Sr. Accountant

Our client is an early-stage healthcare company developing a technology-enabled care model designed to improve outcomes for individuals managing chronic health conditions. As the organization enters its next phase of growth, it is building a strong finance function capable of supporting expansion while maintaining accurate reporting, effective controls, and disciplined financial operations.

The company is seeking a hands-on Senior Accountant / Accounting Manager to work closely with the VP of Finance and take ownership of its core accounting activities.

This individual will oversee day-to-day accounting operations, manage the monthly close, and ensure the accuracy and timeliness of financial reporting. The role will also help improve systems, automate manual workflows, and develop scalable accounting processes as the organization grows.

The ideal candidate combines strong technical accounting knowledge with a practical, solutions-oriented mindset. They should be comfortable working independently, managing competing priorities, and operating in a dynamic, high-growth environment.

• Lead the monthly close process and ensure financial reporting is accurate, timely, and compliant with GAAP.
• Prepare journal entries and account reconciliations and maintain the general ledger in Net Suite.
• Oversee accounts payable, employee expenses, and vendor payments using BILL and Ramp.
• Support accounts receivable, including invoicing, billing, and account reconciliation.
• Prepare financial reports, schedules, and analyses for executive leadership and business planning.
• Assist with audit preparation, documentation requests, and the application of relevant accounting guidance.
• Monitor cash activity and communicate anticipated funding needs, payroll obligations, and other significant upcoming payments.
• Identify opportunities to automate manual tasks and improve the efficiency and reliability of accounting workflows.
• Establish processes and controls that can support increasing transaction volume and organizational complexity.
• Collaborate with the VP of Finance and cross-functional stakeholders on evolving business and reporting needs.

• At least five years of progressive accounting experience.
• Hands-on Net Suite experience is required.
• Demonstrated ownership of month-end close within a growing organization.
• Strong knowledge of GAAP and core accounting principles.
• Experience with journal entries, general ledger management, account reconciliations, accounts payable, and accounts receivable.
• Experience preparing audit schedules and responding to audit requests.
• Strong organizational skills and exceptional attention to detail.
• Ability to work independently and take full ownership of deliverables.
• Proactive communication and sound judgment when identifying and resolving issues.

• CPA designation or previous public accounting experience.
• Experience with in healthcare, health technology, life sciences, biotechnology, or another innovation-driven industry.
• Familiarity with BILL, Ramp, or comparable payment and expense-management systems.
• Experience improving financial systems, implementing controls, or automating accounting processes.
• Previous experience working within a startup or high-growth company.

The successful candidate will enjoy building and improving processes rather than simply maintaining established ones. They will be highly responsive, naturally detail-oriented, and able to produce accurate work within a fast-moving environment. This person should be comfortable taking initiative, solving problems independently, and helping create an accounting function that can scale with the business.