Accounting Manager

About Open Loop

Open Loop was co-founded by CEO, Dr. Jon Lensing, and COO, Christian Williams, with the vision to bring care anywhere. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

Open Loop is looking for an Accounting Manager to join our team remotely or onsite at our HQ in Des Moines, IA. In this role, you will be a key member of the finance/accounting team playing a hands‑on role in building scalable accounting processes while ensuring accuracy, compliance, and timely reporting. The ideal candidate thrives in a fast‑paced startup environment, is highly autonomous, and balances speed with quality.

• Own and manage the month-end, quarter-end, and year-end close processes, ensuring timely and accurate financial reporting
• Prepare and review journal entries, account reconciliations, and financial statements
• Support GAAP‑compliant financial reporting and assist with technical accounting matters
• Partner with FP&A, Operations, and cross‑functional teams to provide financial insights
• Manage and develop a small team of direct reports, providing guidance, review, and coaching
• Assist with external audits, tax filings, and interactions with outside accounting firms
• Help design, document, and improve scalable accounting processes and internal controls
• Support system implementations and improvements (ERP, billing, expense tools, etc.)
• Ensure compliance with relevant healthcare and regulatory requirements as applicable
• Other duties as assigned

• Bachelor’s degree in Accounting, Finance, Business Administration, Economics, or a related field
• 5-7 years of progressive accounting experience
  • 2+ years of that experience to include coaching and managing others
• Big 4 public accounting experience highly preferred
• Startup or high-growth company experience highly preferred
• Exposure to pre‑IPO readiness, including SOX, audit readiness, highly preferred
• Strong knowledge of U.S. GAAP and financial reporting
• Experience leading, coaching and developing junior accountants and their work
• Ability to work independently, prioritize effectively, and move quickly without sacrificing accuracy
• Experience with managing competing priorities, and shifting smoothly to support business needs
• Comfortable operating in a high-growth, evolving startup environment
• Excellent communicator skills, with attention to detail
• CPA is highly preferred

In addition, for salaried positions you would also be eligible for:

• Medical, Dental, and Vision plans
• Flexible Spending/Health Savings Accounts
• Flexible PTO
• 401(k) + Company Match
• Life Insurance, Pet insurance, and more

We have a relatively flat organizational structure here ryone is encouraged to bring ideas to the table and make things happen. This fits in well with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.

Sound like a good fit? We’d love to meet you.