About NexHealthOur healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.Founded: 2017Headquarters: San Francisco, CAFunding: $177M Series C Employees: 200+Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needsAbout the RoleAs our Senior Accounting Manager, you’ll own the accuracy and speed of NexHealth’s books and reinvent how that work gets done. You’ll bring the discipline of a mature close and pair it with modern data and AI tooling, so that a fast, auditable close becomes the default rather than a monthly sprint. This role is a fit for an accountant who has run a strong close before and wants to build the next version of it.What You’ll DoOwn the month-end close end to end, including the calendar, owners, dependencies, and sign-off, and drive it toward a 4-business-day closeLead our offshore accounting team: set priorities, review their work, and hand off close tasks, reconciliations, and recurring accounting work with clear checklists and turnaround expectationsOwn the quality of GAAP financial statements across every account by setting review standards for flux analysis and balance sheet reconciliationsDesign and ship automation and AI agents for core accounting work, such as reconciliations, flux commentary, journal entry preparation, anomaly detection, and close trackingOwn payroll accounting and operations in Rippling, including international hires through our employer of record partner, with accurate accruals, reconciliations, and strong payroll controlsPartner on equity management in Carta, including grant and exercise processing, cap table reconciliation to the general ledger, and stock-based compensationBuild financial and operational reporting and dashboards in Sigma that leadership uses to run the businessPartner with Data Science to build and improve our finance data warehouse in Snowflake, so reconciliations, close checks, and reporting run on trusted, reconcilable dataLead audit readiness with our external auditors: build the schedules, keep workpapers current, and close auditor requests on time without a last-minute scrambleSurface risks, control gaps, and process issues early, and document decisions so the team and the systems you build can scaleWhat You’ll BringStrong experience running the month-end close at a scaling SaaS, payments, or technology company, with solid working knowledge of US GAAP, accruals, and multi-entity accountingAn active CPA licenseExperience leading offshore or distributed accounting teams across time zones, including setting clear standards and reviewing work for qualityA track record of building automation with LLMs or agentic workflow tools; you can walk us through something you built and the impact it hadStrong grasp of internal controls, data completeness, and audit trail design, with processes built to hold up as transaction volume and complexity growStrong SQL skills and hands-on experience with Snowflake or a similar data warehouse; you write your own queries rather than waiting on a data requestHands-on experience with NetSuite, plus payroll (Rippling or similar), spend management (Ramp or similar), BI (Sigma, Looker, or similar), and cap table (Carta or similar) platformsComfort with technical accounting research, getting to the root of an issue and turning conclusions into practical policies and entriesSound judgment with imperfect data: you make the call, keep the close moving, then fix the underlying data so the issue doesn’t come backClear communication with Data Science, Engineering, Revenue Operations, and Finance partners, adapting to technical and leadership audiences and documenting decisions so others can learn how things workA drive to rethink how corporate accounting works with LLMs and agentic workflows, paired with a willingness to take on the unglamorous problems that make the business run betterBonus Points ForBig 4 or other public accounting experienceExperience at a fast-growing SaaS business through multiple stages of scaleExperience with payroll accounting for international teams through an employer of recordCompensationActual salaries will vary depending on factors including but not limited to location, experience, and performance.
The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.NexHealth Compensation Range$112,000—$150,000 USDBenefitsFull Medical, Dental, and Vision (up to 100% covered)401K and commuter benefitsFlexible PTOHigh-impact work that directly improves the healthcare experience for millionsOur ValuesSolve the customer’s problems, not yoursWhen making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.Do the things others are not willing to doAs a Nexer, always go after the hardest problems. Pursue things at the highest quality.
Move at the fastest pace. Take ownershipAct like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.Say what’s on your mind, with positive intentBe direct, proactive, transparent, and frequent in your communication.Default trustAs a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.Think in first principlesWe first identify the problem and then break it down to its fundamentals before diving into solutions.
We constantly ask “why” to validate our assumptions.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact to request assistance.
Corporate Accounting Manager in san francisco at Unknown Company
This position is listed as full time and onsite.