Manager of Technical Accounting and Reporting

Twin Health • New York, NY

127d • $140,000 - $150,000

About The Position

At Twin Health, we empower people to reverse, prevent and improve chronic metabolic diseases. Twin Health invented The Whole Body Digital Twin, a dynamic representation of each individual's unique metabolism, built from thousands of data points collected daily via non-invasive sensors and self-reported preferences. The Whole Body Digital Twin delivers a new standard of care, empowering physicians and patients to make personalized data-driven decisions. We are seeking a dynamic and experienced Manager of Technical Accounting and Reporting to join our finance team. This critical role will lead the company's technical accounting initiatives, ensure compliance with U.S. GAAP, and prepare public company-ready financial reporting for internal and external stakeholders. Reporting directly to our Director of Accounting, the ideal candidate will be a hands-on leader who brings deep expertise in technical accounting and SEC reporting, a strategic mindset, and an ability to thrive in a scaling, high-growth environment.

Requirements

• Bachelor's degree in Accounting, Finance, or related field (CPA strongly preferred).
• 6+ years of experience in public accounting (Big 4 experience highly desirable) or a combination of public accounting and corporate technical accounting roles.
• In-depth knowledge of U.S. GAAP, SEC reporting requirements, and technical accounting standards.
• Strong project management skills, with the ability to manage multiple priorities and deadlines in a fast-paced environment.
• Excellent communication and interpersonal skills, with a proven ability to collaborate with cross-functional teams.
• Experience in healthcare or technology industries is a plus but not required.
• Experience with NetSuite and Microsoft office products.

Responsibilities

• Lead the accounting of accounting standards specific to healthcare and technology companies, including Revenue Recognition, Stock Based Compensation, Internally Developed Software, Equity, and Leases.
• Provide accounting guidance for complex arrangements, such as collaborations with healthcare providers, payers, and strategic partners.
• Develop technical accounting memos and white papers for significant transactions, such as new product offerings, licensing agreements, financing transactions, and equity-based compensation.
• Collaborate with legal, compliance, and operations teams to assess the accounting and financial implications of regulatory requirements (e.g., HIPAA compliance).
• Develop, implement, and maintain the company's accounting policies.
• Partner with the sales and operations teams to evaluate customer contracts and ensure proper revenue recognition under ASC 606.
• Analyze healthcare-specific revenue streams, such as subscription-based models, bundled payments, and value-based care arrangements.
• Maintain documentation and processes for tracking and allocating revenue related to Twin's digital health services and hardware offerings.
• Build and maintain revenue recognition models and workpapers to streamline and operationalize monthly revenue recognition compliant with ASC 606.
• Prepare quarterly and annual financial statements, ensuring they accurately reflect the company's performance and comply with U.S. GAAP and SEC reporting requirements.
• Manage XBRL tagging for SEC filings.
• Assist with month-end and quarter-end close processes, with a focus on complex and judgmental accounting areas.
• Ensure timely reporting of metrics and financial data for healthcare partnerships and payer agreements.
• Manage reporting obligations for key stakeholders, including investors, board members, and strategic healthcare partners.
• Coordinate with external auditors to facilitate smooth audits and ensure compliance with applicable regulations.
• Assist with preparing Audit Committee materials.
• Develop and maintain strong internal controls over financial reporting, particularly those related to healthcare operations and technology platforms.
• Identify and mitigate risks related to Twin's growth in regulated healthcare markets and international expansions.
• Partner with the data and analytics teams to integrate key operational metrics into financial reporting, such as patient outcomes, cost savings, and program adherence rates.
• Support the FP&A team in developing financial models that account for healthcare cost structures, payer reimbursements, and scalability of Twin's offerings.
• Collaborate with product and operations teams to evaluate the financial impact of enhancements to Twin's precision health technology and service delivery.
• Assist in the financial evaluation of strategic initiatives, such as expanding into new payer networks, entering additional healthcare markets, or launching new product lines.
• Support the preparation of materials for investor presentations, fundraising efforts, and discussions with healthcare partners.
• Additional duties as assigned.

Benefits

• A competitive compensation package in line with leading technology companies.
• As a remote friendly company we are committed to providing opportunities for all who join to further build relationships, increase cross-functional collaboration, and celebrate our accomplishments.
• Opportunity for equity participation.
• Unlimited vacation with manager approval.
• 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents.
• 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options.
• 401k retirement savings plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Publishing Industries
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees