Senior Accounting Manager
About The Position
Frontera is reimagining how children with autism and other behavioral health needs get the care they deserve. We bring together world-class clinicians, technologists, and autism specialists to build cutting-edge AI tools that help care teams work smarter and spend more time with the children and families who need them most. Our platform is HIPAA-compliant and designed for the real-world needs of behavioral health teams - from psychologists to ABA therapists. By combining evidence-based care with powerful technology, we’re expanding access to high-quality services for families everywhere. Our Mission Frontera exists to close the care gap: every child, no matter where they live, should be able to access effective behavioral healthcare. Why Join Us At Frontera, you’ll join a team driven by impact. We’re growing quickly, backed by leading investors, and united by a shared belief that innovation and equity can change lives. If you’re excited to build the future of pediatric healthcare, we’d love to meet you. Role Overview We are seeking a hands-on Senior Accounting Manager to own day-to-day accounting operations and revenue execution across our fast-growing healthcare + technology organization. This role will report directly to the Head of Finance and serve as the operational backbone of the finance function, ensuring our books are clean, our revenue is explainable, and our systems scale with the business. This is an ideal role for an operator who thrives in high-ownership environments and wants to build foundational finance infrastructure at a mission-driven Series A company.
Requirements
- 6–10 years of accounting experience
- Experience in high-growth startups or small, fast-moving companies
- Deep hands-on expertise in: Month-end close Revenue recognition Billing and accounts receivable
- Strong operator mindset. Comfortable executing, not just reviewing
Nice To Haves
- Healthcare services experience (ABA, behavioral health, Medicaid billing)
- SaaS and subscription revenue exposure
- Prior startup finance infrastructure build experience
- CPA is a plus, but not required
Responsibilities
- Own monthly, quarterly, and annual close processes end-to-end
- Maintain accurate general ledger activity, reconciliations, and financial statements
- Manage accruals, prepaids, deferred revenue, and revenue recognition
- Partner with external accountants on tax filings and compliance support
- Own billing and collections across multiple revenue models, including: B2B SaaS contracts Direct-to-consumer subscriptions and payments Clinical services revenue (Medicaid, commercial payers, private pay)
- Ensure clean and consistent revenue reporting by product, payer, and business segment
- Maintain strong AR discipline, cash application, and collections workflows
- Partner closely with our Payor Ops Manager to resolve payer denials, adjustments, and timing differences
- Serve as the day-to-day owner of our accounting system (QuickBooks)
- Improve billing workflows, documentation, and internal controls
- Partner with tech, operations, and clinical teams to ensure financial data accuracy
- Support automation and tooling improvements where ROI is clear
- Establish practical internal controls appropriate for a Series A-stage company
- Support audit readiness, investor diligence, and financial data requests
- Build scalable processes without unnecessary complexity
Benefits
- All full-time employee benefits include a stake in shared success through stock options, health benefits, 401(k) plan, and 4 weeks of PTO per year.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
