Senior Accounting Manager

Frontera is reimagining how children with autism and other behavioral health needs get the care they deserve. We bring together world-class clinicians, technologists, and autism specialists to build cutting-edge AI tools that help care teams work smarter and spend more time with the children and families who need them most.Our platform is HIPAA-compliant and designed for the real-world needs of behavioral health teams - from psychologists to ABA therapists. By combining evidence-based care with powerful technology, we're expanding access to high-quality services for families everywhere.Our MissionFrontera exists to close the care gap: every child, no matter where they live, should be able to access effective behavioral healthcare.Why Join UsAt Frontera, you'll join a team driven by impact. We're growing quickly, backed by leading investors, and united by a shared belief that innovation and equity can change lives. If you're excited to build the future of pediatric healthcare, we'd love to meet you.Role OverviewWe are seeking a hands-on Senior Accounting Manager to own day-to-day accounting operations and revenue execution across our fast-growing healthcare + technology organization. This role will report directly to the Head of Finance and serve as the operational backbone of the finance function, ensuring our books are clean, our revenue is explainable, and our systems scale with the business.This is an ideal role for an operator who thrives in high-ownership environments and wants to build foundational finance infrastructure at a mission-driven Series A company.What You'll DoAccounting & CloseOwn monthly, quarterly, and annual close processes end-to-endMaintain accurate general ledger activity, reconciliations, and financial statementsManage accruals, prepaids, deferred revenue, and revenue recognitionPartner with external accountants on tax filings and compliance supportRevenue, Billing & Accounts ReceivableOwn billing and collections across multiple revenue models, including:B2B SaaS contractsDirect-to-consumer subscriptions and paymentsClinical services revenue (Medicaid, commercial payers, private pay)Ensure clean and consistent revenue reporting by product, payer, and business segmentMaintain strong AR discipline, cash application, and collections workflowsPartner closely with our Payor Ops Manager to resolve payer denials, adjustments, and timing differencesSystems & Process OwnershipServe as the day-to-day owner of our accounting system (QuickBooks)Improve billing workflows, documentation, and internal controlsPartner with tech, operations, and clinical teams to ensure financial data accuracySupport automation and tooling improvements where ROI is clearControls & Finance ReadinessEstablish practical internal controls appropriate for a Series A-stage companySupport audit readiness, investor diligence, and financial data requestsBuild scalable processes without unnecessary complexityWhat Success Looks Like (First 12 Months)Monthly close consistently completed within 7-10 business daysClean, explainable revenue reporting across products, payers, and business linesBilling errors and AR aging materially reducedCompany is credibly audit- and diligence-ready as we scaleQualificationsRequired6-10 years of accounting experienceExperience in high-growth startups or small, fast-moving companiesDeep hands-on expertise in:Month-end closeRevenue recognitionBilling and accounts receivableStrong operator mindset. Comfortable executing, not just reviewingStrong PlusesHealthcare services experience (ABA, behavioral health, Medicaid billing)SaaS and subscription revenue exposurePrior startup finance infrastructure build experienceCPA is a plus, but not requiredWhy FronteraAt Frontera, you'll have the opportunity to build foundational finance operations at the intersection of healthcare delivery and cutting-edge AI technology. You'll work closely with senior leadership, own meaningful systems early, and help ensure the financial backbone is strong as we scale access to care nationwide.We have determined a salary range for this position that takes into account several factors including experience, knowledge, education, skills, and abilities. Please note that the salary information is a general guideline and the exact salary will be determined based on the individual's qualifications and experience, with consideration given to the factors listed above. All full-time employee benefits include a stake in shared success through stock options, health benefits, 401(k) plan, and 4 weeks of PTO per year.Annual Salary$150,000-$190,000 USDWhy Frontera?Opportunity to be at the forefront of innovation in pediatric healthcare.Work on challenging and impactful projects that leverage cutting-edge technologies.Collaborate with a talented and passionate team in a fast-paced and dynamic environment.Make a real difference in the lives of children and families in rural communities.Competitive salary and benefits package.Our Denver Office & PerksDog-friendly office.Catered lunch from local Denver restaurants five days a week, plus occasional breakfasts and dinners.Robust snack program and great coffee options (including cappuccino machine and cold brew cans).Regular team events and low-key socials.Up to $150/month commuter stipend, discounted nearby parking, and a discounted Colorado Athletic Club membership.Thoughtfully designed space for focus, collaboration, and connection.Competitive health benefits, stock options, 401(k), and generous PTO.