Finance Manager | USA

Overview

This role supports the organization’s US business and its services organization, which provides services to an independent, AI-first, physician-owned teleradiology practice. Reporting to the CFO, the position serves as the primary finance presence in the US, with day-to-day ownership of the function and significant autonomy. Group Finance in Australia provides governance and oversight.

The outsourced provider currently handles transaction processing. The Finance Manager will set direction and build the roadmap to progressively bring capabilities in-house.

Responsibilities

Payroll & Compensation

• Own day-to-day payroll decisions for US employees in Rippling, including new hires, terminations, and compensation changes; direct and approve the outsourced provider’s processing; and escalate 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.
• Apply the worker-classification framework in partnership 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.
• 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; support input to global reporting.
• Support budgeting and forecasting for payroll, contractor spend, and operating expenditure; provide input to Group cash-flow forecasts on immediate-payment obligations.
• Analyze cost-per-read/RVU economics to support the teleradiology service P&L.

Business Partnering

• Serve 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.
• Partner 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 the outsourced accounting, payroll, and HR-compliance provider: set direction, approve deliverables, and build the roadmap to progressively insource.

Requirements

• 5+ years’ experience in a US finance/accounting role, including hands-on payroll and payroll-tax compliance experience, with the seniority to set policy and direct others’ work.
• Experience directing an outsourced/fractional finance or payroll provider (BPO, accounting firm, PEO), including setting standards and reviewing output.
• 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 and high attention to detail.
• Pragmatic, “get-it-done” approach suited to a scaling business.
• Ability to operate as the primary US-based finance decision-maker while maintaining close, proactive communication with a Group finance function based overseas.

Preferred Qualifications

• Healthcare, radiology, or physician/RVU-based compensation experience.
• High-growth start-up/scale-up exposure.

Compensation & Benefits

• The base salary range for this role is shown with this listing and may change without notice.
• Offer placement within the range depends on the location of work and on experience, skills, and qualifications (ranges are set against the market for the relevant metro area).
• The range covers base salary only and does not include the organization’s short-term incentive plan, equity, or other benefits, which are discussed separately during the process.

Location

US-based; primarily supporting the US business with coordination with Group Finance overseas.