Sr. Accounting Manager

At Precision Medicine, we are revolutionizing healthcare! Our mission is to empower the evolution of modern medicine by providing accessible, personalized, and efficient healthcare solutions. Join our dynamic team where your expertise matters, your ideas are valued, and your background helps shape the future of patient care. We celebrate diverse perspectives and foster an environment where you can thrive, innovate, and make a meaningful impact on patients’ lives. 
Role Overview

The Senior Accounting Manager will serve as a key contributor within the finance organization, participating heavily in the monthly close process, managing our outsourced bookkeeping team, and leading the implementation of tech-forward processes throughout the accounting life cycle. This role is designed for a forward-thinking accounting professional who combines deep technical expertise with a passion for leveraging technology to modernize and scale accounting operations. This position carries a clear path to Controller as Precision Medicine continues to grow.

 

Key Responsibilities

Financial Close & Reporting

• Participate heavily in the end-to-end monthly, quarterly, and annual close processes, ensuring accuracy, timeliness, and compliance with GAAP
• Review and analyze financial statements to identify discrepancies, trends, and areas requiring attention
• Prepare and present financial reports and variance analyses to senior leadership
• Maintain and continuously improve the integrity of financial data
• Establish processes that secure timely month-end close

 

Manage Accounts Payable Team 

• Assign workloads and set performance expectations
• Review work for accuracy and completeness
• Ensure that invoice turnaround goals are met
• Develop and enforce workflows for three-way match within Ramp
• Implement invoice approval within Ramp
• Track and report KPIs (invoice turnaround time, error rates, etc.)
• Handle escalations, resolve billing discrepancies, prevent duplicate payments and fraud

 

Outsourced Team & Partner Management

• Serve as the primary day-to-day point of contact and manager for the outsourced bookkeeping team, ensuring accountability and quality of deliverables
• Set clear expectations, review work product, and drive continuous improvement across outsourced functions

Technology & Process Innovation

• Lead the adoption and optimization of accounting technology within our tech stack, including Sage Intacct, Ramp, and third-party reporting and modeling tools
• Champion the use of AI tools for invoice processing, bookkeeping automation, and financial reporting — focused on innovation and process leadership, not heads-down execution
• Identify opportunities to streamline and modernize accounting workflows through technology, driving efficiency and scalability
• Evaluate and implement new tools that enhance the overall accounting and finance function

 

Financial Analysis & Controls

• Perform financial analysis including review of financial statements, budget-to-actual comparisons, and identification of anomalies or risks
• Support the development and maintenance of internal controls to safeguard company assets and ensure compliance
• Assist in preparation of materials for audits, board reporting, and investor-facing financial packages

 

Qualifications

Required

• 5 years of progressive accounting experience, 
• Hands-on experience with Sage Intacct — must be proficient in system navigation, reporting, and configuration
• Experience with Ramp, including implementation of spend controls, bill pay, and other Ramp functionality
• Advanced Excel skills, and demonstrated ability to leverage AI-assisted tools within Excel
• Strong understanding of GAAP and financial reporting standards
• Demonstrated experience managing outsourced teams or third-party accounting service providers
• Proven ability to analyze financial statements and identify discrepancies, trends, and risks

 

Preferred

• Experience in a high-growth startup or healthcare/life sciences environment
• Familiarity with AI-powered accounting and finance tools (e.g., for invoice processing, bookkeeping automation, or financial planning)
• Experience with third-party financial reporting, modeling, or BI tools
• Cost accounting experience in a manufacturing environment

 

What We Offer

• A high-impact role with direct visibility to the CFO and a defined path to Controller
• The opportunity to shape and modernize the accounting function at a growing company
• A collaborative, mission-driven team culture
• Salary Range: The anticipated base salary range for this role is $110,000-$140,000 per year. Actual compensation will be determined based on factors such as relevant experience, skills, education, and location. 

Why Join Us

As part of Precision Medicine, you’ll be at the heart of an exciting transformation in the telemedicine landscape. Together, we’re pioneering solutions that bridge technology and compassionate care, improving health outcomes for all. We’re committed to your growth, providing you with the resources and support you need to build a meaningful career while exploring your creativity. Ready to be a part of something groundbreaking? Join us as we move healthcare forward, one innovation at a time!

 

Learn more at: https://mypcphealth.com/

 

Equal Opportunity Statement

Precision Medicine is committed to equal opportunity regardless of race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. We value diversity and the existence of similarities and differences, both visible and not, found in our workforce, workplace, and throughout the markets we serve. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform crucial job functions, and to receive other benefits and privileges of employment. Please contact us at recruiting@mypcphealth.com to request accommodation.