Corporate Accounting Manager

NexHealth•San Francisco, CA

5d•$112,000 - $150,000•Remote

About The Position

NexHealth's mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem. As our Senior Accounting Manager, you’ll own the accuracy and speed of NexHealth’s books and reinvent how that work gets done. You’ll bring the discipline of a mature close and pair it with modern data and AI tooling, so that a fast, auditable close becomes the default rather than a monthly sprint. This role is a fit for an accountant who has run a strong close before and wants to build the next version of it.

Requirements

Strong experience running the month-end close at a scaling SaaS, payments, or technology company, with solid working knowledge of US GAAP, accruals, and multi-entity accounting
An active CPA license
Experience leading offshore or distributed accounting teams across time zones, including setting clear standards and reviewing work for quality
A track record of building automation with LLMs or agentic workflow tools; you can walk us through something you built and the impact it had
Strong grasp of internal controls, data completeness, and audit trail design, with processes built to hold up as transaction volume and complexity grow
Strong SQL skills and hands-on experience with Snowflake or a similar data warehouse; you write your own queries rather than waiting on a data request
Hands-on experience with NetSuite, plus payroll (Rippling or similar), spend management (Ramp or similar), BI (Sigma, Looker, or similar), and cap table (Carta or similar) platforms
Comfort with technical accounting research, getting to the root of an issue and turning conclusions into practical policies and entries
Sound judgment with imperfect data: you make the call, keep the close moving, then fix the underlying data so the issue doesn’t come back
Clear communication with Data Science, Engineering, Revenue Operations, and Finance partners, adapting to technical and leadership audiences and documenting decisions so others can learn how things work
A drive to rethink how corporate accounting works with LLMs and agentic workflows, paired with a willingness to take on the unglamorous problems that make the business run better

Nice To Haves

Big 4 or other public accounting experience
Experience at a fast-growing SaaS business through multiple stages of scale
Experience with payroll accounting for international teams through an employer of record

Responsibilities

Own the month-end close end to end, including the calendar, owners, dependencies, and sign-off, and drive it toward a 4-business-day close
Lead our offshore accounting team: set priorities, review their work, and hand off close tasks, reconciliations, and recurring accounting work with clear checklists and turnaround expectations
Own the quality of GAAP financial statements across every account by setting review standards for flux analysis and balance sheet reconciliations
Design and ship automation and AI agents for core accounting work, such as reconciliations, flux commentary, journal entry preparation, anomaly detection, and close tracking
Own payroll accounting and operations in Rippling, including international hires through our employer of record partner, with accurate accruals, reconciliations, and strong payroll controls
Partner on equity management in Carta, including grant and exercise processing, cap table reconciliation to the general ledger, and stock-based compensation
Build financial and operational reporting and dashboards in Sigma that leadership uses to run the business
Partner with Data Science to build and improve our finance data warehouse in Snowflake, so reconciliations, close checks, and reporting run on trusted, reconcilable data
Lead audit readiness with our external auditors: build the schedules, keep workpapers current, and close auditor requests on time without a last-minute scramble
Surface risks, control gaps, and process issues early, and document decisions so the team and the systems you build can scale