It jobs in United States

At Fullscript, we’re not just changing healthcare—we’re making it whole.

We help 100,000+ healthcare practitioners support 10 million patients with a platform that delivers evidence-based health solutions, diagnostic support, and practitioner tools—all in one place.

Healthcare today is disconnected. We’re fixing that. Fullscript makes it easier for practitioners to treat the whole person, not just symptoms, so patients get the support they need—when they need it.

We’re building a better way—one where healthcare is connected, complete, and built for impact.

About The Role:

We’re seeking a Director, Tax to develop and lead our compliance roadmap. You’ll drive the evolution of our global tax function, guiding a high-performing team through increasing complexity in corporate, indirect, and cross-border tax. Reporting directly to the VP of Finance, you’ll bring deep expertise in both Canadian and US tax environments and play a critical role in shaping our compliance infrastructure, partner relationships, and internal capabilities.

• Managing Fullscript’s global tax team, ensuring compliance across all tax functions including corporate tax, indirect taxes, US SALT, payroll tax, and withholding tax.
• Building a world-class tax team: recruiting, developing, and retaining top-tier talent to elevate the impact and capabilities of the tax function.
• Establishing and reporting on team KPIs, clearly and effectively communicating team performance and progress to finance and executive stakeholders.
• Liaising with key external consultants, utilizing them efficiently and effectively.
• Serving as a leader, mentor, or coach to one or more employees, which will include providing honest and timely performance feedback
• Managing Fullscript’s compliance calendar, including timing and coordination of all required filings and payments.
• Leading all tax compliance-related matters, including but not limited to:
• Annual filing requirements for incentive equity (e.g., IRS Form 3921),
• Practitioner payments and reporting (e.g., 1099-K and T4A),
• Transfer pricing documentation and related compliance (e.g., Form 1042),
• Employee cross-border compliance (e.g., payroll and residency implications for employees working across US/Canada borders).
• Overseeing the transfer pricing process and other international reporting requirements
• Develop and execute Fullscript’s tax team roadmap in partnership with the VP, Finance, including strategic planning of compliance initiatives, jurisdictional filing strategies, project implementation, and cross-functional coordination across Finance, Legal, Engineering, Product, and Systems.
• Developing strategies to optimize Fullscript’s global cash tax payable, including leveraging key government incentive programs such as Scientific Research & Experimental Development (SR&ED) and Qualified Research Expenditures (QREs).
• Managing relationships with tax authorities and service providers
• Providing FP&A team with tax/government grant inputs for reporting, budgeting and forecasting purposes
• Reviewing and making recommendations to current practices
• Reviewing current and upcoming changes in tax laws and their implications for the company

• Experience as a Director or Senior Manager of Tax or Indirect tax team within a fast-paced environment
• Strong knowledge of Canadian and US tax laws
• Working knowledge of GST/HST and US international taxes.
• Practical exposure to corporate structuring and transfer pricing decision-making processes
• Experience with Avalara Avatax, Returns & CertCapture, or similar software
• Prior experience within an online marketplace/eCommerce environment
• Project management experience
• Demonstrated success building and improving processes
• Experience working with integrations and system configurations
• Exceptional organizational skills.
• Leadership experience and ability to coach & mentor other team members
• Excellent communication skills, both written and verbal, including the ability to explain highly complex subject matter in simple terms.

• Market competitive compensation package including equity
• RRSP matching (within CAD)//401K matching (within US)
• Flexible PTO policy
• Flexible benefits package and additional perks
• Employee discount on Fullscript catalog of products for family & friends
• Ability to *Work Wherever You Work Well*

Why Fullscript?

Great work happens when people are supported, challenged, and inspired. Here, you’ll be part of a team that:

⬦ Values innovation—we push boundaries and always look for better ways.

⬦ Supports growth—through learning, mentorship, and meaningful work.

⬦ Cares about balance—with flexible work options and time off when you need it.

Apply now—let’s build the future of healthcare, together.

Fullscript is an equal-opportunity employer committed to creating an inclusive workplace. Accommodations are available upon request—email accommodations@fullscript.com for support.

Before joining the team, all candidates who receive and accept an offer will complete a background check.

We use AI tools to support parts of our hiring process, like screening and reviewing responses. Final decisions are always made by people. This process complies with privacy and employment laws across Canada and the U.S.

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MORE INFO: www.fullscript.com | www.rupahealth.com | Follow us on social media @fullscriptHQ

IN THE NEWS: Fullscript acquires Rupa Health

Let’s make healthcare whole