Manager/Sr. Manager, Revenue Accounting

AcuityMD • Boston, MA

3d • $170,000 - $210,000 • Remote

About The Position

AcuityMD is a software and data platform that accelerates access to medical technologies. We help MedTech companies understand how their products are used, why customers vary, and identify opportunities for physicians to better serve their patients. Each year, the FDA approves ~6,000 new medical devices. Our solution helps MedTech companies get these products to physicians more effectively so they can improve patient care with the latest technology. We're backed by Benchmark, Redpoint, ICONIQ Growth, and Ajax Health. We’re a high-growth SaaS company scaling rapidly.
In this role, you will build and scale a best-in-class revenue accounting function during a period of rapid growth. You will ensure accurate, timely, and compliant revenue recognition while partnering cross-functionally to bring clarity to complex commercial arrangements. Your work will directly enable the company to scale efficiently, make informed decisions, and invest confidently in accelerating patient access to cutting-edge medical technology.
Team Mission
Business Operations & Finance exists to resolve ambiguity at AcuityMD. We’re a team of business generalists unifying AcuityMD’s business strategy with available resources. We aim to improve collaboration in evolving business processes during rapid growth. We push progress on central planning initiatives, including measuring and improving business performance, driving clarity on company goals, and aligning the leadership team on critical business initiatives. Over time, we build the organizational capacity for teams to operate without us.

Requirements

• Bachelor's in Accounting or Finance; CPA strongly preferred. Big 4 or national firm background a plus.
• 8+ years in public accounting and/or high-growth SaaS, with deep ASC 606 expertise — position papers, SSP analyses, and auditor defense included.
• Experience owning ASC 340-40 deferred commission accounting from policy through close.
• Track record interpreting complex multi-element contracts across subscription, usage-based, and enterprise structures.
• Proven ability to build scalable accounting infrastructure in fast-paced, high-growth environments with an eye toward public company standards.
• Communicates complex GAAP clearly to Sales, Legal, and executive stakeholders.
• Ready to hire and develop a 2-3 person team within 12-18 months.
• Experience with modern cloud ERP systems (Rillet experience a plus); familiarity with revenue automation tools and disclosure requirements.

Nice To Haves

• B2B SaaS experience, ideally MedTech or a regulated vertical.
• Usage-based or hybrid pricing model experience and related ASC 606 implications.
• Experience implementing a rev rec system (Maxio, Zuora Revenue, RevPro, or similar).
• Exposure to SOX scoping, ICFR design, or Big 4 public company readiness work.
• Familiarity with HubSpot CRM and its integration to the revenue sub-ledger.

Responsibilities

• Own Revenue Recognition
• The ASC 606 authority for all contract types — subscription, usage-based, professional services, and enterprise — ensuring accuracy and audit-readiness at all times.
• Define performance obligations at product launch, maintain SSP analyses as the portfolio evolves, and keep a library of audit-ready position papers across all material judgments.
• Own capitalized contract cost accounting end-to-end — policy, amortization, impairment, and period-end close.
• Design controls, workflows, and a tiered contract review framework — materiality thresholds, intake SLAs, and close processes — built to public company standards well ahead of when they're required.
• Establish tiered intake, materiality thresholds, and SLAs that ensure all new and amended contracts receive timely assessment aligned to deal desk timelines.
• Own revenue close — deferred revenue, commission assets, contract reconciliations — and the sub-ledger integration between HubSpot and Rillet, with clear controls from booking to recognition.
• Fast, clear guidance on non-standard terms — modifications, variable fees, side letters — without slowing deals.
• Partner with Sales, RevOps, Legal, and Finance to catch revenue implications early, shape deal structures, and run periodic training that reduces accounting fire drills before they start.

Benefits

• Learning Budget: Reimbursements for relevant learning and up-skilling opportunities.
• Remote work: AcuityMD is committed to supporting full-remote flexibility for employees in the US. We provide a work-from-home stipend for all employees.
• Flexible PTO: Generous time off and flexible hours give you the freedom to do your best work.
• Paid Health, Dental, and Vision Plans: We offer 100% paid health, dental, and vision plans for all employees and 75% paid for our employees' dependents.
• Home Office Stipend: $1,000 to invest in remote office equipment and WiFi reimbursement.
• Optional Team Retreats: We meet in-person multiple times per year for co-working and social gatherings.
• Parental Leave: 8-16 weeks of fully-paid, flexible parental leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager