FP&A Manager

About Hilo by Aktiia

High blood pressure is the world’s most common disease, causing 18M deaths each year. At Hilo by Aktiia, our vision is a world where no lives are lost or damaged from the effects of high blood pressure. Our mission is to make this a reality by developing tech to help people control their blood pressure. 

We are a venture-backed scale-up company, having raised over $96M from investors in Europe and the United States. Our technology - rooted in 18 years of research at the Swiss Center for Electronics and Microtechnology (CSEM) - is the world’s only medically accurate, continuous blood pressure monitor that is cuffless in daily life in the consumer space. Validated through extensive clinical trials and CE Marked as a Class IIa medical device, our solution is now available in 12 countries. We are a hybrid/remote-first company, with Headquarters in Neuchâtel, Switzerland, united by our passion for impact and innovation.

Role Overview: FP&A Manager

We are seeking a hands-on FP&A Manager to own, run, and continuously improve the company’s core financial planning and reporting processes. This role is focused on execution excellence: delivering accurate forecasts, structured budgets, and clear performance insights that support day-to-day operational decisions.

This role has end-to-end accountability for budgeting, forecasting, financial modelling, and performance analysis in a fast-scaling, investor-backed environment. Beyond reporting historical results, you will actively use financial insight, BI tools, analytical systems, and automation to improve how teams allocate resources, measure performance, and drive outcomes. Your work will directly support the VP Finance and leadership team by translating business activity into financial outcomes.

As a core finance partner to department leads, you will track spend against budget, highlight risks and opportunities, and ensure accountability in resource allocation. You will be expected to bring structure, discipline, and clarity to financial performance management.

While this is a Manager-level role, it is execution-heavy and hands-on. Success in this position means delivering reliable numbers, improving financial visibility, building scalable planning processes, and leveraging data visualization and BI reporting tools to support continued growth.

Core Responsibilities

Financial Planning & Forecasting

• Drive the annual budgeting process
• Lead monthly and quarterly forecasting cycles
• Maintain the 3–5 year integrated financial model
• Develop scenario planning (growth, downside, strategic cases)
• Build headcount and cash flow forecasts

Business Partnering

• Partner with other functions
• Support hiring plans and resource allocation decisions
• Provide variance analysis and actionable insights
• Improve accountability through budget tracking

Performance & KPI Reporting

• Develop, maintain and enhance BI-based reporting & KPI dashboards
• Analyze revenue, gross margin, CAC, LTV, burn, and runway
• Prepare monthly management reporting packages
• Support preparation of Board materials
• Improve planning & reporting automation, dashboard design, and data quality in a scaling environment

Strategic & Ad Hoc

• Evaluate pricing changes and new initiatives
• Conduct ROI and unit economics analysis
• Contribute to systems improvements (ERP, planning tools and BI/reporting infrastructure)
• Support the broader Finance team in various projects

Experience

• 4–8 years in FP&A, corporate finance, investment banking, or consulting
• Experience in high-growth or VC-backed environments preferred
• Strong financial modeling experience
• Experience supporting senior stakeholders

Technical Skills

• Advanced Excel
• Experience with financial systems (e.g., NetSuite) and BI and data visualization tools (e.g. Metabase)
• Ability to translate complex financial and operational data into clear dashboards and decision-ready insights
• Experience with planning tools a plus
• Strong data manipulation skills

Mindset & Soft Skills

• Highly analytical and detail-oriented
• Strong business acumen
• Strong communication skills
• Proactive, hands-on, and comfortable in ambiguity
• Able to challenge assumptions constructively

What Makes You A Great Fit

At Hilo by Aktiia, our values guide everything we do:

Move the Needle

• You focus on what truly drives impact for our customers and company.
• You use data and clarity to guide your decisions and prioritize what matters most.
• You push boundaries with bold, thoughtful innovation and hold yourself accountable for results.

Move Fast, Learn, Refine

• You work with urgency and purpose, balancing speed with high quality.
• You treat mistakes as learning opportunities, experiment thoughtfully, and iterate quickly.
• You take ownership, act hands-on, and always look for smarter, faster ways to get things done - including leveraging AI and new tools.

Team First

• You put the team above individual interests, building trust through openness and respect.
• You encourage healthy debate, challenge directly while caring personally, and stand behind team decisions.
• You act as an owner, stepping in when needed and doing what’s necessary for the team’s success.

Why Join Us?

• Hilo by Aktiia is becoming one of the most important med-tech companies, and you can be part of this exciting story.

• Work on a mission that matters: transforming cardiovascular health at global scale.

• Be part of a high-impact, fast-growing, and venture-backed scale-up company.

• Collaborate with a diverse, passionate, and talented team.

• Competitive compensation and equity program, and other benefits (depending on location).