Finance & Business Operations Manager

About Latent

Latent is the enterprise pharmacy intelligence platform, powered by a clinical agentic engine, that enables health systems to grow their pharmacy operations and serve more patients. One engine works across the pharmacy journey to identify patients who qualify for care, improve medication access, capture eligible prescriptions and support patients throughout treatment. Latent’s platform enables more than 60 leading health systems that collectively serve an estimated 70 million people. Founded by Sriram “Sri” Somasundaram and Rishabh Jain, Latent has raised $80 million from Transformation Capital, Spark Capital, Conviction, General Catalyst, Y Combinator, and others.

The Role

Latent is hiring a Finance & Business Operations Manager to own the systems that keep the company running: our books, our billing, our spend, our insurance, and our payroll and expense operations. You will be the person who makes sure money moves accurately, on time, and with the right controls behind it.

This is a hands-on ownership role, not an oversight role. You will work in QuickBooks, Brex, and Rippling directly, and you will design the policies and processes around them. You will partner closely with our strategic finance function—they build the model and the forecast; you own the operational reality that feeds it.

On any given day, you might reconcile a month-end account, issue a batch of customer invoices, chase a receivable, review expense reports, renegotiate a software renewal, or work through an insurance renewal with our broker.

What You’ll Do

Accounting and the books

Own day-to-day bookkeeping in QuickBooks Online, including categorization, reconciliations, and chart-of-accounts hygiene

Run or support month-end close, including accruals, prepaids, and account reconciliations

Keep financial records accurate, organized, and audit-ready

Maintain the chart of accounts, classes, and departments so reporting stays meaningful as we grow

Coordinate with external accounting, bookkeeping, and tax partners

Invoicing and accounts receivable

Own customer invoicing end to end, including recurring, milestone, and usage-based billing

Ensure invoices are accurate, properly coded, and issued on schedule

Track receivables, follow up on outstanding balances, and manage collections

Resolve billing questions and discrepancies with customers and internal stakeholders

Partner with Sales and Customer Success so contract terms flow correctly into billing

Accounts payable, corporate cards, and spend management

Administer Brex: card issuance, spend limits, approval flows, receipt compliance, and reporting

Review vendor bills for accuracy, proper approval, and correct coding

Manage payment runs, track payment status, and resolve vendor discrepancies

Own vendor onboarding, renewals, purchasing workflows, and contract records

Maintain visibility into software subscriptions and other recurring commitments, and identify savings opportunities

Evaluate vendors and negotiate commercial terms

Partner with budget owners to ensure purchases are appropriate, approved, and within budget

Personnel expense and payroll operations

Own employee expense management: policy, submission workflows, review, and reimbursement

Support payroll processing in Rippling, including off-cycle runs, and ensure accurate GL mapping into QuickBooks

Maintain employee records and support onboarding, offboarding, and benefits administration workflows

Serve as the first point of contact for employee questions on expenses, reimbursements, and payroll

Partner with People and leadership so compensation changes flow correctly into payroll and the books

Handle confidential compensation and employee data with consistently sound judgment

Insurance and business administration

Own company business insurance: renewals, broker relationships, coverage reviews, and certificate-of-insurance requests

Ensure coverage keeps pace with headcount, customer contracts, and our risk profile

Maintain corporate records, state registrations, and business licenses

Support customer and partner requests for insurance, tax, and compliance documentation

Building the operations function

Identify manual or inefficient processes and replace them with better systems and controls

Document financial and operational policies, approval thresholds, and operating procedures

Help select and implement finance and operations tools as the company grows

Take ownership of new operational priorities as they arise

What We’re Looking For

3–6 years of experience in accounting operations, finance operations, business operations, or startup G&A

Hands-on ownership of QuickBooks Online or a 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 a 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

A proactive, low-ego approach and willingness to take ownership

Comfort operating in a fast-changing environment with incomplete information

What Success Looks Like

Within your first year, you will have:

Closed the books accurately on a predictable monthly cadence

Made invoicing and collections run on schedule, with receivables actively managed

Given company leaders clear visibility into vendor spend, subscriptions, and card activity

Established a documented expense and procurement policy that the team actually follows

Reviewed, right-sized, and renewed insurance coverage without a last-minute scramble

Made payroll and reimbursements reliable, with employees getting fast, accurate answers

Built operational processes documented well enough to scale or hand off

Nice to Have

Experience working at an early-stage or rapidly growing technology company

Experience through a full month-end close, an audit, or a 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

Why Join Latent

Backed by top-tier investors including General Catalyst, Conviction, and Y Combinator

Work alongside a high-caliber team building products our healthcare partners love

Work on mission-critical problems at the intersection of AI and healthcare

Real ownership and visibility

High-impact role on a small, fast-growing team

Benefits

Competitive compensation, including meaningful equity

Medical, dental, and vision insurance for employee and dependents

Flexible PTO policy

Paid parental leave

Fertility and family-building stipend through Carrot