---
title: 'Accounting Manager at Tennr'
canonical: 'https://feeny.ai/job/accounting-manager-tennr-new-york-by6bh1hq1te3'
type: 'job'
last_seen: '2026-10-29'
---

# Accounting Manager at Tennr

- **Company:** Tennr
- **Location:** New York, NY
- **Compensation:** $145k–$180k
- **Employment:** full-time
- **Posted:** 2026-10-27
- **Last confirmed live:** 2026-10-29
- **Apply:** https://jobs.ashbyhq.com/tennr/23a3b01f-a169-4608-98aa-12dc98a77221

## Job description

Company Description Today, when you go to your doctor and get referred to a specialist, your doctor sends out a referral and tells you, “They’ll be in touch soon.” So you wait. And wait. Sometimes days, weeks, or even months. Why? Because too often providers are overwhelmed with the painstakingly tedious work required to get paid by insurance companies. Powered by proprietary models, Tennr handles the complex paperwork that gets patients through the door and providers paid, helping operators get patients the right care, at the right time, in the right setting.

## About the role

As we build out our internal accounting function, we are hiring an Accounting Manager to serve as its operational anchor - owning full-cycle accounting and establishing the processes and controls needed to support the company at scale. Reporting to the Controller, the Accounting Manager will lead the monthly close, own the Order to Cash life cycle, and help carry the company through its first financial-statement audit toward audit-ready, repeatable operations. This is a high-ownership role for an experienced accountant who can operate hands-on while building for scale.

## Responsibilities

- Month-end close: Own the end-to-end close, continuously improving cycle time and accuracy while reducing reliance on manual work and external support.
- Revenue recognition: Own revenue recognition under ASC 606, deferred revenue, and usage-based billing; reconcile billing systems to the general ledger and resolve variances.
- Accounts receivable & collections: Manage collections and DSO and develop the AR function, including coaching junior team members.
- Accounts payable: Oversee AP, vendor payments, and expense management, with disciplined approval workflows and clear vendor accountability.
- Payroll & equity: Review payroll and support equity and stock-based compensation accounting.
- Audit & compliance: Lead audit preparation and the PBC process for the financial-statement and 401(k) audits; support sales-tax and multi-state payroll compliance.
- Systems & process: Design scalable, well-documented processes and controls, support the company's ERP migration, and identify and implement automation.
- Team leadership: Mentor team members, coordinate with external accounting partners, and grow into leadership of the in-house accounting team.

## Qualifications

- 5–7 years of progressive accounting experience, including full-cycle ownership across order-to-cash, procure-to-pay, and record-to-report.
- Strong command of US GAAP, including revenue recognition (ASC 606), with the ability to own the close independently.
- Experience at a high-growth technology or SaaS company, ideally with usage-based or consumption billing models.
- Proficiency with modern ERP and billing systems and advanced spreadsheet skills.
- Experience supporting or preparing for a financial-statement audit.
- A track record of building and documenting scalable processes and controls and of automating manual work.
- High ownership, strong attention to detail, and the ability to thrive in a lean, fast-paced environment.
- Based in the New York City area and able to work onsite 4 days a week.

## Preferred qualifications

- Active CPA
- Big 4 or public accounting background
- ERP implementation experience
- Multi-entity or international accounting experience (the company is establishing an international entity)
- Comfort working directly with data (e.g., SQL)

Why Tennr?

- Drive Impact: one of our company values is Cowboy, meaning you set the pace. You won’t just talk about things, you’ll get them done. And feel the impact.
- Develop Operational Expertise: learn the inner workings of scaling systems, tools, and infrastructure
- Innovate with Purpose: we’re not just doing this for fun (although we do have a lot of fun). At Tennr, you’ll join a high-caliber team maniacally focused on reducing patient delays across the U.S. healthcare system.
- Build Relationships: collaborate and connect with like-minded, driven individuals in our Hudson Square office 4 days/week
- Free lunch! Plus a pantry full of snacks.

