Accounting Manager

About the Role

We're a growing direct-to-consumer telemedicine and prescription skincare company - operating at the intersection of healthtech, eCommerce, and compounding pharmacy - and we're hiring an Accounting Manager to join our Finance team. This is a high-impact role responsible for maintaining the accuracy, integrity, and scalability of financial operations as we continue to grow. You'll own the month-end close process, lead a team of staff accountants, and serve as a key partner across supply chain, operations, and leadership.

This is a hybrid role based in the San Francisco Bay Area, CA or Salt Lake City, UT . Candidates must be authorized to work in the United States without visa sponsorship.
What You'll Do

• Lead and own the full month-end close process, including reconciliations, journal entries, and financial reporting.
• Oversee core accounting functions: revenue recognition (ASC 606), inventory, intercompany transactions, payroll, AP/AR, and fixed assets.
• Review and manage preparation of financial statements and internal reporting packages.
• Perform balance sheet and P&L fluctuation analyses to deliver actionable business insights.
• Manage treasury activities including cash flow forecasting, banking relationships, and liquidity optimization.
• Partner with the Supply Chain team to improve inventory controls, reporting, and forecasting - including cycle counts and inventory turns.
• Develop and enhance accounting policies, procedures, and documentation.
• Identify and implement process improvements and automation to support operational scale.
• Manage, mentor, and develop staff accountants to build a high-performance team.
• Support external audits and readiness for public reporting requirements, including establishing and maintaining internal controls.
• Collaborate cross-functionally to drive accountability, transparency, and operational efficiency.

What We're Looking For

Required:

• Bachelor's degree in Accounting or a related field; CPA preferred .
• 5+ years of accounting experience , including public accounting, with 2-3 years in a manager or supervisory role .
• Deep, hands-on knowledge of U.S. GAAP , including ASC 606 revenue recognition, inventory accounting, intercompany transactions, payroll, AP/AR, and fixed assets.
• Treasury management experience: cash flow forecasting, banking relationships, and investment strategies.
• Proficiency with ERP systems and strong Excel skills for analysis and reporting.
• Proven track record of driving process improvements and automation in accounting workflows.
• Experience supporting external audits and ensuring public reporting readiness.
• Background in eCommerce inventory management and healthcare industry operations .
• Leadership experience mentoring and developing staff accounting teams.
• Strong cross-functional collaboration skills, particularly with eCommerce, inventory, and supply chain teams.
• Strong analytical skills with the ability to translate financial data into clear business insights.
• Must be located in the San Francisco Bay Area, CA or Salt Lake City, UT .
• Must be authorized to work in the U.S. without visa sponsorship.

Nice to Have:

• Experience in telemedicine, dermatology, compounding pharmacy, or direct-to-consumer wellness businesses.

Compensation & Benefits

• Salary: $90,000 - $110,000 per year, depending on experience.
• Opportunity to work in a high-growth, mission-driven healthtech environment.
• Collaborative, fast-paced team with meaningful ownership over financial operations.

Location

This is a hybrid position. Candidates must be based in - or willing to commute to - the San Francisco Bay Area, CA or Salt Lake City, UT . Relocation and visa sponsorship are not available for this role.