increasing ownership.
Benefits
Competitive salary based on experience
Medical, dental, and vision insurance
Paid time off and U.S. federal holidays
Opportunity to shape a new office in a high-growth company making a real-world impact
Work with a collaborative global team driven by purpose and innovation
Job Type: Full-time
Pay: $65,000.00 - $75,000.00 per year
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Ability to Commute:
Burlington, MA 01803 (Required)
Ability to Relocate:
Burlington, MA 01803: Relocate before starting work (Required)
Work Location: In person