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Finance & Business Operations Manager

San Francisco or New York City or Remote💼 Full-time🗓 2026-09-14 → 2026-09-26

Core

Own the operational backbone of a fast-growing health-tech startup, managing books, billing, spend, insurance, and payroll to ensure accurate financial data and compliant operations.

Role type

Senior Finance & Business Operations Manager (hands-on IC)

Builds

Accurate financial records, automated billing workflows, controlled spend processes, and reliable payroll/expense operations for an enterprise pharmacy software company.

Domain

Health technology / Enterprise pharmacy / Startup G&A

Deliverable

production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work

Required skills

QuickBooks Online, accounts payable, accounts receivable, expense management, corporate card platforms (Brex/Ramp), HR/payroll systems (Rippling/Gusto), Excel/Google Sheets, vendor negotiation, insurance administration, process documentation

Preferred skills

Early-stage startup experience, full month-end close execution, audit experience, business insurance broker management, multi-state payroll compliance, procurement systems

Technologies

QuickBooks Online, Brex, Rippling, Gusto, Justworks

Responsibilities

Reconcile accounts and run month-end close; manage end-to-end invoicing and collections; administer corporate cards and vendor spend; process payroll and employee expenses; renew business insurance and maintain corporate records; document financial policies and operational procedures.

Seniority

Mid-level, hands-on ownership

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