Senior Accountant

About Fay

Fay is a 3-sided AI platform redefining preventative care with a b2b2c business in a box. We’re one of the fastest growing companies in tech and the fastest growing company in wellness history. We combine clinical expertise with smart systems. The result? More affordable, effective care for the people who need it most.

Behind the platform is a Marvel team of builders deeply connected to the problem we’re solving. We pride ourselves on attracting superstar talent — the kind that’s driven the best growth-to-burn metrics since early Airbnb, Stripe, and WhatsApp. Those aren’t our words, though. That’s straight from our investors at General Catalyst, Forerunner, 1984, and Goldman Sachs.

If you're excited to build at the intersection of AI, healthcare, and real-world impact — we’d love to meet you.

About this Role

We are seeking a highly responsible and detail-oriented Senior Accountant. This individual contributor role is crucial for establishing and maintaining a robust close process and preparing for our initial financial audit.

The ideal candidate will be energized by building scalable processes and thrives on accuracy, meticulously digging into details to find the correct solutions. You will own core General Ledger and expense processes, drive audit preparation, and collaborate with the Controller to refine our systems as we expand. There is potential for this role to grow over time for the right candidate.

What You’ll Do

• Prepare month-end close schedules (accruals, prepaids, payroll) and maintain accurate QuickBooks Online records


• Own bank/credit card reconciliations and AP processes including invoice coding and compliance (Rippling)


• Support first financial statement audit with schedules and documentation


• Investigate discrepancies and missing documentation with a forensic accounting approach


• Drive process improvements in close workflows and create SOPs with the Controller


• Collaborate cross-functionally to enforce spend policies and ensure compliance


• Communicate proactively, raising issues early and managing up effectively

Who You Are

• 3–6 years of accounting experience in a high-growth startup or accounting firm


• Strong working knowledge of US GAAP and accrual accounting


• Experienced with GL accounting, AP, reconciliations, and spend management


• Extremely organized, self-directed, and able to manage your time across recurring and ad hoc deliverables


• Comfortable operating in ambiguity; you don’t wait for perfect instructions to take action


• Curious about why we do things a certain way and motivated to suggest better ways


• Calm under pressure and experienced with working toward audit deadlines or tight close timelines


• Bonus points for:




• Experience with QuickBooks Online, Rippling, and/or other ERP systems


• Exposure to audit prep, due diligence, or compiling support schedules for external review


• Projects where you automated, streamlined, or documented accounting workflows


• Experience working in a MSO/PS environment

Why This Role?

• Get exposure to audit, system scaling, and operational finance


• Be trusted with real ownership, but supported by an experienced Controller & VP Finance


• Join a respectful, high-output team where accounting is a key function, not an afterthought


• Contribute meaningfully during a pivotal stage of company growth


• Grow into broader responsibilities depending on performance and company needs


• Tools and mentorship to grow your accounting career


• The satisfaction of closing clean books and building the systems that make it possible

Fay is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.