accelerating the world's transition to personalised medicine
Purpose; why we do it
to speed up development of life-saving treatments for those with limited options
Vision; where we're going
become the world's best source of
patient-in-the-loop
genomic and health data for precision medicine development
We're looking for an ambitious, hands-on
Lead Finance Manager
to take full ownership of day-to-day finance at Sano as we grow. You'll lead core responsibilities like month-end close, payroll, budgeting, and financial reporting - while continuously improving processes and supporting better decision-making across the business.
You'll report to the Head of Finance and work closely with senior leadership. We're looking for someone confident taking the lead, open-minded about the scope, and ready to run with challenges as they arise.
If you're fully qualified accountant and excited to shape a modern finance function in a mission-driven startup, we'd love to hear from you.
budget vs. actuals tracking and commentary for cross-company visibility
Partnering
cross-functionally to support pricing, margin, and project profitability analysis
Running
our finance operations: invoicing, payments, payroll, and supplier management - including chasing receipts and resolving issues as needed
Designing and implementing
scalable processes that reduce manual overhead
Owning
key compliance areas including VAT, payroll tax, and statutory reporting (UK & US)
Building
experience in cap table management and share scheme administration
Supporting
Series B fundraising through data prep, financial modelling, and team coordination
This job is for you if you have:
A full accounting qualification (ACA, ACCA or equivalent)
Proven ownership of month-end close and revenue processes in a high-growth or complex business
Strong technical accounting knowledge across multi-entity and multi-currency structures
Demonstrated ability to influence and support commercial decisions through financial insight
Hands-on experience across invoicing, payments, payroll, and statutory compliance
Strong Excel skills - essential for tracking, reporting, and day-to-day finance operations
A natural drive to improve and automate - not just maintain - finance processes
The confidence to take ownership, and the humility to ask questions when needed
A collaborative approach, with experience working cross-functionally
A strong desire to grow into a broader finance leadership role over the next few years
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Even better if you have:
Exposure to SaaS or services businesses with a mix of recurring and project-based revenue
Exposure to UK/US international structures or tax regimes
Prior involvement in share option administration or cap table management
Financial modelling skills to support scenario analysis and long-term planning
This role is unlikely to be a great match if:
You're not comfortable doing hands-on work across the full finance cycle (bookkeeping, invoicing, payments etc)
You're not comfortable switching between strategic tasks (like forecasting) and hands-on work (like chasing receipts)
You prefer to specialise in FP&A or reporting only
You're seeking a tightly defined role with little day-to-day variation
This is your first startup adventure
Research shows that some people are less likely to apply for a role unless they are 100% qualified. Your experience, skills and passion will set you apart so tell us about your achievements, irrespective of whether they are personal or work-related, tell us about your journey, and about what you learnt.
So, if this role excites you, don't let our role description hold you back, get applying!
Hiring Process
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Initial screening with Becca
1st Interview with Laurence
2nd Interview with key stakeholders
? Founder Interview
Support
- If you have a medical condition or an individual need for an adjustment to our process, and you believe this may affect your ability to be at your best - please let us know so we can talk about how we can best support you and make any adjustments that may be needed. All interviews at Sano take place virtually. Please let us know if we can help make a virtual interview run smoother for you.
Please note:
We can
only accept
applications from those
eligible to live and work in the UK
or in the USA (for specific roles).
We are unable to sponsor visas for this position.
Diversity, Equity, Inclusion and Belonging
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At Sano, we're committed to creating an environment that promotes diversity, equity, inclusion and belonging. We are a global community and we believe our unique qualities should be celebrated as they are critical to our innovation. It's essential to us that you bring your authentic self to work every single day, no matter your age, ethnicity, religion, citizenship, gender identity, sexual orientation, disability status, caring responsibilities, neurodiversity, or otherwise. Inclusion isn't just an initiative at Sano. We strive to embed it not just into our values but throughout our entire culture.
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