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.