Latent
Finance & Business Operations Manager
San Francisco · Posted Sep 14, 2026
$150K – $175KAbout the role
About Latent Latent is building the clinical agentic engine for enterprise pharmacy—software that enables leading health systems to serve more patients, grow their pharmacy operations, and capture more value compliantly, without adding headcount. We are a fast-moving team looking for thoughtful, ambitious people who want to help build both the business and the systems behind it. The Opportunity 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 in
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