Finance Manager | USA

What we’re about

At Harrison.ai, we’re redefining what’s possible in healthcare. Through our diagnostic AI solutions, we’re building tools that support clinicians to deliver earlier, more accurate diagnoses and raise the standard of care for millions of patients worldwide.

Our mission is bold but simple: to scale global healthcare capacity and create a fairer, healthier world. By using AI as a co-pilot for clinicians, we’re tackling one of healthcare’s biggest challenges, the shortage of human expertise, and giving every patient the chance to access timely, high-quality care, no matter where they live.

Because while we’re building cutting-edge AI, what we’re really building is hope—that everyone can access the healthcare they deserve.

And we’re just getting started.

About Your Role

This role supports both the Harrison.ai US business and Harrison.ai Services, the management services organisation that provides services to Frontier Radiology — an independent, AI-first, physician-owned teleradiology practice. Harrison.ai Services is a core pillar of Harrison.ai's growth agenda and its first major build-out of US non-clinical service operations.

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 transaction processing; the Finance Manager sets direction and builds the roadmap to bring that capability in-house.

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.

Why join us?

🌍 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.

What's next?

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