Accounting Lead

Mochi Health•San Francisco, CA

14d•$150,000 - $200,000•Onsite

About The Position

We are seeking an exceptional Accounting Lead to build and scale our accounting function in a high-growth environment. This role will own end-to-end accounting operations, with responsibility for people, processes, and systems. You will play a critical role in establishing scalable infrastructure, ensuring financial accuracy, and supporting executive leadership, board reporting, and investor needs.

Requirements

10+ years of progressive accounting experience, including ownership of full-cycle accounting
Demonstrated ability to independently manage and scale accounting operations in a high-growth environment
Strong knowledge of U.S. GAAP and financial reporting best practices
Bachelor’s degree in Accounting, Finance, or a related field
Experience supporting executive leadership, board reporting, and investor communications
High integrity, professionalism, and discretion in handling confidential and sensitive information
Experience leading or managing audits
Experience with ERP selection, design, and implementation

Nice To Haves

CPA or equivalent certification
Prior experience in venture-backed or technology-enabled companies

Responsibilities

Own and scale the day-to-day accounting function, including month-, quarter-, and year-end close
Manage all core accounting operations including accounts payable and receivable, payroll, general ledger, and cash management
Prepare and review monthly financial statements (Profit & Loss, Balance Sheet, Cash Flow) and perform detailed flux and variance analysis
Maintain a clean and accurate general ledger, ensuring strong historical financial integrity and reconciling legacy data as needed
Partner closely with executive leadership to support management reporting, board materials, and investor presentations
Design, implement, and continuously improve internal accounting processes, policies, and controls to support scale
Manage annual federal and state tax filings and coordinate with external tax advisors
Serve as the primary point of contact for audits, including managing external auditors and ensuring timely completion
Lead ad hoc financial and operational projects in support of company growth

Benefits

Daily Meals and Espresso Bar - Breakfast, lunch, and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day
Pre-Tax Commuter Perks - Save on transit and parking through pre-tax commuter benefits
Top-of-Market Compensation - We offer competitive salaries along with generous equity packages so you can share in the success you help create
Profitable and Rapid Growth - We’re scaling fast, with financial discipline and long-term vision. No VC constraints, just sustainable momentum and smart decisions
High-Impact Work - Help shape the future of digital healthcare. Your work here directly improves lives and scales nationwide
World-Class Team - Collaborate with teammates from Tesla, SpaceX, Citadel, Harvard, IIT, and more. We value excellence, humility, and empathy in equal measure
Comprehensive Benefits - 401(k) with match, generous time off, life insurance, and high-quality medical, dental, and vision plans
Mochi Health Membership – We cover your monthly subscription fee so you can experience the same care as our patients (medications not included)
Time to Recharge – Enjoy unlimited PTO, generous company holidays, and true flexibility. We trust you to take the time you need to rest, reset, and thrive
Wellness First – From weekly mindfulness sessions to group workouts and fitness perks, your physical and mental health are top priority
Team Socials and Community - We make time to connect through regular socials, happy hours, and spontaneous events. Our stocked kitchen doesn’t hurt either
Downtown SF HQ - Our San Francisco office is just steps from BART, Muni, and great food. It’s designed for deep work and casual collaboration