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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
ATS Keywords
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Hard Skills
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 & Qualifications
Bachelor's degree in AccountingBachelor's degree in FinanceCPA licenseactive CPA candidate
Industry Keywords
COSOAICPAinternal auditcompliancefinancial processescontrol deficienciesmaterial weaknesssignificant deficiencyfinancial statement assertionsIT general controls
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