Own the US finance function for a scaling teleradiology business, including payroll, multi-state payroll tax compliance, accounts payable, expenses, reporting, budgeting, forecasting, banking, and vendor oversight. Administer radiologist compensation, analyze RVU economics, support revenue recognition and cash-flow forecasting, and partner with Group Finance, People & Culture, Legal, and operations. Direct an outsourced accounting and payroll provider while developing a roadmap to bring capabilities in-house.