Senior Manager, Accounting

Overview

This role supports the evolution of accounting operations within a healthcare technology organization. You will help modernize processes, leverage AI and automation, lead technical accounting for complex and emerging transactions, and build scalable accounting operations that support the organization’s next stage of growth.

A key focus is process improvement—designing more efficient, scalable workflows while maintaining strong internal controls and auditability.

Responsibilities

• Provide leadership across General Ledger accounting, financial reporting, and technical accounting; drive accurate and scalable accounting operations and help shape priorities across the Accounting organization.
• Lead the annual financial statement audit and quarterly review processes, coordinating across Accounting and managing relationships with external auditors.
• Own the preparation and review of monthly financial reporting, quarterly financial statements, and annual financial statements, including management of the reporting process in Workiva.
• Lead technical accounting research and implementation for complex and emerging transactions, including preparation and review of accounting memos, policies, and conclusions under US GAAP.
• Oversee stock-based compensation and equity administration and accounting.
• Review financial statements and General Ledger accounts to ensure monthly, quarterly, and annual fluctuations are appropriately understood, analyzed, and documented.
• Own the monthly, quarterly, and annual close processes across assigned accounting areas, ensuring timely, accurate, and scalable financial reporting.
• Review journal entries, account reconciliations, financial analyses, and supporting schedules to ensure compliance with US GAAP and organizational policies.
• Manage, mentor, and develop a high-performing team of accountants; foster a culture of accountability, ownership, continuous learning, and operational excellence.
• Drive continued development and consistent application of accounting policies, internal controls, documentation, and reporting processes to support organizational growth and increasing complexity.
• Evaluate existing accounting processes and proactively design scalable solutions to improve efficiency, quality, and the employee experience.
• Support the responsible adoption of AI, automation, and emerging technologies across accounting operations; identify workflow improvements and reduce repetitive activities while maintaining strong internal controls and auditability.
• Partner cross-functionally with FP&A, Legal, People Operations, Procurement, Engineering, and other business leaders to ensure accounting considerations are incorporated into strategic initiatives.
• Take ownership of complex, cross-functional accounting initiatives and independently drive issues to resolution, partnering with Accounting Leadership and business stakeholders on matters beyond assigned functional responsibilities.
• Operate as a senior leader across the Accounting organization by setting a high bar for execution, influencing priorities, developing talent, and proactively taking ownership beyond defined responsibilities.

90 Day Plan

• Develop a thorough understanding of accounting operations, systems, and organizational structure.
• Build strong relationships across key cross-functional business partners.
• Take ownership of assigned General Ledger accounting processes and identify immediate opportunities to improve efficiency, controls, and scalability, including through leveraging automation and AI tools.
• Assess the monthly close process, reconciliation framework, and review procedures; implement quick wins where appropriate.
• Establish credibility with the accounting team through thoughtful leadership, coaching, and clear expectations.

Requirements (Must-Haves)

• CPA required, with 8+ years of progressive accounting experience; public accounting experience strongly preferred.
• Strong technical accounting foundation with deep experience across General Ledger accounting, financial reporting, and US GAAP, including experience navigating complex accounting matters.
• Demonstrated experience leading complex monthly, quarterly, and annual close and reporting processes within a high-growth, public company, or public-company-ready environment.
• Proven people leader experience developing high-performing accounting teams, setting clear expectations, and creating accountability and ownership across the organization.
• Strong business judgment; ability to independently identify, evaluate, and drive complex accounting and operational matters to resolution.
• Demonstrated success improving accounting operations through technology, automation, process redesign, and scalable internal controls.
• Excellent communication and cross-functional partnership skills; ability to influence stakeholders and translate complex accounting matters into clear business implications.
• Comfortable operating with significant ownership and autonomy in a fast-paced environment with evolving priorities and increasing organizational complexity.

Preferred Qualifications

• Public accounting experience and/or experience operating in a public-company or public-company-ready environment.
• Experience with NetSuite, Workiva, or similar ERP and financial reporting platforms.
• Experience applying AI-enabled tools and automation to accounting workflows and processes.
• Experience in high-growth healthcare, technology, or similarly complex businesses.

Compensation & Benefits

• This role has a location-based compensation structure.
• Compensation range: $129,000 to $166,500 (starting pay based on factors including qualifications and experience).
• Benefits details are available through the organization’s careers information.

Location

• Remote-first organization with office hubs in Denver and San Francisco.
• Clinical roles: Do not hire in AK, HI, RI.
• Corporate roles: Do not hire in AK, AR, DE, HI, ME, MS, NM, OK, SD, VT, WI.

Privacy & Security

• In the course of duties, you may come in contact with sensitive patient information governed by HIPAA.
• Throughout the role, you are expected to follow security and privacy procedures to keep patient information strictly confidential; security and privacy training will be provided.

Application System (AI)

• The organization uses an applicant tracking system that may incorporate AI-powered tools in parts of the recruiting process, including application review, candidate screening, and interview note taking. Your data is not used to train AI models, and final hiring decisions are made by organization personnel.