Senior Accountant

About UsWe are fixing US healthcare by building an AI-native physical care platform, starting with home health.Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative overhead. We’re eliminating that waste through intelligent automation, unlocking margins that have never existed in this space.By reshaping the cost structure of this industry, we unlock its growth.We’ve built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street, and more) and brought on operators who’ve scaled healthcare companies from zero to hundreds of millions in revenue.Our physical care platform already operates with 30pp higher gross margins than traditional home health. We’re starting with home health, then expanding to all delivered care. Our mission is “any care, any where”.Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars saved for the healthcare system.About the RoleWe’re hiring a Senior Accountant to own the day-to-day accounting operations that drive our financial reporting and controls. You’ll work closely with the Controller and cross-functionally with Operations, Revenue Contract Management, and People teams.A successful Senior Accountant at Adaptive Innovations is detail-oriented, intellectually curious, and comfortable operating in a fast-moving environment, where processes are still being built. You’ll have significant ownership and the opportunity to shape how the finance function scales.Over time, you’ll take end-to-end ownership of key accounting workflows, contributing to the infrastructure that allows us to move with speed and accuracy as we grow.ResponsibilitiesOwn the monthly close process, including journal entries, account reconciliations, and preparation of financial statements in accordance with GAAP.Manage accounts payable and receivable cycles, ensuring timely and accurate processing and resolution of discrepancies.Maintain the general ledger and chart of accounts, ensuring integrity and consistency across all entries.Assist in the preparation of audit schedules, tax workpapers, and compliance filings, serving as a key point of contact for external auditors and tax team.Identify opportunities to improve accounting processes and internal controls and lead design implementation of those improvements.Basic QualificationsTechnical Experience: 3–5 years of accounting experience, ideally in a high-growth startup or a mix of public accounting and industry.Accounting Expertise: Deep knowledge of GAAP, with hands-on experience in full-cycle accounting, month-end close, and financial statement preparation.Execution & Delivery: Proven ability to manage competing priorities, hit close deadlines consistently, and drive accounting projects to completion with minimal oversight.Collaboration & Communication: Strong ability to work cross-functionally with non-finance stakeholders, translating complex accounting concepts into clear, actionable information.Systems Proficiency: Comfort with modern accounting software (e.g., Rillet, Campfire or similar) and advanced Excel or Google Sheets skills.Analytical Mindset: Ability to identify patterns in financial data, flag anomalies, and translate numbers into meaningful insights for leadership.AI & Data-Driven Systems: Experience working with AI, automation, or data-driven systems, translating heavy data sets into reliable, efficient workflows.Preferred QualificationsExperience in healthcare, insurance billing, or revenue cycle accounting.Familiarity with multi-entity consolidations or intercompany accounting.Prior experience building or formalizing accounting processes in a scaling organization.What We OfferCollaborative team valuing innovation and problem-solving.Flexible time off policy — we expect most employees to take at least 3 weeks of vacation per year.In-office lunches, dinners, and snacks to fuel your focus and well-being.Comprehensive health insurance, dental, and commuter benefits.401(k) retirement plan with employer contribution.LocationThis role is in-person 2–3 days a week in our New York City office.