Staff Accountant

Fresh Health Inc.; San Carlos (CA); On-site; USD 95,000 - 125,000; Full time

Job summary

Fresh Health Inc. in San Carlos is seeking a hands-on accounting professional to own day-to-day AP, monthly close, and FP&A support as the business scales.

You will work in a fast-paced startup environment with NetSuite at the core, handling journal entries, reconciliations, and tax filing support while partnering with leadership to explain variances and drive process improvements.

Qualifications

• 4–6 years of progressive accounting experience in a startup or fast-paced environment.
• Hands-on NetSuite experience: posting JEs, running reports, reconciling accounts.
• Comfortable owning AP and month-end close with minimal supervision.
• Strong Excel skills: formulas, pivot tables, scenario analyses reconciliation builds.
• Detail-oriented with a low tolerance for messy books.
• Clear communicator who can translate accounting issues for non-finance stakeholders.

Responsibilities

• Manage end-to-end AP: vendor invoices, PO matching, coding, and payment runs via AP platform.
• Review and code employee expenses; process reimbursements accurately and on time.
• Own vendor setup, W-9 collection, and maintain a clean vendor master in NetSuite.
• Flag and resolve coding discrepancies proactively with department leads.
• Prepare and post journal entries in NetSuite (accruals, prepaids, deferrals, reclasses).
• Own key balance sheet reconciliations: cash, credit cards, AP, accruals, and payroll.
• Partner with external accountants to deliver clean support schedules and minimize review cycles.
• Support preparation of monthly financial statements with external accounting firm (P&L, balance sheet, cash flow).
• Assist with sales/use tax filings and multi-state compliance tracking and manage our tax firm.
• Run monthly budget-vs.-actual reporting by department; surface and explain variances.
• Maintain and improve expense coding consistency to ensure reporting integrity.
• Support ad hoc financial analysis for leadership (vendor cost reviews, headcount modeling).
• Help build a lightweight forecasting cadence as the company scales.
• Maintain and improve SOPs for AP, expenses, payroll, and close—document what exists, fix what’s broken.
• Identify and implement automations in financial tech stack (NetSuite, Ramp, Brex, Tipalti).

Skills

NetSuite

AP

Excel

Communication

Attention to detail

Education

CPA candidate or CPA (preferred)

Tools

Ramp

Brex

Tipalti

Job description

Why This Role Exists

Proclaim is a fast-moving health tech company. We are building our finance team and are looking for an exceptional accounting hire to own the day-to-day so leadership can focus on growth.

You’ll run AP, close the books accurately each month, and build out the FP&A muscle the business needs as it grows. This isn’t a tick-the-box job—we want someone who looks at the numbers and asks “why?”

The candidate must be comfortable working in a startup environment, and prior tech/health-tech experience will be a plus.

What You’ll Own

Accounts Payable

• Manage end-to-end AP: vendor invoices, PO matching, coding, and payment runs via AP platform
• Review and code employee expenses; process reimbursements accurately and on time
• Own vendor setup, W-9 collection, and maintain a clean vendor master in NetSuite
• Flag and resolve coding discrepancies proactively with department leads

Month-End Close & Financial Reporting

• Prepare and post journal entries in NetSuite (accruals, prepaids, deferrals, reclasses)
• Own key balance sheet reconciliations: cash, credit cards, AP, accruals, and payroll
• Partner with external accountants to deliver clean support schedules and minimize review cycles
• Support preparation of monthly financial statements along with our external accounting firm (P&L, balance sheet, cash flow)
• Assist with sales/use tax filings and multi-state compliance tracking and manage our tax firm

FP&A Support

• Run monthly budget-vs.-actual reporting by department; surface and explain variances
• Maintain and improve expense coding consistency to ensure reporting integrity
• Support ad hoc financial analysis for leadership (vendor cost reviews, headcount modeling)
• Help build a lightweight forecasting cadence as the company scales

Process & Systems

• Maintain and improve SOPs for AP, expenses, payroll, and close—document what exists, fix what’s broken
• Identify and implement automations in financial tech stack (e.g. NetSuite, Ramp, Brex, and Tipalti) to reduce manual work
• Bring solutions, not just problems—proactively flag gaps and recommend improvements

  What We’re Looking For

  Required

  • 4–6 years of progressive accounting experience in a startup or fast-paced environment
  • Hands-on NetSuite experience: posting JEs, running reports, reconciling accounts
  • Comfortable owning AP and month-end close with minimal supervision
  • Strong Excel skills: formulas, pivot tables, scenario analyses reconciliation builds
  • Detail-oriented with a low tolerance for messy books—you notice things others miss
  • Clear communicator who can translate accounting issues into plain language for non-finance stakeholders

  Preferred

  • Experience with Netsuite, Ramp, Brex and/or Tipalti (or similar AP systems)
  • Exposure to FP&A: budget prep, variance analysis, or basic financial modeling
  • Experience supporting or preparing financial statements, not just executing close tasks
  • CPA candidate or CPA (a plus, not required)
  • Health tech, SaaS, or hardware/recurring revenue company background

  Who Thrives Here

  This role is a strong fit if you…

  • Want to be the go-to finance person at a growing company, not one of many in a large department
  • Get energized by cleaning up a messy process or building something from scratch
  • Are curious about the business—why costs move, what drives revenue, how operations connect to the P&L
  • Can shift between tactical (AP run today) and analytical (why did OpEx spike?)
  • Are comfortable with ambiguity and can prioritize without waiting to be told exactly what to do