Senior Accounting Manager - SaaS Startup

Senior Accounting Manager | San Francisco, CA | Hybrid

$165K–$190K Base + Competitive Equity

Want to build the accounting infrastructure behind a rapidly scaling healthcare AI company?

We’re looking for a Senior Accounting Manager to take ownership of the entire Order-to-Cash function at a high‑growth healthcare AI company that has grown revenue 20x in just 15 months and recently raised $120M in Series C funding at a $1.2B valuation
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This is a high‑impact opportunity for an accounting leader who enjoys building systems, solving complex revenue issues, and working cross‑functionally in a fast‑moving environment.

• Lead Order-to-Cash end‑to‑end
  , including invoicing, collections, cash application, and revenue recognition
• Own the monthly revenue close
  , targeting a 5-business-day close
• Manage ASC 606 revenue recognition
  , including usage‑based revenue, multi‑element arrangements, contract modifications, and deferred commissions
• Develop technical accounting memos and work directly with external auditors
• Lead the upcoming AICPA audit and help prepare the organization for PCAOB scoping
• Partner with Sales, Engineering, Customer Success, and executive leadership on billing, pricing, contracts, and new product revenue treatment
• Build scalable accounting processes and infrastructure designed for continued growth and future IPO readiness

• 6–9 years of progressive accounting experience
• At least 4 years within high‑growth SaaS / enterprise software
  , ideally Series B–D
• Strong hands‑on experience with usage‑based billing platforms such as Tabs, Maxio, Chargebee, Zuora, or Stripe Billing
• Deep knowledge of ASC 606 and experience personally preparing and defending revenue recognition memos
• Experience serving as the internal accounting lead with Big 4 or regional audit firms
• Comfortable operating as a builder in a fast‑paced, rapidly changing environment
• An AI‑first mindset with experience using AI tools to improve close, audit, and technical accounting workflows

Equity: Competitive

Work Model: Hybrid

• Revenue has grown 20x in 15 months
• Recently raised $120M Series C
• $1.2B valuation
• Backed by leading venture firms including Menlo Ventures, Lightspeed, First Round Capital, and Felicis
• Named to the Forbes Cloud 100 and 2026 Enterprise Tech 30
• Trusted by thousands of healthcare providers
• Opportunity to build the accounting and revenue infrastructure supporting the company’s next stage of growth

If you're an accounting leader who wants meaningful ownership, significant growth exposure, and the opportunity to build rather than simply maintain — this could be a great next step.