Corporate Accounting Manager

<div class="content-intro"><p><strong>About NexHealth</strong></p> <p>Our 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?</p> <p>NexHealth’s mission is to <strong>accelerate innovation in healthcare</strong> by connecting patients, providers, and developers. We’re building the <strong>infrastructure layer for modern healthcare, </strong>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.</p> <ul> <li>Founded: 2017</li> <li>Headquarters: San Francisco, CA</li> <li>Funding: $177M Series C </li> <li>Employees: 200+</li> <li>Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs</li> </ul></div><p><strong>About the Role</strong></p> <p>As 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.</p> <p><strong>What You’ll Do</strong></p> <ul> <li>Own the month-end close end to end, including the calendar, owners, dependencies, and sign-off, and drive it toward a 4-business-day close</li> <li>Lead our offshore accounting team: set priorities, review their work, and hand off close tasks, reconciliations, and recurring accounting work with clear checklists and turnaround expectations</li> <li>Own the quality of GAAP financial statements across every account by setting review standards for flux analysis and balance sheet reconciliations</li> <li>Design and ship automation and AI agents for core accounting work, such as reconciliations, flux commentary, journal entry preparation, anomaly detection, and close tracking</li> <li>Own payroll accounting and operations in Rippling, including international hires through our employer of record partner, with accurate accruals, reconciliations, and strong payroll controls</li> <li>Partner on equity management in Carta, including grant and exercise processing, cap table reconciliation to the general ledger, and stock-based compensation</li> <li>Build financial and operational reporting and dashboards in Sigma that leadership uses to run the business</li> <li>Partner with Data Science to build and improve our finance data warehouse in Snowflake, so reconciliations, close checks, and reporting run on trusted, reconcilable data</li> <li>Lead audit readiness with our external auditors: build the schedules, keep workpapers current, and close auditor requests on time without a last-minute scramble</li> <li>Surface risks, control gaps, and process issues early, and document decisions so the team and the systems you build can scale</li> </ul> <p><strong>What You’ll Bring</strong></p> <ul> <li>Strong 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 accounting</li> <li>An active CPA license</li> <li>Experience leading offshore or distributed accounting teams across time zones, including setting clear standards and reviewing work for quality</li> <li>A track record of building automation with LLMs or agentic workflow tools; you can walk us through something you built and the impact it had</li> <li>Strong grasp of internal controls, data completeness, and audit trail design, with processes built to hold up as transaction volume and complexity grow</li> <li>Strong SQL skills and hands-on experience with Snowflake or a similar data warehouse; you write your own queries rather than waiting on a data request</li> <li>Hands-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) platforms</li> <li>Comfort with technical accounting research, getting to the root of an issue and turning conclusions into practical policies and entries</li> <li>Sound judgment with imperfect data: you make the call, keep the close moving, then fix the underlying data so the issue doesn’t come back</li> <li>Clear 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 work</li> <li>A 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 better</li> </ul> <p><strong>Bonus Points For</strong></p> <ul> <li>Big 4 or other public accounting experience</li> <li>Experience at a fast-growing SaaS business through multiple stages of scale</li> <li>Experience with payroll accounting for international teams through an employer of record</li> </ul><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p><strong>Compensation</str