Senior Accountant

Hinge HealthSan Francisco, CA
Hybrid

About The Position

Musculoskeletal (MSK) conditions affect over 1.7 billion people worldwide. At Hinge Health, we’re using technology to scale and automate the delivery of healthcare, starting with joint and muscle pain, so people can move beyond their pain and back to what they love. As a Senior Accountant, you’ll play a key role in building the financial foundation that supports this mission. You’ll own critical pieces of our Order-to-Cash (O2C) cycle, with a focus on bookings, deferred revenue, and revenue recognition, ensuring our financial reporting is accurate, timely, and decision-useful for leaders across the business. In this role, you’ll translate complex accounting activity into clear, reliable financial information that powers strategic decisions and supports our growth.

Requirements

  • Bachelor’s degree in Accounting or a related field.
  • 5+ years of progressive accounting experience in a fast-paced environment (e.g., high-growth company, public accounting, or similar), including hands-on month-end close responsibilities.
  • Advanced proficiency with Excel and/or Google Sheets for reconciliations, analyses, and large data sets (e.g., lookups, pivots, complex formulas).

Nice To Haves

  • Experience managing, analyzing, and reporting on large data sets using Excel, SQL, or BI tools (e.g., Mode Analytics or similar).
  • Experience working in NetSuite or a similar ERP system for GL, revenue, and subledger activity.
  • Experience in a publicly listed company and/or SaaS environment with complex revenue arrangements and multi-element arrangements.
  • CPA designation, active pursuit of CPA eligibility, or prior public accounting experience.
  • Demonstrated experience driving process improvements or automation within accounting or finance operations.

Responsibilities

  • Learn Hinge Health’s revenue model, O2C processes, and account structure, with particular focus on bookings, deferred revenue, and contract assets.
  • Take ownership of recurring journal entries and reconciliations for key revenue-related general ledger accounts, ensuring accuracy and completeness.
  • Support the month-end close process by preparing entries, reconciliations, and schedules to enable timely, accurate financial reporting.
  • Independently manage monthly bookings activity, recording customer transactions to ensure bookings are reported accurately and on time for financial reporting and management decisions.
  • Lead reconciliations for deferred revenue and contract asset accounts, proactively identifying and resolving discrepancies and improving reconciliation quality over time.
  • Prepare monthly revenue and deferred revenue flux analyses, providing clear explanations and insights that support forecasting and strategic decision-making.
  • Partner with Finance, FP&A, and cross-functional partners to provide revenue-related reporting and respond to ad hoc analysis requests.
  • Serve as a subject-matter expert on bookings, deferred revenue, and revenue recognition within the O2C cycle, helping refine policies and processes as we scale.
  • Contribute to the preparation and analysis of GAAP-compliant financial statements, ensuring revenue-related balances and disclosures are accurate and well-documented.
  • Support external audits by owning assigned PBC requests, preparing supporting documentation, and responding to auditor questions for your areas.
  • Identify and help implement process improvements and automation opportunities across accounting workflows, including documentation of policies, procedures, and controls.

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Help with gender-affirming care
  • Tools for family and fertility planning
  • Travel reimbursements if healthcare isn’t available where you live
  • Traditional or Roth 401k retirement plan options with a 2% company match
  • Discounted company stock via our ESPP, with easy payroll deductions
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