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
Maintain engagement with control owners
Testing & Monitoring
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
Deficiency Management & Remediation
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
Reporting & Communication
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
What you will bring (minimum requirements)
Education & Certification:
Bachelor's degree in Accounting, Finance, or related field required
CPA license preferred (or active CPA candidate)
Requirements
7+ years of experience in internal controls, internal audit, compliance, finance, accounting, or related discipline
Experience with risk-based control frameworks, ideally building or maturing a controls or compliance framework in a growing organization
Technical Skills:
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
Leadership & Soft Skills:
Self-starter with strong project management skills-ability to create structure from ambiguous mandates
Excellent communication skills-ability to explain complex controls to non-technical audiences and influence without authority
Collaborative relationship builder who gains buy-in from process owners
Detail-oriented with strong analytical skills and ability to identify patterns and root causes
Pragmatic problem-solver who balances best practices with mid-market realities
Adaptable, resilient, and comfortable with ambiguity in a growing company
Leadership potential with ability to mentor, delegate, and evolve to team management
High integrity and professional skepticism
Ideally you will also have
Public accounting experience
CPA license, CIA, or CISA certification
Experience with GRC platforms
Healthcare, pharmacy, or financial services industry experience
What we have to offer
The opportunity to grow alongside an early-stage company shaking up a big, old-fashioned industry
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
Prescryptive is committed to fair pay practices. The projected annual salary for this position is $135,000 to $180,000. When preparing an offer, we consider the candidates resume, experience, interview feedback, internal equity, and location.
Prescryptive is an Equal Opportunity Employer. Prescryptive does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical o
Benefits
Health insuranceDental insuranceVision insurance401(k)Flexible scheduleEquity / stock options
Additional Information
Who is Prescryptive?
Prescryptive is the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform aligns incentives so affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us on LinkedIn or visiting Prescryptive.com .
About this role
We're hiring a hands-on compliance leader to advance the control environment for a scaling healthcare technology business. This role is designed for someone who has experience implementing and overseeing a cross functional compliance framework, including end-to-end process documentation, controls, testing, and remediation. Reporting to the CFO, this leader will partner across Finance, Operations, and other business functions. This is a high-impact individual contributor role at the outset, with the potential to grow into team leadership as the function matures.
Prescryptive · Remote