Founding Accountant | Series A B2B HealthTech

$150,000 - $180,000 + Equity | NYC – (Hybrid Working)

An exciting opportunity has arisen with an early-stage, venture-backed, Series A B2B Health Tech startup that's transforming how healthcare providers deliver care. Having recently secured its first institutional funding, the business is now bringing its finance function in-house and is looking to hire its Founding Accountant to partner directly with the VP of Finance.

This is a unique opportunity to become the company's second dedicated accounting hire, taking ownership of building scalable financial operations from the ground up. You'll play a key role in establishing accounting processes, implementing controls, managing the transition from outsourced accounting, and laying the financial foundations needed to support future fundraising and rapid growth.

• Own the month-end and year-end close process, ensuring accurate and timely financial reporting.
• Manage the transition of the finance function from an outsourced provider to an in-house operation.
• Oversee all day-to-day accounting operations, including AP, AR, payroll, billing and general ledger activities.
• Prepare monthly financial statements, reconciliations and supporting schedules.
• Build and implement accounting policies, internal controls and scalable finance processes from the ground up.
• Partner closely with the Head of Finance on budgeting, cash flow forecasting and board reporting.
• Manage external auditors, tax advisors and bookkeeping partners.
• Ensure compliance with US GAAP and support technical accounting matters.
• Lead finance systems implementation and automation initiatives as the business scales.
• Partner with Product, Operations and Commercial teams to improve financial visibility and decision-making.
• Support future fundraising, due diligence and investor reporting.

• CPA qualification strongly preferred.
• 5+ years of progressive accounting experience, ideally within a VC-backed startup or high-growth technology business.
• Strong knowledge of US GAAP and hands-on ownership of the month-end close.
• Experience bringing accounting processes in-house or building finance processes within an early-stage or fast-paced environment.
• Experience with Net Suite, Quick Books or other modern cloud-based ERP systems.
• Highly organized, proactive and comfortable operating with ambiguity.
• Strong communication skills with the ability to partner across multiple functions.
• Passion for joining an early-stage business where you can have a genuine impact.