Senior Accountant

On this journey for over 12 years, Qventus is leading the transformation of healthcare. We enable hospitals to focus on what matters most: patient care. Our innovative solutions harness the power of machine learning, generative AI, and behavioral science to deliver exceptional outcomes and empower care teams to anticipate and resolve issues before they arise.

Our success in rapid scale across the globe is backed by some of the world's leading investors. At Qventus, you will have the opportunity to work with an exceptional, mission-driven team across the globe, and the ability to directly impact the lives of patients. We're inspired to work with healthcare leaders on our founding vision and unlock world-class medicine through world-class operations. #LI-MB1

About the Role

We are seeking an experienced and highly motivated Senior Accountant to join our growing Accounting team. This role will take ownership of complex accounting functions, drive the month-end close process, and serve as a key cross-functional partner across the organization. The ideal candidate brings deep technical accounting knowledge, a continuous improvement mindset, and the ability to operate independently in a fast-paced, high-growth environment.


Key Responsibilities
General Ledger & Month-End Close

• Own and maintain the general ledger; ensure the chart of accounts is accurate, well-structured, and consistently applied across all transactions
• Lead the posting and reconciliation of all Balance Sheet accounts on a monthly basis, including but not limited to: Banking, Fixed Assets, Prepaids, Accrued Compensation, Accrued Payables, Deferred Revenue, Accounts Receivable, Accounts Payable, Allocations, and Equity
• Own and maintain amortization and allocation schedules, including capitalized internally developed software costs in accordance with ASC 350-40
• Prepare and reconcile payroll and payroll clearing entries on a monthly basis
• Review customer collectability and analyze aging receivables; escalate collection risks as appropriate
• Prepare revenue journal entries in accordance with ASC 606; own deferred revenue schedules and reconcile to the general ledger
• Prepare stock-based compensation (SBC) entries and related disclosures in accordance with ASC 718
• Prepare accrual entries for month-end including accrued expenses, unbilled liabilities, and deferred items
• Support timely and accurate completion of monthly close activities within a 4 business day close schedule
• Support the preparation of monthly and quarterly financial reporting packages for management, including Financial Flux Analysis and Debt Compliance

Accounts Payable

• Oversee the full-cycle AP process, ensuring accuracy, timeliness, and proper controls
• Manage the AP email inbox and resolve vendor inquiries and discrepancies in a timely manner
• Oversee vendor onboarding and maintain accurate vendor records
• Review and approve vendor bills coded and processed in Bill.com (BILL)
• Perform and review vendor sub-ledger account reconciliations

Corporate Credit Cards & Expense Management

• Own the reconciliation of corporate credit card transactions via Ramp
• Lead spend controls management in Ramp and partner with Accounting Manager to implement policy improvements
• Review and approve employee expense reports in accordance with the company's T&E policy
• Serve as the primary Accounting representative for expense-related policy questions and escalations

Accounts Receivable

• Oversee the monthly customer invoicing process in Intacct - entering monthly Customer invoices and managing recurring invoice schedules
• Support customer onboarding from an AR perspective; serve as point of contact for billing inquiries
• Lead customer aging reviews and manage the collections process for outstanding receivables
• Own customer sub-ledger account reconciliations
• Maintain deferred revenue schedules and ensure proper recognition in accordance with ASC 606

Tax Support

• Own Sales & Use Tax compliance, including monthly and quarterly filings, using Anrok
• Manage state business registrations and payroll tax compliance
• Oversee processing of Company 1099s & 3921s

FP&A & Cross-Functional Support

• Assist Accounting Manager as a partner to FP&A for vendor spend analysis, personnel cost tracking, and variance explanations
• Provide financial data and analysis to support budgeting, forecasting, and planning cycles
• Own headcount reconciliation and partner with FP&A on workforce planning inputs
• Respond to complex ad hoc financial analysis requests from FP&A and senior business leaders
• Partner with Finance, HR, and Sales Operations on deal structures, billing, and compensation accounting

Audit Support

• Assist with annual external audit by preparing PBC schedules, responding to auditor inquiries, and providing supporting documentation
• Liaise with external auditors during quarterly reviews and year-end audit
• Ensure audit schedules are complete, accurate, and delivered on time

SOPs & Process Improvement

• Own the documentation and ongoing maintenance of accounting policies, procedures, and standard operating procedures (SOPs) for all core accounting functions
• Proactively identify and implement opportunities to automate and improve accounting processes via AI or system integrations; partner with internal teams to execute
• Drive scalable process improvements as the company grows and the Accounting function matures

What We're Looking For

• Bachelor's degree in Accounting, Finance, or related field
• 4-6+ years of progressive accounting experience
• Deep understanding of GAAP principles, including ASC 606, ASC 718, ASC 350-40
• Demonstrated ownership of full-cycle AP, AR, and general ledger accounting
• Proficiency in Sage Intacct or comparable ERP
• Experience with Bill.com (BILL) and Ramp or similar expense management platforms
• Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP/INDEX MATCH, financial modeling)
• High attention to detail with the ability to manage competing priorities and deadlines
• Excellent written and verbal communication skills with experience presenting to management
• A self-starter who can operate independently and take full ownership of complex accounting functions
• Strong analytical and problem-solving skills with the ability to translate data into clear insights
• A collaborative partner who thrives in a cross-functional, remote environment
• Continuous improvement mindset with a track record of driving process optimization
• Comfortable with ambiguity and energized by building scalable processes in a high-growth environment
• Intellectual curiosity and a drive to understand the business well beyond the numbers

Bonus Points For

• CPA or actively pursuing CPA certification
• Experience in a high-growth SaaS or healthcare technology environment
• Experience supporting external audits and preparing PBC schedules

Compensation for this role is based on market data and takes into account a variety of factors, including location, skills, qualifications, and prior relevant experience. Salary is just one part of the total rewards package at Qventus. We also offer a range of benefits and perks, including Open Paid Time Off, paid parental leave, professional development, wellness and technology stipends, a generous employee referral bonus, and employee stock option awards.

Salary Range

$100,000-$115,000 USD

Qventus values diversity in its workforce and proudly upholds the principles of Equal Opportunity Employment . We welcome all qualified applicants and ensure fair consideration for employment without discrimination based on any legally protected characteristics, including, but not limited to: veteran status, uniformed service member status, race, color, religion, sex, sexual orientation, gender identity, age, pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, "protected characteristics"). Our commitment to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee, including supervisors and co-workers.

Qventus participates in the E-Verify program as required by law and is committed to providing reasonable accommodations to individuals with disabilities in compliance with Americans with Disabilities Act (ADA). In compliance with the California Consumer Privacy Act (CCPA), Qventus provides transparency into how applicant data is processed during the application process. Candidate information will be treated in accordance with our candidate privacy notice.

*Benefits and perks are subject to plan documents and may change at the company's discretion.

*Employment is contingent upon the satisfactory completion of our pre-employment background investigation and drug test.