Senior Director, Global Revenue Accounting and Order to Cash

Guardant Health•Palo Alto, CA

3d•$234,500 - $322,450•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, this leader will build and develop the global revenue and O2C organization, partner with commercial and operational leadership, and drive systems transformation. The role combines deep technical accounting expertise with hands-on leadership of complex revenue and reimbursement operations. The position owns global revenue accounting policies and application of U.S. GAAP and ASC 606, with IFRS 15 oversight where applicable; leads complex contract reviews and the monthly and quarterly revenue close; and maintains governance over significant revenue estimates. It also oversees SOX controls, audit support, revenue reporting, billing, invoicing, cash application, receivables, collections, and reserves. The leader partners across commercial, legal, operational, payer relations, market access, laboratory operations, compliance, and FP&A functions to improve revenue recognition, billing, collections, and cash conversion. The leader is the principal business owner for Oracle Fusion Cloud ERP and related revenue and O2C platforms, driving systems requirements, data governance, automation, process standardization, and integration of acquired businesses where applicable. The position builds and develops a high-performing global team and communicates complex accounting and operational matters to executive leadership and auditors.

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 or more years of progressive accounting experience, including substantial leadership of revenue accounting and complex O2C operations.
At least five years of people management experience.
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 accounting 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, with strong analytical skills and the ability to assess high-volume financial and operational data.
Strong executive presence and written and verbal communication skills, with the ability to influence commercial, legal, laboratory operations, payer relations, and finance stakeholders.
Ability to critically evaluate and responsibly use AI-enabled tools consistent 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, leading offshore resources, and using advanced Excel and business intelligence tools to improve revenue and O2C reporting.
A 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, multi-year CRO arrangements, cross-border clinical trials, and technology-enabled services.
Lead complex contract reviews and document accounting conclusions covering performance obligations, variable consideration, bundled arrangements, volume-based pricing, contract modifications, and measures of progress for services recognized over time.
Own monthly and quarterly revenue close activities, including reconciliations, revenue and receivables variance analysis, unbilled receivables, contract assets, deferred revenue, and contract liabilities; improve close speed, accuracy, and control effectiveness.
Establish governance for 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; and partner with financial reporting on revenue disclosures and SEC filing schedules.
Serve as global O2C process owner for billing, invoicing, cash application, accounts receivable aging, collections, and reserves, with clear ownership and escalation paths.
Partner with payer relations, market access, laboratory operations, and compliance teams 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 accurate revenue recognition.
Set and track operating metrics and improvement targets for overdue receivables, collection effectiveness, billing accuracy, invoice cycle time, cash application, revenue leakage, and applicable claim denial, appeal, and recovery performance.
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 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 a high standard of integrity.
Critically evaluate and responsibly leverage AI-enabled tools in accordance with company policies, ethical standards, and regulatory requirements to improve work efficiency, effectiveness, and quality.