Accounting Manager: Build the Finance Function — MedTech (Hybrid)

Altitude Search Group; San Francisco (CA); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Altitude Search Group is seeking an Accounting Manager for a venture-backed medtech company in the South Bay. The role is onsite to start and will move to a hybrid model as the company scales, reporting to the VP Finance & Corporate Controller.

You will own the monthly close, annual audit, equity administration in Carta, and management of outsourced partners. This is a hands-on opportunity to build the function pre-commercial to commercial.

Qualifications

• You started your career in public accounting (Big 4 or a mid-tier firm).
• You’ve audited venture-backed startups or smaller clients across cash, accruals, equity, inventory and more.
• You love the idea of working for a startup.

Responsibilities

• The monthly close. You’ll prepare clinical accruals, bonus accruals and stock comp entries, and review the rest
• The annual audit. You’re the PBC lead and the main contact for a Big 4 auditor
• Equity administration in Carta. You keep the cap table accurate
• Outsourced partners. You’ll manage the bookkeeper (AP) and the PEO payroll specialist
• Monthly bank compliance and loan reporting
• Cash and AP management alongside the VP Finance. You’re also the escalation point for vendor questions
• Budgeting, forecasting, and an upcoming systems implementation.

Skills

Public accounting

Startup finance

Venture-backed experience

Job description

Altitude Search Group is seeking an Accounting Manager for a venture-backed medtech company in the South Bay. The role is onsite to start and will move to a hybrid model as the company scales, reporting to the VP Finance & Corporate Controller.

You will own the monthly close, annual audit, equity administration in Carta, and management of outsourced partners. This is a hands-on opportunity to build the function pre-commercial to commercial.