Senior Accountant

Rad AI; San Francisco (CA); On-site; USD 113,000 - 141,000; Full time

Benefits offered by this job

Medical, Dental, Vision & Life

401(k) with company match

Paid time off and holidays

Job summary

Rad AI, a leading healthcare AI company, seeks a Senior Accountant to own core accounting operations for a rapidly growing SaaS business. You will drive the monthly close, balance sheet reconciliations, payroll and intercompany activity, and audit support while partnering with cross‑functional teams.

You should bring 4+ years of accounting experience, solid US GAAP knowledge, strong analytical skills, and proficiency with Excel.

Qualifications

• Bachelor’s degree in Accounting, Finance, or a related field.
• 4+ years of progressive accounting experience with month-end close and reconciliations.
• Strong understanding of U.S. GAAP and ability to analyze financial statements.
• Experience preparing and reviewing journal entries, accruals, and schedules.
• Analytical and problem-solving skills with root-cause analysis.
• Strong Excel/Google Sheets skills with large datasets.

Responsibilities

• Own the monthly, quarterly, and annual close processes with journal entries and reconciliations.
• Manage payroll accounting for U.S. and Canadian payrolls, benefits, bonuses, and liabilities.
• Handle general ledger accounts including cash, prepaids, accrued expenses, and fixed assets.
• Oversee accounts payable and spend management, vendor onboarding, and 1099 support.
• Ensure completeness and accuracy of financial activity and resolve issues before close.
• Maintain audit-ready schedules and provide supporting documentation.

Skills

US GAAP

Journal entries

Analytical skills

Payroll accounting

Intercompany

Excel

Cross-functional collaboration

Education

Bachelor’s degree (Accounting/Finance)

Tools

Ramp

Rippling

ERP systems

Job description

About Rad AI

At Rad AI, we’re on a mission to transform healthcare with artificial intelligence. Founded by a radiologist, our AI-driven solutions are revolutionizing radiology—saving time, reducing burnout, and improving patient care. With one of the largest proprietary radiology report datasets in the world, our AI has helped uncover hundreds of new cancer diagnoses and reduced error rates in tens of millions of radiology reports by nearly 50%.

About Rad AI

At Rad AI, we’re on a mission to transform healthcare with artificial intelligence. Founded by a radiologist, our AI-driven solutions are revolutionizing radiology—saving time, reducing burnout, and improving patient care. With one of the largest proprietary radiology report datasets in the world, our AI has helped uncover hundreds of new cancer diagnoses and reduced error rates in tens of millions of radiology reports by nearly 50%.

Rad AI has secured over $140M in funding, including a recently oversubscribed Series C ($68M round) led by Transformation Capital, bringing our valuation to $528M. Our investors include Khosla Ventures, World Innovation Lab, Gradient Ventures, Cone Health Ventures, and others—all backing our mission to empower physicians with cutting‑edge AI.

Our latest advancements in generative AI are used by thousands of radiologists daily, supporting more than one-third of radiology groups and healthcare systems and nearly 50% of all medical imaging in the U.S. at partners including Cone Health, Jefferson Einstein Health, Geisinger, Guthrie Healthcare System, and Henry Ford Health.

Recognized as one of the most promising healthcare AI companies by CB Insights and AuntMinnie, and ranked by Deloitte as the 19th fastest‑growing company in North America, we are building AI‑powered solutions that make a real impact. Most recently, Rad AI was named to CNBC’s Disruptor 50 list, highlighting the innovation and momentum behind our mission.

If you’re ready to shape the future of healthcare, we’d love to have you on our team!

About The Role

We are looking for a highly capable, hands‑on Senior Accountant to join our growing team. This role will be a key owner of the company’s core accounting operations, including the monthly close, balance sheet reconciliations, payroll and benefits accounting, accounts payable and spend management, inter‑company activity, audit support, tax compliance support, and process documentation.

The Senior Accountant will work across multiple areas of the close and help strengthen the processes, controls, and systems required to support a rapidly growing SaaS business. The ideal candidate combines strong accounting fundamentals with a high degree of ownership, sound judgment, and a practical approach to solving problems.

The Senior Accountant will report to the Director of Accounting and collaborate closely with FP&A, People Operations, and other cross‑functional partners.

