Accounting & Finance Operations Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Take ownership of the complete accounts receivable process, which includes customer invoicing, cash application, collections, dispute resolution, and aging reporting.

• Track and enhance receivables performance, Days Sales Outstanding (DSO), collection timelines, and reimbursement trends.

• Oversee the financial operations of prefunded patient exam cards through Lithic, managing funding, reconciliation, reimbursement tracking, and cash exposure.

• Manage payroll administration using Rippling, which encompasses payroll processing, employee changes, deductions, tax reconciliations, and general ledger integrations.

• Administer Ramp corporate card programs, expense policies, approval workflows, spending limits, and compliance monitoring.

• Collaborate with the external accounting firm on the monthly close, reconciliations, accruals, and timely financial reporting.

• Supervise the accounting partner relationship, ensuring deliverables, service expectations, process improvements, and accountability are met.

• Develop and execute financial policies, internal controls, and standard operating procedures.

• Oversee accounts payable reporting, vendor onboarding, and contract tracking.

• Maintain financial records and enhance the general ledger, chart of accounts, and accounting workflows.

• Provide weekly insights into cash balances, receivables, payables, and collection trends to facilitate cash forecasting and financial planning.

• Own and refine financial systems and integrations, including QuickBooks, Rippling, Ramp, Lithic, and Salesforce-related workflows.

• Assist with audit preparation, tax compliance, financial diligence, and strategic finance initiatives.

• Report directly to the VP of Finance.

⛳️ Requirements

• 4–6+ years of experience in accounting, finance operations, or a related field.

• Hands-on experience in managing or owning the monthly close process.

• Strong background in accounts receivable, invoicing, collections, and cash reconciliation.

• Proven ability to enhance collection performance and decrease DSO.

• Experience in overseeing outsourced accounting firms, bookkeepers, or other third-party financial service providers.

• Practical experience with payroll administration through Rippling or a comparable platform like ADP or Gusto.

• Proficient in QuickBooks and Ramp or similar accounting and spend management platforms.

• Experience in developing and implementing accounting policies, internal controls, and standard operating procedures.

• Strong Excel skills with the ability to analyze, reconcile, and interpret financial data across multiple systems.

• CPA certification, experience in healthcare/medical billing/payer reimbursement, familiarity with Salesforce, audit/fundraising diligence experience, and Controller/startup accounting experience are preferred.

• Excellent organizational, communication, collaboration, and process-improvement skills.

• Comfortable working in a growing company with evolving processes.

🏝️ Benefits

• Eligibility for equity incentive plan.

• Competitive benefits plans.