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Latent is building clinical agentic software for enterprise pharmacy, enabling health systems to serve more patients and grow operations compliantly. You will be hired as Finance & Business Operations Manager to own the operational systems that keep the company running: accounting, billing, spend management, payroll, and insurance.
This is a hands-on ownership role where you will work directly in QuickBooks Online, Brex, and Rippling, designing policies and processes around them. You will partner closely with the strategic finance function—they build models and forecasts; you own the operational reality that feeds it. On any given day, you might reconcile accounts, issue customer invoices, chase receivables, review expenses, renegotiate software renewals, or manage insurance renewals.
Key responsibilities include:
**Accounting & Books**: Own day-to-day bookkeeping in QuickBooks Online including categorization, reconciliations, and chart-of-accounts maintenance. Run or support month-end close with accruals, prepaids, and reconciliations. Keep financial records accurate, organized, and audit-ready. Coordinate with external accounting, bookkeeping, and tax partners.
**Invoicing & Accounts Receivable**: Own customer invoicing end-to-end (recurring, milestone, usage-based). Ensure invoices are accurate, properly coded, and issued on schedule. Track receivables, follow up on outstanding balances, and manage collections. Resolve billing discrepancies with customers and internal stakeholders. Partner with Sales and Customer Success on contract-to-billing flows.
**Accounts Payable & Spend Management**: Administer Brex (card issuance, spend limits, approval flows, receipt compliance). Review vendor bills for accuracy and proper coding. Manage payment runs and resolve vendor discrepancies. Own vendor onboarding, renewals, and purchasing workflows. Maintain visibility into software subscriptions and identify savings. Evaluate vendors and negotiate terms. Partner with budget owners on purchase appropriateness and approval.
**Payroll & Personnel Expenses**: Own employee expense management (policy, workflows, review, reimbursement). Support payroll processing in Rippling including off-cycle runs and GL mapping. Maintain employee records and support onboarding, offboarding, and benefits workflows. Serve as first point of contact for employee expense and payroll questions. Partner with People and leadership on compensation changes. Handle confidential data with sound judgment.
**Insurance & Business Administration**: Own company business insurance (renewals, broker relationships, coverage reviews, certificate requests). Ensure coverage aligns with headcount, contracts, and risk profile. Maintain corporate records, state registrations, and business licenses. Support customer and partner requests for insurance, tax, and compliance documentation.
**Building Operations**: Identify manual or inefficient processes and replace with better systems and controls. Document financial and operational policies, approval thresholds, and procedures. Help select and implement finance and operations tools as the company grows. Take ownership of new operational priorities.
Within your first year, success looks like: closing books accurately on a predictable monthly cadence; making invoicing and collections run on schedule with actively managed receivables; giving leaders clear visibility into vendor spend, subscriptions, and card activity; establishing a documented expense and procurement policy the team follows; reviewing and renewing insurance coverage without last-minute scrambles; making payroll and reimbursements reliable with fast, accurate employee answers; and building documented processes that scale or hand off.
**Requirements**:
- 3–6 years of experience in accounting operations, finance operations, business operations, or startup G&A
- Hands-on ownership of QuickBooks Online or comparable general ledger (not just reviewing someone else's work)
- Direct experience running accounts payable, accounts receivable, and expense workflows
- Familiarity with corporate card and spend platforms (Brex, Ramp, or similar) and HR/payroll systems (Rippling, Gusto, Justworks, or similar)
- Excellent attention to detail and high standard for accuracy
- Advanced proficiency with Excel or Google Sheets
- Strong organizational and project-management skills with comfort owning recurring deadlines
- Clear, thoughtful communication with colleagues, vendors, and external partners
- Proactive, low-ego approach and willingness to take ownership
- Comfort operating in fast-changing environment with incomplete information
**Nice to Have**:
- Experience at early-stage or rapidly growing technology company
- Experience through full month-end close, audit, or finance systems migration
- Experience managing business insurance renewals or working directly with brokers
- Exposure to multi-state payroll and payroll compliance
- Experience with procurement or spend-management systems
- Interest in healthcare, pharmacy operations, or health technology
