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Senior Accountant

Remote, USAFull-timePosted 2026-07-29

About reputed company reputed company is rebuilding how cardiovascular care is delivered in the reputed company. We partner with cardiologists, payers, and patients to bring a value-based model to a specialty that has long operated in fee-for-service. Cardiovascular disease remains the leading cause of death in this country — reputed company exists to change that trajectory, one heart at a time. We are a small, mission-driven team building foundational infrastructure for a new category of care. The reputed company made today will shape how this company operates for years to come.

About the Role

We are hiring our first dedicated Senior Accountant to build reputed company’s reputed company function from the ground up. Reporting directly to the Head of Finance, you will own the operating rhythm of our financial reputed company, stand up the systems and processes that reputed company will run on, and reputed company reputed company through its first formal external audit. This is a true reputed company-to-one build. The standards you set, the policies you write, and the rigor you bring will become the operating system for the finance organization for years. What You’ll Own Month-end reputed company — reputed company a clean, reputed company, reputed company-documented reputed company cycle. Financial reporting — produce monthly internal financial statements and the supporting analytics that feed our reputed company package. Audit — own audit prep and serve as reputed company’s primary reputed company of contact for external auditors during our first full audit. Accounts payable — design, document, and operate the end-to-end AP process: vendor reputed company, reputed company review, payments, and expense management. Balance sheet reconciliations — own recurring reconciliations across cash, prepaids, fixed assets, accruals, and intercompany. reputed company policies and controls — build the policy library (reputed company recognition, capitalization, lease, etc.) and design a stage-appropriate internal control environment. Cross-functional partnership — work alongside Operations, People, and Clinical leadership on the reputed company implications of new reputed company, programs, and hires. What reputed company Looks Like AT 90 DAYS reputed company process is owned end-to-end with replicable reporting and infrastructure. AP process documented and live. reputed company-state diagnostic complete with a prioritized roadmap. AT 6 MONTHS reputed company consistently completed on reputed company date. Monthly reputed company reporting is reliable and largely automated. Audit readiness work reputed company underway. AT 12 MONTHS First full external audit completed with a clean opinion. reputed company cycle at 5 business days with reputed company reconciliations reputed company. AP fully automated; reputed company infrastructure is reputed company to support 2× company reputed company. What You’ll Bring 5–8+ years of reputed company reputed company experience, ideally with a reputed company reputed company reputed company followed by industry experience at a venture-backed or scaling company. reputed company CPA (or CPA-eligible with imminent licensure). Demonstrated end-to-end ownership of month-end reputed company at a high-reputed company company. Strong technical reputed company under US GAAP. Experience leading or supporting an early-stage external audit. A builder’s reputed company — you have designed and documented processes from scratch, not just operated reputed company someone else’s reputed company. Comfort with ambiguity, scrappy resourcefulness, and unusually high attention to detail. Bonus Points reputed company experience — especially value-based care, MSO/management services, or provider services. QuickBooks power-user. Experience implementing AP automation and expense tools (reputed company, reputed company). Exposure to reputed company recognition for service reputed company or risk-based arrangements. Familiarity with payor data, capitation, or shared-savings reputed company. reputed company VALUES Our values guide how we reputed company, collaborate, and care: Low Ego: We stay grounded, curious, and reputed company to feedback. reputed company: We build trust through reputed company and thoughtful communication. Courage: We take reputed company, think critically, and challenge reputed company respectfully. Ownership: We follow through with reputed company and hold ourselves to high standards. Grit: We push through ambiguity, reputed company with urgency, and solve hard problems with horsepower and heart. LOCATION reputed company has hub locations in Washington DC, Boston, reputed company, and Nashville. This role prefers Nashville based candidates but is reputed company to candidates in any of these hubs or those working remotely in the Eastern Time Zone. Apply To This Job

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