Finance Manager | USA

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 's outsourced accounting, payroll and HR-compliance provider and set direction, approve deliverables, and build the roadmap to progressively insource.

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.

🌍 Innovate for Global Good. Join us to 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, we’ve raised over US$240M to accelerate our 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—we provide inclusive, thoughtful policies to support families in every stage.

If you’re inspired by what we're up to, please apply now and we'll be in touch soon.

We are proud to be an Equal Opportunity Employer. Diversity’s not a buzzword here, it’s in our DNA. Diverse perspectives shape our culture and make our work better. We’re committed to building inclusive teams that represent a variety of backgrounds and skills. We look forward to hearing from you.

The base salary range for this role is shown with this listing and may change without notice . Where an offer lands within that range depends on the location you work from, as well as your experience, skills and qualifications — ranges are set against the market for the relevant metro area. The range it's covers base salary only. It does not include our short-term incentive plan, equity, or other benefits, which are discussed separately during the process