Accounting & Finance Operations Manager

The role

You will own day-to-day accounting and finance operations and oversee an external accounting partner. The role focuses on managing accounts receivable, improving cash collection, and strengthening financial processes and controls.

What you will do

• Own the end-to-end accounts receivable process including invoicing, collections, and dispute resolution.
• Monitor and optimize receivables performance, DSO, and reimbursement trends.
• Manage financial operations of prefunded patient exam cards through Lithic.
• Own payroll administration through Rippling.
• Administer Ramp including corporate card programs and expense policies.
• Partner with an external accounting firm to manage the monthly close process.
• Oversee the relationship with the accounting partner.
• Develop and implement financial policies, internal controls, and standard operating procedures.
• Manage accounts payable reporting, vendor onboarding, and contract tracking.
• Maintain accurate financial records and support general ledger improvements.

Required qualifications

• 4–6+ years of experience in accounting, finance operations, or a related field.
• Hands-on experience managing or owning the monthly close process.
• Strong background in accounts receivable, invoicing, collections, and cash reconciliation.
• Experience overseeing outsourced accounting firms, bookkeepers, or other third-party financial service providers.
• Hands-on experience administering payroll through Rippling or a comparable platform such as ADP or Gusto.
• Proficiency with QuickBooks and Ramp or similar accounting and spend management platforms.
• Experience developing and implementing accounting policies, internal controls, and standard operating procedures.
• Strong Excel skills and the ability to analyze, reconcile, and interpret financial data across multiple systems.
• Excellent organizational skills and attention to detail.
• Strong communication and cross-functional collaboration skills.
• A proactive, process-oriented mindset.

Nice to have

• CPA certification.
• Experience in healthcare, medical billing, or payer reimbursement operations.
• Familiarity with Salesforce and finance-related integrations.
• Experience supporting financial audits, fundraising diligence, or accounting operations at a high-growth startup.
• Experience working alongside a Controller or helping establish a more structured accounting function.

Benefits

• Equity incentive
• Competitive benefits plans

About the company

OneImaging provides a concierge approach and a premium-quality radiology network of over 5,000 vetted providers across 48 states. The solution helps patients access essential radiology services at fair prices and reduces imaging costs for employers and payers.