• Lead and manage buy-side and sell-side accounting and financial due diligence engagements • Develop relationships with clients and engage in effective interactions with target company executives • Perform quality of earnings and working capital analyses • Identify and evaluate matters that potentially impact enterprise value and the purchase or sales price • Identify and evaluate financial and operational trends of target companies • Communicate effectively, both verbal and written, our due diligence findings • Supervise multiple professionals and prioritize tasks, serving as a hands-on lead for engagements from inception to completion • Participate in performance reviews and new business development activities

• Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit • Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities • Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services • Supports effective implementation of performance improvement initiatives for capitated providers • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members • Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements • Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership • Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes • Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals • Participates in provider network development and new market expansion as appropriate • Assists in the development and implementation of physician education with respect to clinical issues and policies • Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components • Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care • Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality • Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment • Develops alliances with the provider community through the development and implementation of the medical management programs • As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues • Represents the business unit at appropriate state committees and other ad hoc committees • May be required to work weekends and holidays in support of business operations, as needed

• Provide clinical leadership and expertise to Medical Management staff, ensuring timely, consistent, and evidence-based responses to members and providers. • Lead utilization management and quality assurance activities, including oversight of medical necessity reviews and case management initiatives. • Support medical management programs through active participation in interdisciplinary clinical team activities and strategic decision-making. • Serve as the primary clinical and business liaison to network providers and healthcare facilities, fostering collaboration and supporting the effective implementation of medical services programs. • Conduct predetermination reviews and claim determination reviews, applying clinical judgment and expertise in medical coding, reimbursement, and coverage policies. • Provide guidance and consultation on complex clinical cases, helping ensure quality outcomes and regulatory compliance. • Support the development and continuous improvement of medical management strategies, policies, and processes.

Role Description We are looking for a Finance Director to lead the financial operations of Devsu, while acting as a strategic partner to leadership. This is not a traditional accounting role. You will act as a senior financial leader, owning financial visibility, planning, and decision support across the company, and serving as a key partner to leadership in shaping the business. You’ll be responsible for ensuring financial accuracy and helping shape the financial direction of the business, balancing execution with strategy. Key Responsibilities - Financial Operations & Compliance - Own the monthly close process across entities. - Oversee preparation of: - Balance Sheet - Profit & Loss (P&L) - Cash flow statements - Ensure compliance with: - Ecuadorian accounting, tax, and labor regulations (primary) - U.S. GAAP - Coordinate with external accountants, auditors, and tax advisors in both US and Ecuador jurisdictions. - Strategic Finance & Decision Support - Lead budgeting, forecasting, and long-term financial planning. - Build and maintain financial models to support growth decisions. - Provide insights on: - Profitability by client/service line. - Cost structure and margin optimization. - Cash flow and capital allocation. - Support leadership in strategic initiatives (pricing, expansion, efficiency). - Identify risks and opportunities proactively. - Business Optimization - Design and implement cost control and financial discipline frameworks. - Improve financial processes, reporting clarity, and internal controls through automation and AI. - Support cross-border structure optimization and tax efficiency (in coordination with advisors). Qualifications - Bachelor’s degree in Finance, Accounting, or related field. - 3+ years of experience in finance/accounting roles, with increasing responsibility. - Strong knowledge of: - Ecuadorian accounting and tax regulations (required). - U.S. GAAP (working knowledge required). - Experience managing multi-entity or international financial operations. - Proven experience in financial planning, modeling, and analysis (FP&A). - Strong business acumen—ability to connect numbers to decisions. - Advanced Excel/financial modeling skills. - Fluent in Spanish and English. Requirements - Master’s degree in Business Administration with a concentration in Finance, or equivalent advanced degree (nice to have). - Experience in company valuations (DCF, comparables, transaction support) (nice to have). - Background in software/tech services companies (nice to have). - Experience supporting executive teams or founders directly (nice to have). - Exposure to M&A, fundraising, or financial structuring (nice to have). What We’re Looking For - Someone who thinks like an owner, not just an accountant. - Is comfortable operating with ambiguity and autonomy. - Can challenge assumptions with data and logic. - Balances attention to detail with big-picture thinking. - Wants to grow into a future CFO role. Why This Role This is an opportunity to step into a high-impact finance leadership role within a growing, international company without the bureaucracy of a traditional corporate environment. You’ll work directly with leadership, influence key decisions, and help build the financial foundation for the next stage of growth.