---
title: 'Corporate Accounting Manager at NexHealth'
canonical: 'https://feeny.ai/job/corporate-accounting-manager-nexhealth-san-francisco-rt3sxpt99srn'
type: 'job'
last_seen: '2026-10-20'
---

# Corporate Accounting Manager at NexHealth

- **Company:** NexHealth
- **Location:** San Francisco, CA / United States
- **Compensation:** $140k–$160k
- **Posted:** 2026-10-13
- **Last confirmed live:** 2026-10-20
- **Apply:** https://www.nexhealth.com/careers/open-positions?gh_jid=6222709004

## Job description

## About NexHealth

Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?

NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.

- Founded: 2017
- Headquarters: San Francisco, CA
- Funding: $177M Series C
- Employees: 200+
- Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs

## About the Role

As our Senior Accounting Manager, you’ll own the accuracy and speed of NexHealth’s books and reinvent how that work gets done. You’ll bring the discipline of a mature close and pair it with modern data and AI tooling, so that a fast, auditable close becomes the default rather than a monthly sprint. This role is a fit for an accountant who has run a strong close before and wants to build the next version of it.

## What You’ll Do

- Own the month-end close end to end, including the calendar, owners, dependencies, and sign-off, and drive it toward a 4-business-day close
- Lead our offshore accounting team: set priorities, review their work, and hand off close tasks, reconciliations, and recurring accounting work with clear checklists and turnaround expectations
- Own the quality of GAAP financial statements across every account by setting review standards for flux analysis and balance sheet reconciliations
- Design and ship automation and AI agents for core accounting work, such as reconciliations, flux commentary, journal entry preparation, anomaly detection, and close tracking
- Own payroll accounting and operations in Rippling, including international hires through our employer of record partner, with accurate accruals, reconciliations, and strong payroll controls
- Partner on equity management in Carta, including grant and exercise processing, cap table reconciliation to the general ledger, and stock-based compensation
- Build financial and operational reporting and dashboards in Sigma that leadership uses to run the business
- Partner with Data Science to build and improve our finance data warehouse in Snowflake, so reconciliations, close checks, and reporting run on trusted, reconcilable data
- Lead audit readiness with our external auditors: build the schedules, keep workpapers current, and close auditor requests on time without a last-minute scramble
- Surface risks, control gaps, and process issues early, and document decisions so the team and the systems you build can scale

## What You’ll Bring

- Strong experience running the month-end close at a scaling SaaS, payments, or technology company, with solid working knowledge of US GAAP, accruals, and multi-entity accounting
- An active CPA license
- Experience leading offshore or distributed accounting teams across time zones, including setting clear standards and reviewing work for quality
- A track record of building automation with LLMs or agentic workflow tools; you can walk us through something you built and the impact it had
- Strong grasp of internal controls, data completeness, and audit trail design, with processes built to hold up as transaction volume and complexity grow
- Strong SQL skills and hands-on experience with Snowflake or a similar data warehouse; you write your own queries rather than waiting on a data request
- Hands-on experience with NetSuite, plus payroll (Rippling or similar), spend management (Ramp or similar), BI (Sigma, Looker, or similar), and cap table (Carta or similar) platforms
- Comfort with technical accounting research, getting to the root of an issue and turning conclusions into practical policies and entries
- Sound judgment with imperfect data: you make the call, keep the close moving, then fix the underlying data so the issue doesn’t come back
- Clear communication with Data Science, Engineering, Revenue Operations, and Finance partners, adapting to technical and leadership audiences and documenting decisions so others can learn how things work
- A drive to rethink how corporate accounting works with LLMs and agentic workflows, paired with a willingness to take on the unglamorous problems that make the business run better

Bonus Points For

- Big 4 or other public accounting experience
- Experience at a fast-growing SaaS business through multiple stages of scale
- Experience with payroll accounting for international teams through an employer of record

## Compensation

Actual salaries will vary depending on factors including but not limited to location, experience, and performance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.

NexHealth Compensation Range $140,000—$160,000 USD

## Benefits

- Full Medical, Dental, and Vision (up to 100% covered)
- 401K and commuter benefits
- Flexible PTO
- High-impact work that directly improves the healthcare experience for millions

## Our Values

- Solve the customer’s problems, not yours When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.
- Do the things others are not willing to do As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.
- Take ownership Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.
- Say what’s on your mind, with positive intent Be direct, proactive, transparent, and frequent in your communication.
- Default trust As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.
- Think in first principles We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.

