Manager, Financial and Operational Compliance

Prescryptive Health, Inc.

Hands-on compliance leader designing a financial compliance framework for healthcare technology company. Collaborating across Finance and Operations to enhance the control environment.

Posted 6/6/2026full-timeRemote • Virginia, Washington, West Virginia, Wisconsin, Wyoming • 🇺🇸 United StatesSeniorLead💰 $135,000 - $180,000 per yearWebsite

About the role

Key responsibilities & impact

Design and implement financial compliance framework following COSO and AICPA best practices, customized for mid-market scale
Conduct comprehensive risk assessment across all financial processes
Collaborate with the business to document key financial processes and identify, and document, key financial controls including objectives, ownership, frequency, evidence, and linkage to risks
Develop Risk and Control Matrix (RACM) serving as central repository for compliance program
Create practical testing procedures, documentation, and monitoring dashboards
Establish deficiency management protocols including classification, escalation, remediation workflows, and tracking
Execute quarterly testing of key controls
Perform semi-annual/annual testing of other significant controls
Monitor automated controls and analyze performance trends to identify emerging risks
Validate remediation effectiveness through follow-up testing
Coordinate with external auditors to support their control reliance strategy
Identify, document, and classify control deficiencies using severity criteria (control deficiency, significant deficiency, material weakness)
Lead root cause analysis and collaborate with process owners on remediation plans
Track deficiency status, escalate overdue items, and ensure timely closure
Prepare monthly status updates to CFO and quarterly compliance reports to Executive Leadership
Prepare annual control environment assessment for CFO and Board of Directors
Serve as primary liaison with external auditors on internal control matters

Requirements

What you’ll need

Bachelor's degree in Accounting, Finance, or related field required
CPA license preferred (or active CPA candidate)
7+ years of experience in internal controls, internal audit, compliance, finance, accounting, or related discipline
Strong knowledge of internal controls over financial reporting, GAAP, and financial statement assertions
Proficiency with COSO framework and audit standards
Advanced Excel skills
Familiarity with IT general controls and application controls

Benefits

Comp & perks

Flexible time off, including 12 paid holidays
401k match plus 100% employer paid medical, dental, and vision premiums
Company contribution to Health Savings Account
Stock options

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

financial compliance frameworkrisk assessmentRisk and Control Matrix (RACM)testing proceduresdeficiency management protocolsautomated controlsroot cause analysisGAAPinternal controls over financial reportingadvanced Excel skills

Soft Skills

collaborationdocumentationcommunicationleadershipproblem-solvingorganizationanalytical skillsescalation managementstatus reportingliaison

Certifications

Bachelor's degree in AccountingBachelor's degree in FinanceCPA licenseactive CPA candidate