Senior Accountant

Who we are:

Nitra's mission is to build a more
efficient healthcare system
and the
technology
that makes it
possible
. Our goal is to provide an ecosystem of fintech and software solutions that help doctors better manage their practices, so they can have time back to focus on what matters to them most.

Nitra offers physicians and medical clinics around the country credit and expense management products they crucially need, as well as a medical supply marketplace, in an all-in-one platform powered by machine learning technologies.

Nitra was created by unicorn founders who have successfully scaled to thousands of customers and exited $1B+ public offerings. They are joined by an ambitious and experienced team from American Express, Plaid, and Goldman Sachs. The team is backed by some of the world’s leading VCs (Andreessen Horowitz, NEA, etc.) and is supported by an expert group of advisors including the cofounders of Square and Xendit, executives from Intuit, former Governors, White House senior staffers, and a co-founder of CityMD.

A Senior Accountant who will play a critical role in scaling Nitra’s accounting infrastructure and ensuring financial compliance, reporting, and controls are best-in-class. We need a diligent and detail-oriented professional who can partner closely with the CFO to bring core accounting functions in-house, prepare for our first audit, and provide timely insights that support strategic decisions.

• Collaborating with the CFO, outsourced bookkeeping firm, and senior staff to develop internal control policies and procedures for accounting, cash, and credit management
• Leading the transition of all bookkeeping/accounting functions from our outsourced partner and building a GAAP-compliant P&L, balance sheet, and cash flow statement
• Preparing for Nitra’s first external audit (2025 or 2026) and coordinating the annual audit process
• Establishing financial controls within the accounting department and leading monthly close activities
• Supporting monthly and quarterly investor and lender compliance reporting
• Assisting in the preparation of annual and monthly operating budgets and collaborating with budget owners to improve financial literacy
• Utilizing and providing feedback on our in-house expense management platform and managing accounting entries in Quick Books
• Producing financial trend analyses and strategic financial reports for the Board of Directors, Finance and Audit Committee, and senior leadership
• Monitoring fiscal deadlines and ensuring timely completion of financial reporting requirements
• Reviewing vendor contracts and providing financial perspective in decision‑making
• Managing payroll and expense reimbursements, both domestic and international
• Supporting tax reporting and compliance initiatives
• Taking on additional responsibilities as needed in a fast‑paced startup environment

• Bachelor’s degree in Accounting, Finance, or a related field (required)
• CPA certification (required)
• 4–7 years of progressive experience in public or private accounting
• Experience in startups, fintech, credit cards, or healthtech
• Strong knowledge of GAAP, financial controls, and reporting standards
• Experience leading audits and building accounting systems from the ground up
• Familiarity with Quick Books and financial reporting tools
• High attention to detail and the ability to manage competing priorities
• Comfort in startup environments, with a proactive and solutions-oriented mindset
• Exceptional written and verbal communication skills
• Ability to work collaboratively across teams and functions
• A commitment to confidentiality and professionalism

• Equity - Everyone at Nitra is an owner. When the company wins, you win
• Competitive Salary - You’re the best of the best, and your salary will reflect your experience and reward your contributions to Nitra
• Health Care - Your health comes first. We offer comprehensive health, vision, and dental insurance options.
• Retirement Benefits - Your financial stability matters to us so we provide a generous employer 401K match

The base salary range for this full‑time position is $100k - $150k + bonus + equity + benefits. Our salary…