Senior Revenue Accountant

AcuityMD is the AI platform for Med Tech trusted by over 500 Med Tech companies – including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology.

AcuityMD ranked No. 316 on the 2026 Inc. 5000 list of the fastest-growing private companies in America and was named to Forbes’ 2025 “Next Billion-Dollar Startups” list– an elite group of 25 venture-backed U.S. companies identified as most likely to reach a $1 billion valuation. AcuityMD is backed by Stepstone Group, Benchmark, Redpoint Ventures, ICONIQ, and Atreides Management.

In this role, you will own the day-to-day execution of revenue accounting as AcuityMD scales. You will make sure revenue is recognized accurately, on time, and in line with ASC 606 across subscription, usage-based, and professional services contracts. You will partner with Sales, Rev Ops, Legal, and Finance so complex deals are understood before they close, and you will help build the controls and processes that keep us audit-ready as we grow.

• Revenue recognition: Apply ASC 606 to new and amended contracts, including performance obligations, standalone selling price allocation, contract modifications, and variable consideration for usage-based fees.
• Month-end and quarter-end close: Prepare revenue entries, deferred revenue schedules, and contract-level reconciliations on a predictable close calendar.
• Systems and data integrity: Maintain the sub-ledger flow between Hub Spot and Rillet, reconcile contract data to revenue schedules, and flag gaps before they reach the close.
• Contract review and deal support: Review non-standard terms such as discounts, free or bundled services, and renewals and upsells, and give Sales and Deal Desk fast, clear guidance on revenue treatment.
• Commissions accounting: Support capitalized contract cost accounting under ASC 340-40, including amortization schedules and period-end true-ups. [Confirm scope with Jess]
• Audit readiness: Build and maintain support for revenue and deferred revenue balances, draft technical memos, and respond to auditor requests.
• Process improvement: Document procedures, tighten controls, and automate manual steps so the function scales without adding headcount at the same pace.
• Cross-functional partnership: Explain revenue implications in plain language to non-finance teams and help reduce close-time fire drills.

• Bachelor's degree in Accounting or Finance; CPA or CPA-eligible preferred.
• 4–6 years of revenue accounting experience in public accounting and/or a high-growth SaaS company.
• Hands-on ASC 606 experience with multi-element and usage-based contracts, including SSP analysis and contract modifications.
• Experience owning a revenue close, including deferred revenue roll-forwards and reconciliations.
• Comfort with cloud ERP and billing systems (Rillet experience a plus) and strong Excel or Google Sheets skills.
• Clear communicator who can explain GAAP to Sales, Legal, and executive stakeholders.
• Detail-oriented and proactive, with a bias toward improving the process, not only running it.

• B2B SaaS experience, ideally Med Tech or another regulated vertical.
• Usage-based or hybrid pricing experience and the related ASC 606 implications.
• Experience with ASC 340-40 deferred commissions.
• Familiarity with Hub Spot CRM and its integration to a revenue sub-ledger.
• Exposure to SOX scoping or public company readiness work.

AcuityMD is committed to providing highly competitive cash…