Manager, Financial Reporting & Accounting

About the role

Spectral AI, Inc. (Nasdaq: MDAI) is a publicly traded artificial-intelligence medical-technology company advancing predictive diagnostics for wound care. This is a hands-on, versatile role at the center of the Company’s external reporting, focused on bringing in-house the SEC reporting and technical-accounting work currently supported by an outside advisory firm. The role also owns the Company’s SOX 404 program, drives remediation of the disclosed material weakness, and supports monthly management accounts, journal entries, reconciliations, and FP&A. As an AI company, we expect active use of AI and automation to streamline reporting, analysis, and controls.

This is a full-time, onsite role based at the Company’s headquarters in Uptown Dallas, Texas.

Responsibilities

• Prepare and manage the end-to-end drafting, review, and filing of Forms 10-K, 10-Q, and 8-K, including financial statements, footnotes, MD&A, and related disclosures.
• Own the quarterly and annual financial-statement workbook, including consolidated balance sheet, income statement, statements of cash flows and stockholders’ equity, trial-balance consolidation, adjusting entries, and footnote schedules.
• Own the XBRL tagging process, coordinate with the financial printer/EDGAR filing agent, and maintain the SEC reporting calendar and disclosure checklists in compliance with Regulation S-X and S-K.
• Research and document technical-accounting conclusions in audit-ready memoranda across revenue recognition (ASC 606, including cost-plus/government contracts), debt and convertible instruments (ASC 470), derivatives and warrants (ASC 815/480), equity and stock compensation (ASC 505/718), and leases (ASC 842).
• Prepare and maintain recurring technical schedules and footnotes, including stock-based compensation, debt and notes payable (rollforwards, amortization, and interest), equity (APIC, statement of stockholders’ equity, and cap table), warrant liabilities and their valuation, revenue, leases, and earnings per share.
• Account for complex and non-routine transactions, such as equity raises, warrant and convertible-note issuances, and significant contracts, and assess the impact of new accounting standards.
• Prepare and post journal entries and perform account reconciliations as part of the monthly close, ensuring accurate, well-supported general-ledger balances.
• Serve as the internal owner of the Company’s SOX 404 program and control framework—maintaining the risk-and-control matrix, control narratives, and testing calendar, owning reporting-related key controls, and coordinating and reviewing the work of the external SOX provider.
• Drive remediation of the disclosed material weakness in the financial-statement close process by designing, documenting, and operating controls over reconciliations, transaction processing, and financial-reporting review.
• Own the day-to-day external-audit relationship—managing the prepared-by-client (PBC) request list, coordinating deliverables across the team, and resolving review comments to keep filings on schedule.
• Own the monthly management-reporting package (management accounts), including the Board/leadership reporting deck with clear, concise commentary.
• Assist the Controller with other close-related tasks and support the CFO on FP&A and financial-reporting items such as budgeting, forecasting, and ad-hoc analysis.
• Leverage AI and automation tools to streamline reporting, data analysis, reconciliations, and technical-accounting research while maintaining appropriate review controls over AI-assisted work.
• Perform other related duties as assigned.

Requirements

• Active CPA license.
• Bachelor’s degree in Accounting, Finance, or a related field.
• 5–8 years of progressive accounting experience, ideally with a Big 4/national public-accounting foundation plus public-company SEC reporting and technical accounting.
• Command of U.S. GAAP and SEC reporting requirements, with the ability to independently research and write technical-accounting memoranda and prepare Forms 10-K/10-Q/8-K, including XBRL.
• Experience supporting SOX 404 implementation or material-weakness remediation is preferred.
• Experience with complex financial instruments—warrants, convertible notes, and embedded derivatives—is preferred.
• Industry exposure to life sciences, medical technology, or companies with U.S. government contracts (BARDA/MTEC, cost-plus billing) is a plus.
• Experience with NetSuite and advanced Excel, and with transitioning work in-house from an outside advisory firm, is a plus.

Skills

• Comfortable wearing multiple hats on a lean team—preparing management accounts, assisting with close tasks, and supporting the CFO across a range of reporting needs.
• Demonstrated bias toward leveraging AI and automation (generative-AI tools, advanced Excel/Power Query, reporting automation) to make finance processes more efficient.
• Excellent organizational skills and strong attention to detail.
• Ability to maintain confidential and meticulous records.
• Strong verbal and written communication skills, including clear, concise reporting to leadership.
• Reliable and highly trustworthy.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer.