Finance Manager

About the role

Frontier Radiology, Harrison.ai's AI-enabled teleradiology service, is a core pillar of the company's 2026 growth agenda and its first major push into US-based clinical service delivery. Reporting to the CFO, this role is the finance engine behind that build-out and the primary finance presence on the ground in the US, with day-to-day ownership of the function and a high degree of autonomy, while Group Finance in Australia provides governance and a clear view of the business.

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
• Payroll Tax & Compliance
• 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
• Accounts Payable & Expenses
• Approve US vendor invoicing and expense reimbursements within delegated authority, directing the provider's processing
• Manage vendor relationships, payment terms and flagged cost anomalies
• Reporting, Planning & Analysis
• 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
• Business Partnering
• 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
• External Relationships
• Manage local US banking relationships and payment infrastructure
• Own the relationship with Harrison.ai's outsourced accounting, payroll and HR-compliance provider and set direction, approve deliverables, and build the roadmap to progressively insource

Requirements

• 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
• Familiarity with International Financial Accounting Standards (IFRS) would be well regarded
• 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

Qualifications

• Healthcare, radiology, or physician/RVU-based compensation experience is highly regarded
• High-growth start-up/scale-up exposure is a plus

Skills and Characteristics

• Nice To Have Skills And Characteristics
• Healthcare, radiology, or physician/RVU-based compensation experience is highly regarded
• High-growth start-up/scale-up exposure is a plus