## Benefits

- Beautiful new office at 345 Hudson Street
- Unlimited PTO
- 100% paid employee health benefit options
- Employer funded 401(k) match
- Competitive parental leave

## About Tennr

## Company Overview
- **One-liner**: Tennr is an agentic patient orchestration platform that automates complex healthcare workflows—from document intake and prior authorization to patient routing—to eliminate care delays and reduce denials.
- **Entity Type**: Private (Series C)
- **Headquarters**: New York, New York, United States
- **Founded**: 2021
- **Founders**: Not publicly available

## Core Business
- **Primary industry**: Healthcare IT / Healthcare Operations
- **Target customers**: B2B – healthcare providers (hospitals, health systems, independent practices, specialty clinics)
- **Mission / purpose**: “Eliminate patient care delays across the U.S. healthcare system” – [tennr.com](https://www.tennr.com/)

## Products & Services
- **Document Wrangling**: Automates classification, routing, and extraction of unstructured documents (referrals, clinical notes, insurance forms, letters of medical necessity) from fax, portal, or internal orders. – [tennr.com](https://www.tennr.com/)
- **Intelligent Insurance Decisioning**: Checks eligibility, investigates benefits, submits and tracks prior authorizations against payer criteria. – [tennr.com](https://www.tennr.com/)
- **Patient Flow Orchestration**: Real-time control tower showing stuck patients, prioritizes work, and automatically updates charts and orders to keep patients moving through care journeys. – [tennr.com](https://www.tennr.com/)
- **Care Coordination & Closing the Loop**: Automatically requests missing documentation from the right party and tracks it through completion. – [tennr.com](https://www.tennr.com/)

## Market Standing
- **Valuation**: Not disclosed
- **Total Funding**: $159.75 M (per [cbinsights.com](https://www.cbinsights.com/company/tennr)) / $161.3 M (per [linkedin.com](https://www.linkedin.com/company/tennrai)) – conflicting reports
- **Latest Round**: Series C ($101 M raised ~1 year ago) – [cbinsights.com](https://www.cbinsights.com/company/tennr)
- **Notable Investors**: Foundation Capital, Andreessen Horowitz, Lightspeed, Frank Slootman, Institutional Venture Partners, and 10 others – [cbinsights.com](https://www.cbinsights.com/company/tennr)
- **Growth Signals**:
  - Headcount grew 148.7% YoY to 239 employees (monthly growth +4.6%) – [linkedin.com](https://www.linkedin.com/company/tennrai)
  - Processed over 10 M patients in 2025 – [tennr.com/careers](https://www.tennr.com/careers)
  - Named to Cloud 100 Rising Stars 2024, CB Insights Digital Health 50 2024, and Top 40 Private Companies 2024 – [tennr.com/careers](https://www.tennr.com/careers)

## Competitive Advantages
- **Proprietary vision-language models** trained on the largest dataset of service-to-payer criteria mappings, enabling policy-grade decisioning at scale.
- **End-to-end automation** that handles the entire patient journey from intake through authorization and scheduling, reducing manual touch points and first-pass denials.
- **Real-time visibility** into operational bottlenecks across referrals, consults, diagnostics, and authorizations.

## Strategic Focus
- **Patient flow optimization**: Intelligently route patients to the right care setting while eliminating delays.
- **Denial prevention**: Automate payer criteria checks to slash first-pass denials.
- **Care coordination**: Close loops on missing documentation and automate follow-ups with patients, providers, and payers.
- **Scale**: Expand platform to handle millions of care pathways per month across national networks and independent providers.

## Why Work Here
- **Culture**: “Problem Obsessed,” “Confrontation” (face hard truths directly), “Courage,” “Conviction,” “Clarity,” and “Cowboy” (set the pace, do instead of talk) – [tennr.com/careers](https://www.tennr.com/careers)
- **Work model**: In-person culture (HQ in New York, NY)
- **Benefits**: Meaningful equity, competitive salary, 401k matching, unlimited PTO, free lunch (and a pantry with “a strangely wide array of puffed corn snacks”) – [tennr.com/careers](https://www.tennr.com/careers)
- **Engineering culture**: Fast-paced, data-driven, with proprietary AI/ML models; open roles include Backend Software Engineer, Staff Product Engineer, Staff Backend Software Engineer, and Product Manager – [jobs.ashbyhq.com](https://jobs.ashbyhq.com/tennr)
- **Recognition**: Listed as one of the “50 Most Promising Startups 2024” and other industry accolades – [tennr.com/careers](https://www.tennr.com/careers)

## Sources
1. [tennr.com](https://www.tennr.com/)
2. [tennr.com/careers](https://www.tennr.com/careers)
3. [cbinsights.com](https://www.cbinsights.com/company/tennr)
4. [linkedin.com](https://www.linkedin.com/company/tennrai)
5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/tennr)

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