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Salary: USD 110,000 - 140,000 / annual
OneImaging is transforming radiology access through a concierge model and a network of 5,000+ vetted providers across 48 states, reducing imaging costs by 60-80% while eliminating surprise bills. The company is seeking an Accounting & Finance Operations Manager to build and scale financial operations supporting continued growth.
Reporting to the VP of Finance, you will own day-to-day accounting and finance operations, oversee external accounting partners, and strengthen processes and controls. Key responsibilities include managing end-to-end accounts receivable (invoicing, cash application, collections, dispute resolution, aging reporting), optimizing receivables performance metrics (DSO, collection timelines, reimbursement trends), and managing prefunded patient exam card operations through Lithic (funding, reconciliation, reimbursement tracking, cash exposure).
You will administer payroll through Rippling (processing, employee changes, deductions, tax reconciliations, GL integrations), manage corporate card programs via Ramp (policies, approval workflows, spend limits, compliance), and partner with external accounting firms on monthly close processes, reconciliations, and accurate financial reporting. Additional responsibilities include developing and implementing financial policies and internal controls, managing accounts payable and vendor relationships, maintaining accurate financial records, providing weekly cash and receivables visibility for forecasting, optimizing financial systems (QuickBooks, Rippling, Ramp, Lithic, Salesforce integrations), and supporting audit preparation and tax compliance.
This is a hands-on role for someone who enjoys taking ownership, improving processes, and building scalable operations within a growing healthcare technology company.
**Requirements:**
- 4–6+ years of experience in accounting, finance operations, or related field with hands-on monthly close experience
- Strong background in accounts receivable, invoicing, collections, and cash reconciliation with demonstrated ability to improve collection performance and reduce DSO
- Experience overseeing outsourced accounting firms, bookkeepers, or third-party financial service providers
- Hands-on payroll administration experience through Rippling, ADP, Gusto, or comparable platform
- 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 ability to analyze, reconcile, and interpret financial data across multiple systems
- Excellent organizational skills, attention to detail, ability to manage competing priorities and meet deadlines
- Strong communication and cross-functional collaboration skills with confidence to drive accountability
- Proactive, process-oriented mindset with ability to identify inefficiencies and build scalable solutions
- Comfort working in a growing company where processes are evolving
**Nice to have:**
- CPA certification
- Healthcare, medical billing, or payer reimbursement operations experience
- Salesforce and finance-related integrations familiarity
- Financial audit, fundraising diligence, or accounting operations experience at high-growth startups
- Experience working alongside a Controller or establishing structured accounting functions
