Finance Manager | USA

About Your Role

This role supports both the Harrison.ai US business and Harrison.ai Services, the management services organisation that provides services to Frontier Radiology — an independent, AI-first, physician-owned teleradiology practice. Harrison.ai Services is a core pillar of Harrison.ai's growth agenda and its first major build-out of US non-clinical service operations. 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. An outsourced provider handles today's transaction processing; the Finance Manager sets direction and builds the roadmap to bring that capability in-house. This is a rare opportunity for a US finance professional to build a function largely from the ground up inside a category-defining, high-growth AI healthcare company with direct exposure to a novel RVU-based radiologist compensation model and a fast-scaling multi-state operation. For a finance leader who wants ownership, autonomy, and the chance to shape a growth region and with the support of the enterprise teams, this role offers exactly that.

What You'll Do

Payroll & Compensation

• 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

What You'll Bring

• 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
• 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

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

Benefits

• Innovate for Global Good — pioneer world-first AI technology that transforms patient outcomes and helps build a healthier, fairer world
• Collaboration Across Continents — work with brilliant minds from every corner of the globe in a culture built on trust, autonomy, and genuine teamwork
• Well-Funded & Global — backed by world-class investors including Aware Super, Blackbird Ventures, Skip Capital, and Horizons Ventures, with over US$240M raised to accelerate global impact
• Scale Your Potential — tap into yearly L&D budgets, mentoring, hackathons, and secondments—all supported by a transparent growth framework to grow your career
• Flex for Life — work when and where you do your best—with WFH options, flexible hours, and the autonomy to make an impact your way
• Support for Every Family Journey — from fertility to parenthood, loss, and even grandparenthood—inclusive, thoughtful policies to support families in every stage