Corporate Accounting Manager

About NexHealth

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?

NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, 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.

• Founded: 2017
• Headquarters: San Francisco, CA
• Funding: $177M Series C 
• Employees: 200+
• Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs

About the Role

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.

What You’ll Do

• 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
• 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
• Own the quality of GAAP financial statements across every account by setting review standards for flux analysis and balance sheet reconciliations
• Design and ship automation and AI agents for core accounting work, such as reconciliations, flux commentary, journal entry preparation, anomaly detection, and close tracking
• Own payroll accounting and operations in Rippling, including international hires through our employer of record partner, with accurate accruals, reconciliations, and strong payroll controls
• Partner on equity management in Carta, including grant and exercise processing, cap table reconciliation to the general ledger, and stock-based compensation
• Build financial and operational reporting and dashboards in Sigma that leadership uses to run the business
• 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