Chief Accountant

PaxeraHealth; Newton (MA); Hybrid; USD 90,000 - 115,000; Full time

Job summary

PaxeraHealth is seeking an experienced Chief Accountant to support our medical imaging and healthcare technology organization. The role involves overseeing core accounting operations and ensuring accurate financial reporting.

Candidates should have a bachelor's degree in accounting and a minimum of 5 years of accounting experience, ideally with knowledge in multi-currency and multi-entity accounting. This is a hybrid position for someone who resides in Massachusetts.

Qualifications

• Minimum 5 years of accounting experience.
• Hands-on experience with QuickBooks Online is required.
• Knowledge of U.S. GAAP and SaaS revenue recognition principles.

Responsibilities

• Oversee daily accounting activities including general ledger and payroll.
• Manage accurate and timely monthly, quarterly, and annual close processes.
• Develop and maintain internal controls to safeguard company assets.

Skills

Analytical skills

Problem-solving skills

Attention to detail

Organizational skills

QuickBooks Online

Excel proficiency

Education

Bachelor’s degree in Accounting, Finance, or related field

Tools

QuickBooks Online

Accounting software

Job description

We are seeking an experienced Chief Accountant to join our growing medical imaging and healthcare technology organization. This role is critical to maintaining the financial strength of the company by overseeing core accounting operations, ensuring accurate financial reporting, and supporting leadership with reliable, timely financial data.

The ideal candidate is detail-oriented, highly organized, and brings experience from healthcare, SaaS, or technology-driven environments, with a strong understanding of multi-entity and multi-currency accounting. This is a Hybrid position for someone who resides in Massachusetts.

What You’ll Do

Accounting & Financial Operations

Oversee daily accounting activities including general ledger, AP, AR, payroll coordination, and bank reconciliations

Manage accurate and timely monthly, quarterly, and annual close processes

Maintain the chart of accounts and accounting policies in accordance with U.S. GAAP

Prepare and review financial statements and management reports

Ensure compliance with U.S. GAAP, internal policies, and applicable healthcare regulations

Support audits, tax filings, and regulatory reporting

Internal Controls & Process Improvement

Develop and maintain internal controls to safeguard company assets

Identify opportunities to improve workflows, automation, and efficiency

Ensure strong documentation and audit trails across accounting processes

Partner closely with the CFO, Controller, and executive leadership

Provide insights on revenue recognition, contracts, projects, and operational performance

Mentor and support accounting team members as needed

Industry & Global Accounting Support

Support accounting for medical imaging solutions, software licensing, services, and long-term projects

Assist with multi-currency transactions, international entities, and intercompany accounting

Collaborate with operations and project teams to ensure accurate cost and revenue alignment

What We’re Looking For

Education & Experience

Bachelor’s degree in Accounting, Finance, or related field (required)

Minimum 5 years of accounting experience

Hands‑on experience with QuickBooks Online (required)

Knowledge of U.S. GAAP and SaaS revenue recognition principles

Experience with multi-currency and multi-entity accounting

Skills & Abilities

Strong analytical and problem‑solving skills

Exceptional attention to detail and organizational skills

Advanced proficiency in Excel and accounting software

Ability to manage multiple priorities in a fast‑paced environment

Professional, proactive, and solutions‑oriented mindset