Accounting Manager

Our client is an explosive, Series C healthcare AI unicorn ($1.2B valuation) backed by premier venture capital firms including Menlo Ventures, Lightspeed, and First Round Capital. By automating patient journeys across 23 specialties—handling everything from call center operations and intake to document processing and payments—they have already powered over 190 million patient interactions. With revenue growing 20x over the last 15 months , they are building out their core finance function to support hyper-growth. The Role & Impact As the first dedicated Senior Accounting Manager , you will own the Order-to-Cash (O2C) cycle end-to-end and build accounting infrastructure from scratch. You will work directly with finance leadership and cross-functional teams to bring operational rigor to a rapidly expanding balance sheet. Key Responsibilities Own Order-to-Cash (O2C): Design and manage invoicing, collections, and revenue recognition workflows integrating usage-based billing platforms (Tabs), Stripe, Salesforce, and financial close systems. Lead Monthly Close: Own the monthly revenue close (targeting 5 business days), handle 3-way reconciliations, and prepare audit-ready flux analyses and controls. Master Technical Accounting: Personally author and defend ASC 606 technical accounting memos covering usage-based revenue models, multi-element arrangements, and deferred commissions. Drive External Audits: Lead the company’s 2nd AICPA audit (FYE 2027), manage Big4/regional audit firm relationships, and lay the groundwork for future PCAOB scoping. Cross-Functional Partnering: Collaborate with Product, Engineering, and Sales to advise on pricing structures, new product revenue treatments, and commercial agreements. Qualifications Experience: 6–9 years of progressive accounting experience, with at least 4+ years in high-growth, Series B–D SaaS/enterprise software environments. Billing Systems: Hands-on experience with usage-based billing systems ( Tabs strongly preferred , or Maxio, Chargebee, Zuora, Stripe Billing). Technical Writing: Track record of personally drafting and defending ASC 606 revenue recognition memos directly to external auditors. Audit Leadership: Direct experience leading external audits (Big4 or top regional firms) from the client side. AI-First Mindset: Active user of AI tools (Claude, ChatGPT, etc.) to streamline technical research, close workflows, and memo creation. Eligibility: Must be a US Citizen or Permanent Resident (Green Card holder). Located in or willing to relocate to the San Francisco Bay Area (Hybrid: 3 days in-office). What’s in It for You Build an accounting function at a $1.2B valuation Series C company with $222M+ in funding. Work alongside founders from Stanford, UCSF, Duke, and top tech companies (Facebook, Athelas/Commure). Highly competitive compensation package ($165K–$190K base) with significant upside via Series C equity. #J-18808-Ljbffr