Director of Efficiency

Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere, while significantly reducing costs for payers, self-insured employers, national health systems, and other healthcare organizations. Sword began by reinventing pain care with AI at its core, and has since expanded into women’s health, movement health, and more recently mental health. Since 2020, more than 700,000 members across three continents have completed 10 million AI sessions, helping Sword's 1,000+ enterprise clients avoid over $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies and over 44 patents, Sword Health has raised more than $500 million from leading investors, including Khosla Ventures, General Catalyst, Transformation Capital, and Founders Fund. Learn more at www.swordhealth.com.

You’ll lead company-wide efficiency at Sword Health - ensuring every dollar, hire, and process becomes an impact multiplier as we continue to scale globally. This is not about cutting costs, it’s about building visibility, driving automation and AI adoption, and helping Sword grow faster without doubling its cost base.

The Finance Team at Sword plays a pivotal role in scaling the company and driving sustainable growth. We partner across the organization to lead financial planning, analysis, and operations - ensuring smart resource allocation, rigorous compliance, and strategic insights that enable informed decisions and long-term impact.

What you’ll be doing::
• Oversee all company spend, from direct (hardware, supply chain) to indirect (software, vendors, marketing, professional services) to staff costs.
• Partner with FP&A and all budget owners to connect hiring, vendor, and automation decisions to measurable ROI.
• Build systems / dashboards that create transparency and accountability across every spend category.
• Identify and lead automation or process redesign initiatives that increase output and speed across the company.
• Manage and grow a small, high-impact team (including 2 Procurement Leads and a Headcount/Workforce Analyst) to execute initiatives.
• Work directly with the CFO, CEO, and other leaders to design how Sword scales from here.

What you need to have::
• 7+ years of experience in Efficiency roles, Strategy/Operations Consulting, PE/IB with operating exposure, or Finance/Operations leadership roles.
• Proven record driving cross-functional transformation and delivering measurable efficiency or productivity gains.
• Strong financial and analytical skills - able to quantify ROI and link efficiency programs to business results.
• Solid understanding of org design and workforce planning, ideally partnering with FP&A or HR teams.
• Strong executive presence - confident partnering with C-level leaders and influencing without authority.
• Comfortable with technology and AI adoption, from SaaS automation to AI-driven process improvement.

What we would love to see::
• Experience overseeing procurement processes (direct or indirect), vendor negotiations, and spend governance.
• Background in a high-growth tech or healthcare scale-up, ideally with international expansion.
• Hands-on experience deploying automation or AI tools to replace or augment manual workflows.
• Track record building procurement or transformation functions from scratch.
• Blend of strategic and execution mindset: able to zoom out to design systems, and zoom in to make them work.
• Curiosity and grit: you get energy from solving complex, cross-functional problems.
• Consulting toolkit or PE-style value creation mindset - you think in terms of leverage, not just savings.

To ensure you feel good solving a big Human problem, we offer::
• A stimulating, fast-paced environment with lots of room for creativity;
• A bright future at a promising high-tech startup company;
• Career development and growth, with a competitive salary;
• The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare;
• A flexible environment where you can control your hours (remotely) with unlimited vacation;
• Access to our health and well-being program (digital therapist sessions);
• Remote or Hybrid work policy.

US - Sword Benefits & Perks:

• Comprehensive health, dental and vision insurance*
• Equity shares*
• Discretionary PTO plan*
• Parental leave*
• 401(k)
• Flexible working hours
• Remote-first company
• Paid company holidays
• Free digital therapist for you and your family
*Eligibility: Full-time employees regularly working 25+ hours per week

Portugal - Sword Benefits & Perks:

• Health, dental and vision insurance
• Meal allowance
• Equity shares
• Remote work allowance
• Flexible working hours
• Work from home
• Discretionary vacation
• Snacks and beverages
• English class

*US Applicants Only: Applicants must have a legal right to work in the United States, and immigration or work visa sponsorship will not be provided.

*Please note that this position does not offer relocation assistance. If in Portugal, candidates must possess a valid EU visa and be based in Portugal.

Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.