Senior Accountant

Join Our Mission To Transform Healthcare

Being sick or injured is painful. Getting better shouldn't be.

Most industries have been transformed by new technology. Healthcare is still waiting — and you can help change that.

Our mission is simple but ambitious: make healthcare accessible, transparent, and effortless for all. We put the consumer at the center, move fast and partner with forward-thinking providers to deliver software that makes care better, faster, and more human. This is work with real-world stakes — and you can help lead the way.

Accounting Role

We are looking for someone to take ownership of our core accounting processes. This role covers day-to-day accounting operations, order to cash, and financial reporting accuracy with a direct line to the Controller and a clear path toward Accounting Manager as the company scales.

You'll inherit a working foundation and be expected to make it yours – more organized, more scalable, and less dependent on anyone else to keep it moving. You'll own AR and AP workflows end-to-end, and be the person who catches the reconciliation issue before anyone else does. If you thrive in the SOP development phase, care deeply about data accuracy, and want to grow fast - this is the role.

What You'll Be Own

Order to Cash

• Validate that billing milestones, subscription start dates, and one-time fees are invoiced per contract terms and recognized in the correct period in accordance with ASC 606
• Own the full AR cycle: customer contract setup in accounting system (Campfire), invoicing, cash application, and collections
• Monitor aging AR and drive timely follow-up - you don't wait to be asked
• Resolve billing disputes and discrepancies directly with customers and internal teams
• Flag cash flow risks early; communicate proactively, and bring context and a point of view when you do

General Ledger, Close & Expense Management

• Review and code AP and corporate card transactions; identify prepaid items and budget anomalies, maintain amortization schedules through close
• Reconcile material accounts monthly: cash, payroll, accruals, prepaids, and investment accounts; monitor daily cash activity for accuracy
• Perfect our revenue reconciliations (Invoice <> MRR <> P&L Revenue); flag variances before they hit reporting
• Maintain vendor records; track and flag contract renewals with a view toward cost efficiency
• Prepare supporting journal entries, account reconciliations, and flux commentary for monthly and quarterly packages

Quality Management

• Manage and review the work of an accounting assistant (contractor); you set the standard for quality and turnaround
• Build processes that are repeatable, auditable, and not dependent on any one person
• Use AI tools to move faster and do more; that's how we operate and expect you to operate that way too
• Identify what can be delegated vs. what requires your judgment

You'll Be Great For This Role If You

• Have 4-6 years of accounting experience with real ownership – you've closed the books, not just supported someone who did
• Are comfortable building before the process exists; Big 4 or large bank background alone is not a fit – we need someone who can operate with ambiguity and doesn't need a playbook handed to them
• Understand ASC 606 revenue recognition and can apply it to subscription and usage-based contracts
• Are comfortable connecting data across systems (CRM, Billing, Spend Management), curiosity and adaptability matter more than exact system match
• Communicate proactively – to the Controller and across teams – and bring solutions, not just flags
• You've reviewed others' work and held a standard
• Ship accurate work on time; you're detail oriented but not a perfectionist who stalls the close or billing waiting for perfection

Growth Path

This role is designed to grow into an Accounting Manager. You'll take on increasing ownership of the close process, cross-functional financial reporting, and team-building as Solv scales.

Salary And Benefits

Salary ranges vary by location:

• San Francisco & New York: $95,000 - $125,000
• Colorado: $90,000 - $115,000
• All other locations: $85,000 - $125,000

Solv offers robust benefits including:

• Solv equity for full time US based employees
• Medical, Dental, Vision Insurance - 100% for employees
• 401k plan available
• Up to 12 weeks of paid Parental Leave
• Monthly Wellness Reimbursement
• Flexible Time Off
• Company Paid Life Insurance, LTD, and STD
• Company contribution towards HSA
• Medical and Dependent care FSAs available

This position is being hired on an urgent basis. The application window may close before August 31 if a sufficient number of applications to select a candidate are received prior to that date.

Unfortunately, we are unable to sponsor visas at this time.