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Financial Operations Lead

United States, San Francisco 127500.00 - 149000.00 USD / Year · Job Posted January 20, 2026
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Job Description

We’re seeking an accounting professional who wants to move beyond traditional bookkeeping and become a key player in scaling finance at the forefront of AI in healthcare. This role is ideal for someone with a strong foundation in accounting, ideally from a Big 4 firm, who’s ready to own day-to-day operations while gaining hands-on experience with financial systems, automation, and strategic projects. You’ll take charge of core accounting processes — from payables and receivables to reconciliations and close — while also supporting audits, reporting, and process improvements. Reporting directly to the Controller, you’ll have a front-row seat to how finance operations evolve in a high-growth environment. Within your first 90 days, you’ll own the monthly close and contribute to streamlining workflows that make our financial processes faster and more accurate.

Job Responsibility

  • Run the Daily Accounting Engine: Manage accounts payable, accounts receivable, collections, cash applications, and reconciliations
  • Execute the Month-End Close: Prepare journal entries, reconciliations, and variance analyses
  • Support Revenue and Billing: Own customer invoicing, revenue recognition under ASC 606, and monitor collections
  • Be Audit-Ready: Assist with external audits by preparing schedules, supporting documentation, and contributing to technical accounting memos
  • Maintain Reporting Discipline: Keep subledgers, schedules, and reconciliations current
  • Document and Strengthen Processes: Build and refine accounting policies, workflows, and checklists
  • Learn and Apply Automation: Partner with the Controller to explore automation and systems improvements
  • Grow into Strategic Projects: Gain exposure to areas like system implementations, stock-based comp, and cross-functional reporting initiatives

Requirements

  • 1–3 years of experience in public accounting (Big 4 or equivalent)
  • Solid understanding of US GAAP and financial reporting
  • CPA license or active pursuit of certification
  • Experience preparing audit support (PBCs, schedules, memos)
  • Familiarity with internal controls
  • Familiarity with tools like NetSuite, Salesforce, Ramp, or similar ERP/expense management systems
  • Interest in learning payroll platforms (e.g., Rippling)
  • Advanced skills in Excel/Google Sheets
  • Proficiency in data-driven tools such as Alteryx, Python, SQL, and REST APIs
  • Relentless attention to detail
  • Ability to anticipate needs and execute tasks autonomously
  • Outstanding ability to manage multiple priorities
  • Collaborative and approachable demeanor

What we offer

  • Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
  • Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families
  • Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA
  • Paid Parental Leave: Generous paid parental leave for all full-time employees
  • Family Forming Benefits: Resources and financial support to help you build your family
  • 401(k) Matching: Contribution matching to help invest in your future
  • Personal Device Allowance: Tax free funds for personal device usage
  • Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits
  • Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more
  • Mental Health Support: Dedicated access to therapy and coaching
  • Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment
  • Compensation and Equity: Competitive compensation and equity grants for full time employees

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