Senior 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 OverviewThe 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 ResponsibilitiesFinancial Close & ReportingParticipate heavily in the end-to-end monthly, quarterly, and annual close processes, ensuring accuracy, timeliness, and compliance with GAAPReview and analyze financial statements to identify discrepancies, trends, and areas requiring attentionPrepare and present financial reports and variance analyses to senior leadershipMaintain and continuously improve the integrity of financial dataEstablish processes that secure timely month-end closeManage Accounts Payable TeamAssign workloads and set performance expectationsReview work for accuracy and completenessEnsure that invoice turnaround goals are metDevelop and enforce workflows for three-way match within RampImplement invoice approval within RampTrack and report KPIs (invoice turnaround time, error rates, etc.)Handle escalations, resolve billing discrepancies, prevent duplicate payments and fraudOutsourced Team & Partner ManagementServe as the primary day-to-day point of contact and manager for the outsourced bookkeeping team, ensuring accountability and quality of deliverablesSet clear expectations, review work product, and drive continuous improvement across outsourced functionsTechnology & Process InnovationLead the adoption and optimization of accounting technology within our tech stack, including Sage Intacct, Ramp, and third-party reporting and modeling toolsChampion the use of AI tools for invoice processing, bookkeeping automation, and financial reporting — focused on innovation and process leadership, not heads-down executionIdentify opportunities to streamline and modernize accounting workflows through technology, driving efficiency and scalabilityEvaluate and implement new tools that enhance the overall accounting and finance functionFinancial Analysis & ControlsPerform financial analysis including review of financial statements, budget-to-actual comparisons, and identification of anomalies or risksSupport the development and maintenance of internal controls to safeguard company assets and ensure complianceAssist in preparation of materials for audits, board reporting, and investor-facing financial packagesQualificationsRequired5+ years of progressive accounting experience, Hands-on experience with Sage Intacct — must be proficient in system navigation, reporting, and configurationExperience with Ramp, including implementation of spend controls, bill pay, and other Ramp functionalityAdvanced Excel skills, and demonstrated ability to leverage AI-assisted tools within ExcelStrong understanding of GAAP and financial reporting standardsDemonstrated experience managing outsourced teams or third-party accounting service providersProven ability to analyze financial statements and identify discrepancies, trends, and risksPreferredExperience in a high-growth startup or healthcare/life sciences environmentFamiliarity 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 toolsCost accounting experience in a manufacturing environmentWhat We OfferA high-impact role with direct visibility to the CFO and a defined path to ControllerThe opportunity to shape and modernize the accounting function at a growing companyA collaborative, mission-driven team cultureSalary 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 UsAs 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 StatementPrecision 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 talentacquisition@mypcphealth.com to request accommodation.