Accounting Manager

Lever, Inc.; United States; On-site; USD 141,000 - 196,000; Full time

Benefits offered by this job

Medical/Dental/Vision Insurance

Stock incentive plans

401k Matching

Learning and Development stipend

One Medical membership

Parental Leave

Generous paid time off

Job summary

Eko Health is seeking a Manager, Cost Accounting & Procure-to-Pay, to own costing, landed cost, and AP processes for devices and software. This remote-US role aligns with Pacific hours and reports to the Corporate Controller, partnering with Supply Chain, Sales Ops, and FP&A to drive margin insight.

You’ll defend costing methodologies, manage inventory valuation and reserves, and lead end-to-end landed cost and P2P cycles.

Qualifications

• 7+ years in cost, inventory, or manufacturing accounting.
• Hands-on ownership of landed cost, inventory valuation, and the inventory close.
• Hands-on ownership of accounts payable operations, including vendor master controls, three-way match, payment runs, and the AP close.
• Experience supporting external audit testing of inventory valuation and reserves under US GAAP.
• Comfort owning ambiguous, cross-system reconciliations, advanced Excel, and the ability to present a conclusion to Finance leadership.

Responsibilities

• Costing methodology: standard cost setting, cost rolls, purchase price and landed cost variance.
• Landed cost end to end: accrue duties, tariffs, freight, and brokerage at receipt; allocate to inventory and COGS.
• Inventory valuation under US GAAP (ASC 330) and reserves.
• Inventory integrity across contract manufacturers, 3PL, and marketplaces: reconciliations and cycle counts.
• Procure-to-pay: PO policy, vendor governance, three-way match, and AP close.
• COGS close and gross margin analytics with FP&A, across hardware and subscription revenue.
• Audit and control design for inventory, cost, and P2P cycles; SOX-ready processes.

Skills

Cost accounting

Inventory accounting

Accounts payable

Advanced Excel

Cross-system reconciliations

Audit support

Education

Bachelor's degree in Accounting or Finance

CPA, CMA or equivalent preferred

Tools

NetSuite

AP automation platforms

3PL exposure

SOX controls

Job description

About Eko Health

Eko builds AI and digital tools to enable every healthcare provider to more accurately detect heart and lung disease – the leading causes of death globally. Our FDA cleared, industry leading products are used by hundreds of thousands of clinicians on millions of patients around the world. With Eko, clinicians can detect cardiac and pulmonary disease with higher accuracy, diagnose with more confidence, manage treatment effectively, and ultimately give their patients the best care possible.

We have strong venture capital backing from investors like Artis Ventures, Questa Capital, Highland Capital, and Mayo Clinic Ventures.

Recognized by TIME magazine in 2025 as one of the world’s top healthcare technology companies, Eko is one of the fastest growing digital health companies with products used around the world at some of the most prestigious health systems.

We have more than 8 FDA clearances including novel AI algorithms, and we invest heavily in quality clinical research and R&D to build and validate exceptional products for patients we care deeply about.

We’ve built a mission driven, high performing, talented, and diverse team of engineers, physicians, PhD’s, creatives, and technologists. We are committed to investing in each other and our mission to ensure all patients have access to high quality care.

We are headquartered in Emeryville, California and privately-held with world class investors and partners.

Role Summary

Eko Health builds devices and software that help clinicians detect heart and lung disease earlier. We’re lookingfor a Manager, Cost Accounting & Procure-to-Pay, remote in the US on Pacific hours, to own two things at thecenter of our business: what it costs us to put a device in a clinician’s hands, and how we pay for everythingthat gets it there.

This is a build role. Reporting to the Corporate Controller, you will set Eko’s costing methodology and defend it
to our auditors, own inventory valuation and reserves, run landed cost end to end, close COGS each month,
and run procure-to-pay from purchase order to payment. You will partner with Supply Chain, Sales Operations,
and FP&A, and your margin analysis will reach the executive team. You inherit a working foundation and a lot
of room to make it better.

