Finance & Business Operations Manager (Healthcare)

Location: San Francisco or New York City, or remote; hybrid

Salary: $150,000–$175,000 per year plus equity

Company

hirify.global is building a clinical agentic engine for enterprise pharmacy, helping health systems expand pharmacy operations and serve more patients compliantly without adding headcount.

What you will do

• Own day-to-day bookkeeping in QuickBooks Online, including categorization, reconciliations, chart-of-accounts maintenance, and month-end close support.
• Manage customer invoicing, recurring, milestone, and usage-based billing, accounts receivable, collections, and billing issue resolution.
• Administer Brex, vendor bills, payment runs, purchasing workflows, renewals, corporate cards, and spend controls.
• Own employee expenses and support payroll processing in Rippling, including reimbursements, off-cycle runs, employee records, and benefits administration workflows.
• Manage business insurance renewals, broker relationships, coverage reviews, corporate records, registrations, and business licenses.
• Build documented financial policies, approval thresholds, operating procedures, controls, and scalable finance operations systems.

Requirements

• 3–6 years of experience in accounting operations, finance operations, business operations, or startup general and administrative functions.
• Hands-on experience with QuickBooks Online or a comparable general ledger, including accounts payable, accounts receivable, and expense workflows.
• Familiarity with corporate card and spend platforms such as Brex or Ramp, and HR/payroll systems such as Rippling, Gusto, or Justworks.
• Advanced proficiency with Excel or Google Sheets, strong attention to detail, and a high standard for accuracy.
• Strong organizational, project-management, communication, and deadline-management skills.
• Comfort taking ownership in a fast-changing environment with incomplete information.

Nice to have

• Experience at an early-stage or rapidly growing technology company.
• Experience with a full month-end close, audit, or finance systems migration.
• Experience managing business insurance renewals or working with brokers.
• Exposure to multi-state payroll, payroll compliance, procurement, or spend-management systems.
• Interest in healthcare, pharmacy operations, or health technology.

Culture & Benefits

• Own the finance and business operations function directly rather than executing an existing process.
• Work with company leadership on decisions affecting the business.
• Gain exposure to multiple areas of the company and build its operating backbone at an early stage.
• Receive meaningful ownership and room to grow.
• Offers equity.