Senior Director, Global Revenue Accounting and Order to Cash

Guardant Health•Palo Alto, CA

1d•Hybrid

About The Position

Guardant Health is seeking a highly analytical, execution-focused leader to lead global revenue accounting and the enterprise-wide order-to-cash (O2C) function in a high-volume, regulated healthcare, diagnostics and clinical research environment. The role is accountable for accurate revenue recognition, timely billing and cash conversion, effective internal controls, and scalable processes across domestic and international entities. Reporting to the Chief Accounting Officer, the leader will build and develop the global revenue and O2C organization, partner with commercial and operational leadership, and drive systems transformation. The position combines deep technical accounting expertise with hands-on leadership of complex revenue and reimbursement operations. The role owns global revenue accounting policies and their application under U.S. GAAP and ASC 606, with IFRS 15 oversight where applicable. It leads complex contract reviews, the monthly and quarterly revenue close, revenue estimates and related controls, audit support, and revenue disclosures. As global O2C process owner, it oversees billing, invoicing, cash application, accounts receivable, collections and reserves, and partners with commercial, payer, laboratory, legal, operations and finance teams to improve revenue recognition and cash conversion. The leader is the principal business owner for Oracle Fusion Cloud ERP and related revenue and O2C platforms, overseeing business requirements, system integrations, data governance, automation and standardization. The role also builds and develops a high-performing global team, including managers and distributed teams, and communicates complex accounting and operational matters to executive leadership and auditors. The position follows a hybrid work model for eligible onsite employees as specified by management and company policies. U.S. employees who live within 50 miles of a Guardant facility are required to work onsite Mondays, Tuesdays and Thursdays. The majority of work is performed in a desk or office environment, with possible exposure to high noise levels, fumes and biohazard material in the laboratory environment. Employees may need to lift routine office supplies, use office equipment and sit for extended periods.

Requirements

Bachelor's degree in Accounting or Finance.
Active CPA license or recognized international equivalent, such as Chartered Accountant or ACCA, with demonstrated U.S. GAAP expertise.
10+ years of progressive accounting experience, including substantial leadership of revenue accounting and complex O2C operations.
At least five years of people management.
Public-company accounting experience, including ownership of revenue close processes, SOX controls, audit support and revenue-related financial reporting.
Deep practical expertise in ASC 606 and U.S. GAAP, including personally developing, documenting and defending conclusions for complex revenue arrangements.
Relevant healthcare or diagnostics revenue accounting experience.
Experience with project-based or long-term service arrangements, including contract modifications, variable consideration and revenue recognized over time.
Experience leading revenue and O2C processes in a multi-entity, multi-currency environment and collaborating across international teams.
Demonstrated success improving close speed, collection performance, billing accuracy, revenue estimate accuracy or control effectiveness.
Experience leading revenue or O2C systems implementations and process transformation.
Strong analytical skills and ability to assess high-volume financial and operational data.
Strong executive presence and written and verbal communication skills.
Ability to influence commercial, legal, laboratory operations, payer relations and finance stakeholders.
Curiosity, sound judgment and ability to critically evaluate and responsibly use AI-enabled tools in accordance with company policies, ethical standards and regulatory requirements.

Nice To Haves

Big 4 or national public accounting firm experience, preferably serving SEC registrants.
Direct experience with Oracle Fusion Cloud ERP in a multi-entity environment, including revenue, receivables and related subledger integrations.
Practical experience with CRO or clinical trial contracts and technology-enabled revenue models.
Experience integrating acquisitions and leading offshore resources.
Experience using advanced Excel and business intelligence tools to improve revenue and O2C reporting.
Bachelor’s degree in accounting, Finance or a related discipline.

Responsibilities

Own global revenue accounting policies and apply U.S. GAAP and ASC 606, with IFRS 15 oversight where applicable, across diagnostic testing, CRO arrangements, cross-border clinical trials and technology-enabled services.
Lead complex contract reviews and document accounting conclusions for performance obligations, variable consideration, bundled arrangements, volume-based pricing, contract modifications and measures of progress for services recognized over time.
Own the monthly and quarterly revenue close, including reconciliations, revenue and receivables variance analysis, unbilled receivables, contract assets, deferred revenue and contract liabilities.
Shorten the close cycle while improving accuracy and control effectiveness.
Establish governance over significant revenue estimates, including contractual allowances, implicit price concessions, reimbursement assumptions and denial trends; maintain supportable models and monitor estimate-to-actual performance.
Maintain effective SOX controls over revenue and O2C, including documentation, control execution, interface completeness and accuracy, and remediation of deficiencies.
Lead revenue-related support for quarterly reviews and annual audits; prepare and review technical accounting position papers; partner on revenue disclosures and related SEC filing schedules.
Serve as global O2C process owner for billing, invoicing, cash application, accounts receivable aging, collections and reserves.
Establish ownership and escalation paths across directly managed teams and cross-functional stakeholders.
Partner with payer relations, market access, laboratory operations and compliance to address reimbursement changes, denials and underpayments.
Partner with Commercial, Legal, Operations and FP&A on contract terms, billing milestones, pricing tiers and payment structures to improve billing timeliness, cash conversion and revenue recognition.
Set operating metrics and improvement targets for overdue receivables, collection effectiveness, billing accuracy, invoice cycle time, cash application and revenue leakage; track claim denial, appeal and recovery performance where applicable.
Provide leadership with analysis of test and service volumes, payer and customer mix, reimbursement trends and revenue estimates; partner with FP&A on revenue forecasting and cash conversion assumptions.
Serve as principal business owner for Oracle Fusion Cloud ERP and related revenue and O2C platforms; set business requirements and priorities and partner with IT and implementation teams on solution design and configuration.
Ensure complete and accurate automated feeds between LIMS, billing engines, commercial systems and financial subledgers.
Establish interface reconciliations, exception handling and ownership of key contract, customer and pricing data.
Drive automation and process standardization across entities and currencies, and integrate acquired businesses into global revenue policies, controls and systems where applicable.
Build, lead and develop a high-performing global revenue accounting and O2C team, including managers and distributed teams.
Establish clear accountability, technical development, succession planning and consistent operating practices.
Communicate complex accounting and operational matters clearly to executive leadership and auditors, exercising sound judgment and maintaining integrity.
Critically evaluate and responsibly leverage AI-enabled tools in accordance with company policies, ethical standards and regulatory requirements to improve the efficiency, effectiveness and quality of work.