A few things make this role unique. Eko does not run a factory: devices are built by contract manufacturers
and bought as finished goods, so cost is purchase price plus landed cost, and inventory sits with partners we
cannot walk into. Hardware is sold alongside subscription software, so the margin story is blended. And this is
a hands-on manager role with no direct reports to start: you provide review oversight to our offshore
transactional team while personally owning the higher-judgment accounting, reconciliations, close, and
conclusions. If you like building both the methodology and the reconciliation behind it, you will thrive here.

Essential Functions

• Costing methodology: standard cost setting, cost rolls, purchase price and landed cost variance, and the policy behind them.
• Landed cost end to end: accruing duty, tariffs, freight, and brokerage at receipt, truing up on the broker invoice, and allocating correctly between inventory and cost of sales, in partnership with Supply Chain and our customs brokers.
• Inventory valuation under US GAAP (ASC 330, lower of cost or net realizable value) and the excess and obsolete reserve, with methodology you can defend to an external auditor.
• Inventory integrity across our contract manufacturer, 3PL, and marketplace locations: reconciliation cadence, cycle count protocols, cutoff, and audit confirmation or observation.
• Procure-to-pay: PO policy, vendor master governance, three-way match, received-not-invoiced, payment runs and disbursement controls, and the AP close.
• The COGS close and gross margin analytics across hardware and subscription revenue, in partnership with FP&A.
• Audit and control design for the inventory, cost, and P2P cycles, built to withstand SOX and external audit scrutiny.

Required Qualifications

• 7+ years in cost, inventory, or manufacturing accounting, including hardware, medical device, electronics, or another inventory-intensive product environment.
• Hands-on ownership of landed cost, inventory valuation, and the inventory close, ideally where manufacturing was outsourced and stock was held by third parties.
• Hands‑on ownership of accounts payable operations, including vendor master controls, three‑way match, payment runs, and the AP close.
• Experience supporting external audit testing of inventory valuation and reserves under US GAAP, and the ability to explain how you defended a position.
• Comfort owning ambiguous, cross‑system reconciliations, advanced Excel, and the ability to present a conclusion to Finance leadership and hold it under questioning.
• Bachelor’s degree in Accounting or Finance. CPA, CMA, or equivalent preferred.
• Nice to have: NetSuite, customs and import exposure, 3PL or e‑commerce operations, AP automation platforms, SOX, and experience building processes from a low baseline in a high‑growth or pre‑IPO company

Why join Eko Health?

Benefits and Perks We Offer:

• The opportunity to work on products that impact the health of millions of people.
• Generous paid‑time off
• Stock incentive plans
• Medical/Dental/Vision, Disability + Life Insurance
• One Medical membership
• Parental Leave
• 401k Matching
• Learning and Development stipend

We believe the ability to listen is the ability to care. Eko was named one of the World’s Top HealthTech Companies of 2025 by TIME and Statista. This honor reflects the mission to transform cardiac and pulmonary care through AI‑powered stethoscopes and digital health solutions.

Case Studies & Customer Stories

Eko Blog

Newsroom

Work Experience & Location Requirements

• This role is a remote position with expected travel. See above for more details on travel expectations.
• Prolonged periods of sitting and working at a computer
• Must be able to perform job duties with or without reasonable accommodation

$141,000 - $195,700 a year

Compensation for this role is determined using a tiered market‑based compensation structure. Salary ranges are established based on geographic labor market data and may vary depending on the employee’s work location, experience, skills, and qualifications.

Tier 1 $175,100.00 $195,700.00

Tier 2 $157,590.00 $176,130.00

Tier 3 $140,080.00 $156,560.00

Eko is proud to be an equal opportunity employer and welcome people of different backgrounds, experiences, abilities and perspectives. We are committed to building a diverse and inclusive team.