Senior Accounting Manager
CSuite Financial Partners has been engaged by our client, one of the fastest-growing Healthcare AI automation developers, to place a Senior Accounting Manager with their expanding team. The ideal candidate will bring 6-9 years of progressive accounting experience to own the entire Order-to-Cash function. You'll be a builder who defines how revenue flows from contract signature through cash application at a company that's grown revenue 20x in 15 months and recently raised $120M at a $1.2B valuation. This is a hybrid position; candidates must be based in the San Francisco Bay area.
About the Company
Based in San Francisco, CA and founded in 2023, our client is building healthcare that remembers. From call center automation and form intake to referrals, document processing, outreach, and payments, they manage the entire patient journey for providers. Their platform is the most widely used AI agent platform for the patient journey, built on 190 million patient interactions across 23 specialties and a model that handles the complexity general-purpose AI can't. Healthcare organizations see a 5% lift in appointment volume, a 115% increase in labor capacity, and a 4.3 out of 5 patient satisfaction score. With over $222M raised from Menlo Ventures, Lightspeed, First Round Capital, Apolo Ohno, and Joe Montana, this company is becoming the standard for how providers use AI to transform the patient journey.
Responsibilities
- Own Order-to-Cash end-to-end — designing and operating invoicing, collections, and revenue recognition workflows across Tabs, Stripe, and Campfire
- Lead the monthly revenue close (targeting 5 business days) including three-way SFDC/Tabs/Campfire reconciliation and audit-ready flux analysis
- Own ASC 606 revenue recognition — writing technical memos for usage-based revenue, multi-element arrangements, contract modifications, and deferred commissions
- Lead the 2nd AICPA audit (FYE 2027) and prepare the organization for PCAOB scoping
- Partner cross-functionally with Engineering, Sales, Customer Success, and the CEOs on billing decisions, pricing changes, and new product revenue treatment
Requirements
- 6-9 years of progressive accounting experience with at least 4 years at high-growth SaaS/enterprise software companies (Series B-D stage)
- Hands-on expert experience with a usage-based billing platform (Tabs strongly preferred, or Maxio, Chargebee, Zuora, Stripe Billing)
- Personally written and defended ASC 606 revenue recognition memos to external auditors
- Direct experience managing Big4 or regional audit firms as the internal audit lead
- Genuinely AI-first in workflow — already using AI tools daily to accelerate close, audit, or memo work
Benefits
- Competitive base salary: $165-190k
- Equity stake in a unicorn-stage company with meaningful upside runway
Tech stack currently utilized: Tabs, Stripe, Campfire, NetSuite, Salesforce, Ramp, Rippling, Pulley/Carta, Claude, ChatGPT, Notion AI