Senior Account Manager

Senior Accounting Manager (Remote)

United States | ✈️ Limited travel as needed

At Median eyonis Inc. , we develop next-generation AI/ML-powered medical imaging software that helps clinicians detect and diagnose cancer earlier and more accurately, improving patient outcomes worldwide.

We are seeking a Senior Accounting Manager to lead the accounting function for Median eyonis Inc. and support the financial operations of Median eyonis. This is a highly visible, hands-on role that will play a key part in building a scalable accounting infrastructure, strengthening financial controls, supporting SAP initiatives, and partnering with leadership to support the company's continued growth.

What you'll do

• Lead the monthly, quarterly, and annual financial close processes, ensuring accurate and timely financial reporting
• Manage general ledger activities, including journal entries, reconciliations, accruals, fixed assets, revenue recognition, and intercompany transactions
• Oversee accounting operations, including AP/AR processes, financial reporting, audit support, and compliance activities
• Partner with finance leadership on SAP optimization, and continuous improvement initiatives
• Coordinate external audits, tax compliance activities, and internal control programs
• Prepare management reports, financial analyses, and corporate reporting packages
• Support consolidation efforts and multinational intercompany accounting requirements
• Collaborate with FP&A, operational leaders, and cross-functional teams to align accounting results with business performance
• Develop and improve accounting policies, procedures, and scalable control frameworks
• Manage relationships with external accounting providers and support the transition of accounting activities in-house
• Participate in future hiring, training, and leadership of an internal accounting team as the organization grows

What we're looking for

• Bachelor's degree in accounting, Finance, or a related field
• CPA certification strongly preferred
• 8+ years of progressive accounting experience
• Minimum 3 years of accounting leadership or management experience
• Strong knowledge of US GAAP and financial statement preparation
• Experience managing month-end, quarter-end, and year-end close processes
• Experience with audits, compliance, and internal controls
• SAP experience required or strongly preferred
• Advanced Excel skills and ERP system experience
• Excellent analytical, problem-solving, and organizational skills
• Strong communication and stakeholder management abilities
• Ability to thrive in a hands-on, fast-paced, growth-oriented environment

Preferred Qualifications

• Experience in biotechnology, life sciences, medical technology, healthcare, or clinical research organizations (CROs)
• Experience supporting SAP implementation or optimization projects
• Experience with multinational and intercompany accounting environments
• Experience transitioning accounting responsibilities from outsourced providers to internal teams
• Proven track record of building accounting processes, controls, and infrastructure in a growing organization

What we offer

$140,000-$170,000 base salary + annual bonus

75% employer-paid health coverage

401(k) eligibility from day one

$100/month internet & phone stipend

100% remote

Generous PTO

12 weeks paid parental leave

Professional development and growth opportunities

Opportunity to help build and scale the accounting function within a growing organization

We are hiring immediately!

Apply here or send your resume to

Recruitment Agency Notice: We are managing this recruitment internally and are not accepting submissions from recruitment agencies or search firms at this time.