About Your 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. An outsourced provider handles today's processing; the Finance Manager sets direction and builds the roadmap to bring that capability in-house over time.

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.