Note: The job is a remote job and is open to candidates in USA. Harrison.ai develops diagnostic AI solutions that support clinicians in delivering earlier, more accurate diagnoses and improving healthcare access worldwide. The Finance Manager will lead the US finance function for Frontier Radiology, overseeing payroll, tax compliance, accounts payable, reporting, planning, business partnering, banking, and outsourced provider relationships.
Responsibilities
- Own day-to-day payroll decisions for US employees in Rippling including new hires, terminations and compensation changes, directing and approving the outsourced provider's processing, and escalating policy-level or out-of-authority items to the Group team
- Administer the RVU-based radiologist pay model and sign-on/retention/milestone bonus arrangements within Group-approved parameters and apply the worker-classification framework partnering with People & Culture and Legal on complex cases
- Manage multi-state withholding and benefits deductions within approved parameters
- Direct multi-state payroll and employment-tax registrations, withholding, deposits and compliance calendars through the outsourced provider
- Review and approve payroll tax filings and information returns and resolve workers' compensation and state unemployment matters
- Maintain audit-ready documentation, and escalate corporate tax, transfer pricing or entity-structuring matters to Group Tax
- Approve US vendor invoicing and expense reimbursements within delegated authority, directing the provider's processing
- Manage vendor relationships, payment terms and flagged cost anomalies
- Lead US management reporting of actuals, variance to budget, and headcount and payroll-cost analysis and support input to global reporting
- Support budgeting and forecasting for payroll, contractor spend and operating expenditure and provide input to Group cash-flow forecasts on immediate-payment obligations
- Analyse cost-per-read/RVU economics to support the teleradiology service P&L
- Act as the primary US finance point of contact, partnering with the Group team to ensure US activity is reflected accurately and on time in Group reporting and controls
- Partner with People & Culture on compensation events, and with service/squad leads and radiologist operations on staffing and cost drivers; provide local billing and revenue-recognition input for US contracts
- Support the data warehouse program and flag repetitive local finance tasks suited to AI-enabled automation
- Manage local US banking relationships and payment infrastructure
- Own the relationship with [Harrison.ai](http://Harrison.ai)'s outsourced accounting, payroll and HR-compliance provider and set direction, approve deliverables, and build the roadmap to progressively insource
Skills
- 5+ years' experience in a US finance/accounting role, with hands-on payroll and payroll-tax compliance experience and the seniority to set policy and direct others' work
- Experience directing an outsourced/fractional finance or payroll provider (BPO, accounting firm, PEO) setting standards and reviewing output, not just executing personally
- Working knowledge of Rippling, or a comparable multi-state US payroll platform
- Comfort with variable/commission-based compensation, worker classification and US accounts payable and expense administration
- Strong Excel skills, high attention to detail, and a pragmatic, get-it-done approach suited to a scaling business. Confidence operating as the primary US-based finance decision-maker, while maintaining close, proactive communication with a Group finance function based overseas
- Familiarity with International Financial Accounting Standards (IFRS) would be well regarded
- Healthcare, radiology, or physician/RVU-based compensation experience is highly regarded
- High-growth start-up/scale-up exposure is a plus
Benefits
- Yearly L&D budgets
- Mentoring
- Hackathons
- Secondments
- A transparent growth framework to grow your career
- WFH options
- Flexible hours
- Autonomy to make an impact your way
- Inclusive, thoughtful policies to support families in every stage, from fertility to parenthood, loss, and even grandparenthood
Company Overview