Director of Accounting

About the role

Founded in 2019 and headquartered in Pittsburgh, PA, Free Market Health supports forward-thinking payers and specialty pharmacies of all sizes who need to operate in a complex and opaque market. We empower all stakeholders to optimize resources and maximize opportunities while focusing on the most important stakeholder of all: the patient.

The Role

We are seeking an experienced Director of Accounting to lead our accounting and controllership function and help advance a modern, scalable finance infrastructure at a fast-growing, venture-backed healthcare technology company. This role owns the integrity, accuracy, and timeliness of the company’s financial reporting and serves as a key partner to Finance leadership and cross-functional stakeholders.

What You'll Do

• Lead accounting operations and close ownership: Own the monthly, quarterly, and annual close processes, ensuring accurate, timely, and audit-ready financial reporting while continuously improving processes, controls, and documentation across the accounting function.
• Ensure GAAP compliance and technical accounting excellence: Establish and maintain accounting policies and procedures in compliance with US GAAP, including oversight of revenue recognition, contract accounting, equity-related accounting, and other complex accounting matters.
• Own financial reporting & data integrity: Prepare and deliver accurate, GAAP-compliant financial statements and reporting packages for internal leadership, Board materials, investors, auditors, and other external stakeholders. Serve as the final owner of financial data integrity, reconciliations, supporting schedules, and accounting documentation.
• Lead controls, audit, and risk management: Design and maintain a scalable internal control environment; serve as primary liaison for external auditors, tax advisors, and valuation providers; proactively identify and mitigate accounting and reporting risks.
• Drive systems, automation, and process improvement: Serve as owner of NetSuite and key upstream finance systems while driving automation, scalable workflows, and process improvements that reduce manual effort, minimize reconciliation risk, and support a growing and increasingly complex business.
• Cross-functional partnership & leadership: Collaborate closely with FP&A, Legal, HR, Technology, Product, and Operations teams to support new initiatives, contracts, growth programs, and strategic projects. Provide pragmatic accounting guidance to non-finance stakeholders and help build scalable operational processes as the company grows.

What We're Looking For

• Bachelor's degree in Accounting or Finance
• CPA (active or inactive) strongly preferred, but not required
• 5+ years of progressive accounting experience, including ownership of month-end close and GAAP-compliant financial reporting
• Deep knowledge of US GAAP and technical accounting concepts, including revenue recognition and equity-related accounting
• Hands-on experience with NetSuite or comparable enterprise ERP systems
• Proven ability to build, improve, and scale accounting processes and controls in high-growth or complex environments
• Demonstrated success driving automation, process improvements, and system enhancements
• Experience in healthcare, SaaS, or technology-enabled businesses strongly preferred
• Exposure to, or strong interest in, emerging AI-enabled / AI-native finance tools and workflows
• High integrity, strong attention to detail, and ownership mindset
• Automation-first mindset with a bias toward building scalable, repeatable processes
• Comfortable operating in ambiguity and helping bring structure as the company grows
• Collaborative partner able to communicate technical concepts clearly to non-finance stakeholders

Life at FMH

Working at FMH means being part of a people-first culture where collaboration and balance matter. Our employee-led Culture Club helps foster connection through team events, volunteer opportunities, and both virtual and in-person social activities.

Benefits & Perks

• 100% employer-paid medical, dental, and vision premiums for individual coverage, with additional support for employees who cover dependents
• Employer funded HSA contributions — we cover 100% of the individual deductible (and a significant amount for families) over the plan year
• Paid Parental Leave — thoughtfully provided so both parents can bond with their new child during this meaningful season of life
• 401(k) with company match, supporting long-term financial wellbeing
• Onsite & Transportation Support — Employees may receive fully subsidized onsite parking or pre-tax commuter FSA contributions.
• Dependent Care FSA, allowing employees to save pre-tax dollars for childcare expenses
• Employer-paid short and long-term disability
• Optional employee-paid protection benefits
• A truly remarkable culture - supportive, inclusive, and deeply committed to growth, belonging, and doing meaningful work together

Why FMH

FMH is building infrastructure that helps simplify one of the most complex areas of healthcare. Team members have the opportunity to do meaningful work, operate with high levels of ownership and autonomy, and help shape how the organization scales during a critical stage of growth.

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Pittsburgh, PA