What You’ll Do

• Own assigned areas of the monthly, quarterly, and annual close, including preparing journal entries, maintaining supporting schedules, and completing accurate and timely balance sheet reconciliations.
• Review and approve U.S. and Canadian payrolls and own the related accounting, including payroll journal entries, reconciliations, employee benefits, bonuses, commission‑related payments, and payroll‑related liabilities.
• Own accounting for cash, prepaid expenses, accrued expenses, fixed assets, operating expenses, intercompany activity, and other assigned general ledger accounts.
• Own accounts payable and spend‑management operations, including Ramp administration, vendor onboarding and master‑data controls, expense classification, payment approvals, annual 1099 support, and related reconciliations and controls.
• Review financial activity for completeness and accuracy, investigate unusual items and variances, and resolve issues before the close is finalized.
• Maintain organized, audit‑ready accounting schedules, reconciliations, and supporting documentation.
• Support the annual financial statement audit, 401(k) audit, income and franchise tax filings, and other compliance requirements by preparing schedules and responding to requests.
• Assist with the development, documentation, and execution of accounting policies, procedures, and internal controls.
• Identify and implement opportunities to automate manual work, strengthen controls, improve accuracy, and make accounting processes more scalable.
• Identify accounting issues proactively, communicate them clearly, and drive them through resolution without waiting for step‑by‑step direction.
• Support ad hoc accounting analyses and special projects as the company continues to grow.

What We’re Looking For

• Bachelor’s degree in Accounting, Finance, or a related field.
• 4+ years of progressive accounting experience, including hands‑on ownership of significant portions of the month‑end close and balance sheet reconciliations.
• Strong understanding of U.S. GAAP and the ability to analyze financial statements and general ledger activity for completeness, accuracy, and appropriate accounting treatment.
• Experience preparing and reviewing journal entries, accruals, account reconciliations, rollforwards, and well‑supported accounting schedules.
• Strong analytical and problem‑solving skills, including the ability to investigate discrepancies, identify root causes, and drive issues through resolution.
• Strong Excel or Google Sheets skills, including experience working with large datasets, lookup and aggregation formulas, and building reliable supporting schedules.
• High attention to detail with the judgment to balance accuracy, materiality, and close deadlines.
• Ability to communicate accounting issues clearly and work effectively with both finance and non‑finance partners.
• Demonstrated ability to manage multiple priorities independently, take ownership of unfamiliar problems, and operate effectively when processes are still being developed.

Preferred Qualifications

• Experience in a SaaS, software, venture‑backed, or other high‑growth technology company.
• Experience with payroll and benefits accounting, accounts payable, and spend‑management operations.
• Experience supporting a financial statement audit, including preparing PBC schedules and working directly with external auditors.
• Experience working in a multi‑entity or international environment
• Experience with modern ERP, expense‑management, and payroll systems; experience with Rillet, Ramp, or Rippling is a plus.
• Familiarity with developing internal controls, documenting accounting processes, and improving close procedures.
• Experience using automation, AI‑enabled tools, or systems integrations to improve accounting processes, reconciliations, or close efficiency.

Join our world‑class team as we build and deploy AI solutions that empower physicians and transform patient care—making a meaningful impact on millions of lives. Driven by our mission, we prioritize transparency, inclusion, and close collaboration, bringing together exceptional people to revolutionize healthcare. If you're passionate about driving innovation and delivering impactful healthcare solutions, we'd love to hear from you!

Location Details

For Roles Listed As San Francisco - Onsite

• This role will be based in our San Francisco office and we expect employees to work onsite four days per week. The remaining time may be worked remotely or onsite, depending on team and business needs.

For Roles Listed As United States - Remote

• This role is open to candidates located anywhere in the United States.

For roles listed as San Francisco - Onsite + United States - Remote:

• We will prioritize candidates who can work onsite four days per week in San Francisco, while also considering remote candidates located anywhere in the United States.

For US‑Based Full‑Time Roles, Rad AI offers a variety of benefits, including:

• Comprehensive Medical, Dental, Vision & Life insurance
• HSA (with employer match), FSA, & DCFSA
• 401(k)
• 11 Paid Company Holidays
• Flexible PTO policy
• Annual company‑wide offsite
• Periodic team offsites
• Annual equipment stipend
• For roles based outside the US, your recruiter can share more details

At Rad AI, we value diversity and provide equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.

Compensation Range: $113K - $141K