Senior AccountantNew New York, NY

Overview

A growing digital health organization is seeking a Senior Accountant to join their finance team. This role involves both technical accounting and operational responsibilities, providing ownership over month-end close processes and financial systems management. The organization operates a large dietitian-led metabolic health clinic with a nationwide reach, delivering insurance-covered care through a combination of healthcare professionals and AI technology.

Responsibilities

• Lead assigned areas of the monthly, quarterly, and annual close processes, ensuring accuracy and timeliness
• Prepare journal entries, accruals, and detailed balance sheet reconciliations with clear supporting documentation
• Manage end-to-end accounts payable, employee expense reports, and corporate card spend using the Ramp platform, ensuring policy compliance and timely processing
• Maintain and improve audit-ready workpapers and supporting schedules
• Identify inefficiencies in accounting workflows and implement improvements
• Explore and apply AI and automation tools to streamline manual and repeatable tasks without sacrificing accuracy
• Collaborate cross-functionally with FP&A, Operations, HR, and other teams to ensure accurate financial data
• Support special projects such as GAAP conversion, new entity consolidation, and automation initiatives

Requirements

• Bachelor’s degree in Accounting or Finance
• 3–5+ years of progressive accounting experience; public accounting experience (Big 4 & CPA preferred)
• Strong knowledge of US GAAP, month-end close, and audit processes
• Experience with spend management platforms, ideally Ramp, including ownership of AP and expense operations
• Demonstrated curiosity and initiative in AI and automation with a track record of implementing workflow improvements
• Detail-oriented, organized, and able to thrive in a fast-paced, high-growth environment

Preferred Qualifications

• Experience with modern accounting systems and tools such as Campfire, Ramp, Brex, ADP, Carta, QuickBooks, or NetSuite
• Experience in healthcare, health-tech, or telehealth sectors

Compensation & Benefits

Details about compensation and benefits are provided by the employer during the hiring process.

Location

This is a full-time position based in New York City, located in the Gramercy area, with remote work flexibility. Occasional travel may be required for conferences and quarterly team meetings.

Candidates must be legally authorized to work in the United States.