Chief Accountant

PaxeraHealth•Newton, MA

14d

About The Position

We are seeking an experienced Chief Accountant to join our growing medical imaging and healthcare technology organization. This role is critical to maintaining the financial strength of the company by overseeing core accounting operations, ensuring accurate financial reporting, and supporting leadership with reliable, timely financial data. The ideal candidate is detail-oriented, highly organized, and brings experience from healthcare, SaaS, or technology-driven environments, with a strong understanding of multi-entity and multi-currency accounting.

Requirements

Bachelor’s degree in Accounting, Finance, or related field (required)
Minimum 5 years of accounting experience
Hands-on experience with QuickBooks Online (required)
Knowledge of U.S. GAAP and SaaS revenue recognition principles
Experience with multi-currency and multi-entity accounting
Strong analytical and problem-solving skills
Excellent written and verbal communication
Exceptional attention to detail and organizational skills
Advanced proficiency in Excel and accounting software
Ability to manage multiple priorities in a fast-paced environment
Professional, proactive, and solutions-oriented mindset

Responsibilities

Oversee daily accounting activities including general ledger, AP, AR, payroll coordination, and bank reconciliations
Manage accurate and timely monthly, quarterly, and annual close processes
Maintain the chart of accounts and accounting policies in accordance with U.S. GAAP
Prepare and review financial statements and management reports
Ensure compliance with U.S. GAAP, internal policies, and applicable healthcare regulations
Support audits, tax filings, and regulatory reporting
Develop and maintain internal controls to safeguard company assets
Identify opportunities to improve workflows, automation, and efficiency
Ensure strong documentation and audit trails across accounting processes
Partner closely with the CFO, Controller, and executive leadership
Provide insights on revenue recognition, contracts, projects, and operational performance
Mentor and support accounting team members as needed
Support accounting for medical imaging solutions, software licensing, services, and long-term projects
Assist with multi-currency transactions, international entities, and intercompany accounting
Collaborate with operations and project teams to ensure accurate cost and revenue alignment