About this role

We’re hiring a hands-on compliance leader to advance the control environment for a scaling healthcare technology business. This role is designed for someone who has experience implementing and overseeing a cross functional compliance framework, including end-to-end process documentation, controls, testing, and remediation. Reporting to the CFO, this leader will partner across Finance, Operations, and other business functions. This is a high-impact individual contributor role at the outset, with the potential to grow into team leadership as the function matures.

What you will do

Program Design & Implementation

• Design and implement financial compliance framework following COSO and AICPA best practices, customized for mid-market scale
• Conduct comprehensive risk assessment across all financial processes
• Collaborate with the business to document key financial processes and identify, and document, key financial controls including objectives, ownership, frequency, evidence, and linkage to risks
• Develop Risk and Control Matrix (RACM) serving as central repository for compliance program
• Create practical testing procedures, documentation, and monitoring dashboards
• Establish deficiency management protocols including classification, escalation, remediation workflows, and tracking
• Maintain engagement with control owners

Testing & Monitoring

• Execute quarterly testing of key controls
• Perform semi-annual/annual testing of other significant controls
• Monitor automated controls and analyze performance trends to identify emerging risks
• Validate remediation effectiveness through follow-up testing
• Coordinate with external auditors to support their control reliance strategy

Deficiency Management & Remediation

• Identify, document, and classify control deficiencies using severity criteria (control deficiency, significant deficiency, material weakness)
• Lead root cause analysis and collaborate with process owners on remediation plans
• Track deficiency status, escalate overdue items, and ensure timely closure

Reporting & Communication

• Prepare monthly status updates to CFO and quarterly compliance reports to Executive Leadership
• Prepare annual control environment assessment for CFO and Board of Directors
• Serve as primary liaison with external auditors on internal control matters

What you will bring (minimum requirements)

Education & Certification:

• Bachelor's degree in Accounting, Finance, or related field required
• CPA license preferred (or active CPA candidate)

Experience:

• 7+ years of experience in internal controls, internal audit, compliance, finance, accounting, or related discipline
• Experience with risk-based control frameworks, ideally building or maturing a controls or compliance framework in a growing organization

Technical Skills:

• Strong knowledge of internal controls over financial reporting, GAAP, and financial statement assertions
• Proficiency with COSO framework and audit standards
• Advanced Excel skills
• Familiarity with IT general controls and application controls

Leadership & Soft Skills:

• Self-starter with strong project management skills—ability to create structure from ambiguous mandates
• Excellent communication skills—ability to explain complex controls to non-technical audiences and influence without authority
• Collaborative relationship builder who gains buy-in from process owners
• Detail-oriented with strong analytical skills and ability to identify patterns and root causes
• Pragmatic problem-solver who balances best practices with mid-market realities
• Adaptable, resilient, and comfortable with ambiguity in a growing company
• Leadership potential with ability to mentor, delegate, and evolve to team management
• High integrity and professional skepticism

Ideally you will also have

• Public accounting experience
• CPA license, CIA, or CISA certification
• Experience with GRC platforms
• Healthcare, pharmacy, or financial services industry experience

What we have to offer

• The opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry
• Flexible time off, including 12 paid holidays
• 401k match plus 100% employer paid medical, dental, and vision premiums
• Company contribution to Health Savings Account
• Stock options

Prescryptive is committed to fair pay practices. The projected annual salary for this position is $135,000 to $180,000.   When preparing an offer, we consider the candidates resume, experience, interview feedback, internal equity, and location.