Senior Accountant

Salma Health•San Mateo, CA

4d•$75,000 - $100,000•Hybrid

About The Position

The Senior Accountant plays a critical role on Salma Health's Finance team, owning the day-to-day accounting operations that keep a fast-growing, multi-site healthcare organization running with precision. Reporting to the Controller, you will manage the full accounting cycle — from general ledger maintenance and month-end close to financial reporting and audit and tax support — while navigating the nuances of healthcare revenue and multi-entity operations. This is a hands-on role for someone who thrives in a high-growth environment and takes pride in building clean, compliant books. Location: Hybrid – preferred in-office Monday–Wednesday at our San Mateo headquarters, with flexibility to work remotely for candidates based in PST zone states.

Requirements

Bachelor's degree in Accounting, Finance, or a related field; CPA license or active CPA candidacy strongly preferred.
5+ years of progressive accounting experience, with at least 2 years in a healthcare, multi-site, or similarly complex environment.
Deep working knowledge of GAAP, with demonstrated experience applying standards to ASC 842, ASC 606,, accruals, and financial reporting.
Experience with healthcare revenue cycle and payer mix accounting, including familiarity with CPT codes, insurance adjudication, and behavioral health or psychiatry billing.
Proficiency with accounting software and ERP systems (e.g., QuickBooks, Ramp, Candid, Everest or comparable platforms) and advanced Excel skills.
Proven ability to manage competing deadlines with precision — you close the books on time, every time, without sacrificing accuracy.
Strong analytical and communication skills, with the ability to translate complex financial data into clear narratives for non-finance stakeholders.

Nice To Haves

Experience navigating a MSO/PC relationship is preferred.
Background in high-growth or acquisition-stage companies, with exposure to integrating financial systems and processes across newly acquired entities.

Responsibilities

Own the full accounting cycle, ensuring timely and accurate financial statements that reflect the true performance of a multi-site healthcare organization.
Maintain and reconcile general ledger accounts across all clinic locations, resolving discrepancies with speed and precision to keep our books audit-ready at all times.
Prepare and analyze financial reports — including P&L statements, balance sheets, and variance analyses — that equip leadership with the insights needed to drive strategic decisions.
Support external audits and tax filings by preparing work papers, coordinating documentation, and serving as a knowledgeable point of contact for auditors and advisors.
Partner cross-functionally with clinic operations, billing, and leadership teams to improve financial processes, identify cost drivers, and support budget planning and forecasting cycles.
Ensure ongoing compliance with GAAP, healthcare industry regulations, and state-specific requirements, proactively flagging risks and recommending corrective actions.
Contribute to the financial infrastructure build-out as Salma Health scales — including ERP/accounting system improvements, policy documentation, and internal controls development.