## About NexHealth

## Company Overview
- **One-liner**: NexHealth provides a unified platform for scheduling, patient communications, digital forms, payments, and insurance verification that integrates directly with health record systems to automate front‑office tasks for medical and dental practices.
- **Entity Type**: Private (Series C, valued at $1B as of 2022)
- **Headquarters**: San Francisco, California, USA (with an additional office in Draper, Utah)
- **Founded**: 2017
- **Founders**: Alamin Uddin and Waleed Asif

## Core Business
- **Primary industry**: Healthcare technology (healthtech) – patient experience platform and EHR integration middleware.
- **Target customers**: B2B – medical and dental practices of all sizes (SMB to enterprise DSOs like The Smilist), as well as developers who need a single API to connect to multiple health record systems.
- **Mission/purpose**: “Accelerate innovation in healthcare” by connecting patients, doctors, and developers.

## Products & Services
- **Scheduling**: Online booking that syncs in real time with the practice’s health record system; automatic cancellation fill.
- **Communications**: Unified inbox for messages, reminders, recalls, and payment requests.
- **Forms**: Digital intake forms sent automatically and completed before the patient arrives; includes insurance verification.
- **Payments**: Terminals and digital payments that sync to the practice’s ledger.
- **Verification**: Eligibility confirmed automatically before appointments.
- **API / Platform**: Developers can use NexHealth’s API to integrate health records into their applications, eliminating the need to build separate integrations with dozens of EHR vendors.

## Market Standing
- **Valuation**: $1 billion (as of the $125M Series C raise in 2022) [nexhealth.com](https://www.nexhealth.com/culture)
- **Total Funding**: $177.36M raised to date [cbinsights.com](https://www.cbinsights.com/company/nexhealth)
- **Key Metric**: 10,000+ medical and dental practices run on NexHealth [nexhealth.com](https://www.nexhealth.com/)
- **Notable Investors/Partners**: Not publicly disclosed in available sources (the $125M Series C round lead investors were not named in the provided materials).
- **Growth Signals**: 
  - Grew from 5 to ~300 employees between 2020 and 2022 [nexhealth.com](https://www.nexhealth.com/culture)
  - Revenue and customer base doubling year‑over‑year
  - Hiring “hundreds of people” in the coming year [nexhealth.com](https://www.nexhealth.com/careers)
  - Signed enterprise customer The Smilist (50+ locations) [nexhealth.com](https://www.nexhealth.com/culture)

## Competitive Advantages
- **Deep EHR integration**: NexHealth connects directly to health record systems and syncs in real time, eliminating manual workarounds and reconciliation.
- **No long‑term contracts**: Monthly, flexible plans – a differentiator against legacy platforms that lock practices into annual contracts.
- **Speed of support**: “Get support in seconds, not hours” – average response time under 2 minutes, with no phone trees or hand‑offs [nexhealth.com](https://www.nexhealth.com/).
- **Platform approach**: A single API that abstracts away the complexity of multiple EHRs, making NexHealth a “protocol” for moving healthcare data.

## Strategic Focus
- **Scale the platform**: Expand total addressable market (TAM) by serving larger enterprise organizations and moving beyond dental into broader medical specialties.
- **Build the “protocol”**: Long‑term vision to become the standard layer for moving healthcare data between any two points (e.g., from a lab in Germany to a hospital in the US) [nexhealth.com](https://www.nexhealth.com/culture).
- **Customer growth**: Keep existing customers “insanely happy” while rapidly acquiring new practices.
- **Talent density**: Continue hiring high‑performance individuals who can operate 2‑3× faster and with higher quality than industry norms.

## Why Work Here
- **Culture**: Mission‑driven, high‑performance environment (“Nexers” are expected to be fast, high‑quality, and growth‑minded). The company surveys employees twice a year to evolve the culture.
- **Remote/hybrid**: Offices in San Francisco and Draper, UT, with remote teams across the US, South America, and Europe. Flexible mindset on location.
- **Growth opportunities**: “Up‑level quickly” – employees are encouraged to redefine their roles to solve the most pressing customer problems. The company is growing fast, offering rapid career advancement.
- **Long‑term focus**: Aspirations measured in decades; small, fast‑paced teams with autonomy. High performers are retained long‑term (>6 years), low performers exit quickly (<6 months).
- **Perks**: Not explicitly listed, but the culture emphasizes learning & development, work/life blend, and ownership.

## Sources
1. [nexhealth.com – Careers page](https://www.nexhealth.com/careers)
2. [nexhealth.com – Homepage](https://www.nexhealth.com/)
3. [nexhealth.com – Culture/About page](https://www.nexhealth.com/culture)
4. [cbinsights.com – Company profile](https://www.cbinsights.com/company/nexhealth)

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- [Senior Software Engineer](https://feeny.ai/job/senior-software-engineer-nexhealth-san-francisco-7hfqewk1xnxw) — San Francisco, CA
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- [Senior Software Engineer](https://feeny.ai/job/senior-software-engineer-nexhealth-boston-305j6an2wvxy) — Boston, MA
- [Senior Software Engineer](https://feeny.ai/job/senior-software-engineer-nexhealth-denver-rdrtdcvq751w) — Denver, CO
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