Senior Accountant

Key Responsibilities:

Core Accounting & Close

• Own and execute the monthly, quarterly, and annual close processes
• Prepare and review journal entries, account reconciliations, and supporting schedules
• Maintain general ledger accuracy and ensure timely financial reporting
• Support audit and tax processes, including coordination with external auditors and tax advisors

Revenue Recognition (ASC 606)

• Apply ASC 606 guidance to revenue streams, including healthcare reimbursement revenue
• Build and maintain revenue recognition schedules and deferred revenue tracking
• Partner with operations and billing teams to ensure revenue is recorded accurately and consistently
• Document revenue policies and procedures

Intercompany Accounting

• Manage intercompany transactions, reconciliations, and eliminations across entities
• Ensure proper allocation of shared costs and revenue between related entities
• Maintain intercompany agreements and transfer pricing documentation support
• Experience with professional corporations in healthcare is a plus

Financial Reporting & Controls

• Prepare internal financial statements and variance analyses
• Assist with the development of accounting policies, procedures, and internal controls
• Improve close timelines and process efficiency through automation and tooling
• Ensure compliance with GAAP and evolving accounting standards

Systems & Process Improvement

• Help implement and optimize accounting systems and tools (e.g., ERP, billing, payroll, expense platforms)
• Build scalable workflows to support company growth
• Create documentation and SOPs for key accounting processes

What Success Looks Like in This Role

• Month-end close completed on time with clean reconciliations and minimal post-close adjustments
• Revenue recognized accurately and consistently under ASC 606
• Intercompany balances fully reconciled each month
• Documented accounting policies and SOPs in place
• Improved close efficiency and reporting reliability over the first 6–12 months

Qualifications

Required Qualifications:

• 5–7 years of progressive accounting experience
• Prior public accounting experience (Big 4 or national/regional firm strongly preferred)
• CPA or CPA-eligible
• Strong knowledge of U.S. GAAP, including hands-on experience with ASC 606
• Experience with intercompany accounting and multi-entity structures
• Proven experience owning month-end close processes
• Advanced Excel / Google Sheets skills
• Strong attention to detail with the ability to operate in a fast-paced environment

Preferred Qualifications:

• Experience in healthcare, health tech, or SaaS
• Experience with reimbursement-based revenue models (e.g., insurance, patient billing)
• Prior experience in a startup or high-growth environment
• Experience implementing or working within modern accounting systems (e.g., Rillet, Ramp, Gusto)

Reporting Structure:

Position Title of Direct Supervisor: VP of Finance

Positions Reporting to the role: N/A

Work Environment:

Open to remote work structure. Team based in Austin, Texas.

Benefits + Salary Range:

100% premium coverage for health, dental, and vision insurance for employee. 50% premium coverage for dependents.

Unlimited PTO

Remote-friendly culture

Opportunity to build and shape the accounting function at a high-growth health tech company