--- title: 'Staff Accountant at Noctrix Health' canonical: 'https://feeny.ai/job/staff-accountant-noctrix-health-pleasanton-anhkzmksr5nk' type: 'job' last_seen: '2026-09-11' --- # Staff Accountant at Noctrix Health - **Company:** Noctrix Health - **Location:** Pleasanton, CA - **Posted:** 2026-08-13 - **Last confirmed live:** 2026-09-11 - **Apply:** https://job-boards.greenhouse.io/noctrixhealth/jobs/5389455008 ## Job description Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health. We are seeking a detail-oriented and highly organized Staff Accountant to support the day-to-day accounting and financial operations of Noctrix Health. This role will have hands-on responsibility across Accounts Payable (AP), Accounts Receivable (AR), general ledger accounting, account reconciliations, and month-end close. The ideal candidate has a strong foundation in accounting principles, is comfortable working across multiple accounting functions, and enjoys improving processes and systems. This individual should be able to operate independently while collaborating effectively across a fast-paced, growing organization. This is a full-time, hybrid position located at our Pleasanton headquarters. Responsibilities: - Manage the full Accounts Payable cycle, including invoice processing, coding, approval workflows, and payment preparation - Review invoices and expense reports for accuracy, appropriate documentation, coding, and authorization - Maintain accurate vendor records, including W-9s, payment information, and supporting documentation - Reconcile vendor statements and research and resolve invoice or payment discrepancies - Prepare and process ACH, wire, check, and other vendor payments in accordance with established payment terms - Support annual 1099 preparation and reporting - Prepare and issue accurate and timely customer invoices - Monitor Accounts Receivable aging and outstanding customer balances - Record and apply customer payments and maintain accurate customer account records - Follow up on past-due balances and coordinate collection activities as appropriate - Research and resolve customer billing and payment discrepancies - Provide AR aging, collections, and outstanding balance updates to Finance leadership - Prepare and post journal entries and maintain appropriate supporting documentation - Perform bank, credit card, and balance sheet account reconciliations - Support monthly, quarterly, and annual financial close processes - Maintain accurate general ledger accounts, reconciliations, and supporting schedules - Support accounting for accruals, prepaid expenses, fixed assets, and other balance sheet accounts - Assist with the preparation of financial statements and internal management reports - Research and resolve accounting discrepancies and ensure timely resolution of outstanding items - Support cash flow tracking and reporting as needed - Maintain organized, accurate, and audit-ready accounting records and documentation - Support annual financial audits, tax preparation, and other financial compliance activities - Support established internal controls and ensure adherence to company accounting policies and procedures - Identify opportunities to improve the efficiency and accuracy of AP, AR, reconciliation, and month-end close processes - Support the implementation and optimization of accounting systems, automation tools, and financial workflows - Partner cross-functionally with Finance, Operations, Human Resources, Sales, and other departments to resolve accounting issues and support business needs Requirements: - Bachelor’s degree in Accounting, Finance, Business, or a related discipline preferred - 2–5 years of professional accounting experience, including hands-on Accounts Payable and Accounts Receivable responsibilities - Working knowledge of U.S. GAAP and general accounting principles - Experience supporting month-end close, journal entries, and account reconciliations - Strong proficiency in Microsoft Excel or Google Sheets - Experience with accounting software such as QuickBooks Online, NetSuite, Oracle, or similar platforms - Strong attention to detail with a demonstrated commitment to accuracy and data integrity - Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines - Ability to work independently, take ownership of assigned responsibilities, and follow issues through resolution - Strong analytical and problem-solving skills - Effective written and verbal communication skills - Ability to appropriately handle confidential and sensitive financial information Preferred Qualifications: - Experience working in a startup, high-growth, healthcare, medical device, technology, or professional services environment - Experience with Ramp or a similar AP and expense management platform - Experience supporting external financial audits and tax preparation - Familiarity with expense management, payroll, procurement, or purchasing systems - Experience improving or automating accounting processes and workflows - Experience supporting a company through periods of rapid growth or increasing transaction volume - CPA, CPA-track, or progress toward professional accounting certification is a plus but not required Key Measures of Success: - Accurate and timely processing of Accounts Payable and Accounts Receivable transactions - Timely resolution of vendor and customer billing issues - Accurate and current account reconciliations - Efficient and timely completion of month-end close responsibilities - Accurate, organized, and audit-ready financial records - Effective management of accounting deadlines and outstanding items - Continued improvement and scalability of accounting processes as the organization grows Compensation: - Base Pay: $75,000–$90,000 per year - Annual Bonus Eligibility ## About Noctrix Health ## Company Overview - **One-liner**: Noctrix Health develops clinically validated wearable neuromodulation devices as non-pharmaceutical alternatives for managing chronic neurological disorders, starting with Restless Legs Syndrome (RLS). - **Entity Type**: Private (Acquired by ResMed in May 2026 for $340M) - **Headquarters**: Pleasanton, California, United States - **Founded**: 2018 - **Founders**: Jonathan Charlesworth (CSO), Justin Kelly (SVP, Product), Steve Lien (SVP, Patient Access), Shriram Raghunathan (CEO) ## Core Business - **Primary industry/industries**: Medical Device Manufacturing, Neuromodulation, Wearable Therapeutics, Sleep Health - **Target customers**: B2B (healthcare providers, sleep clinics, DMEs) and B2C (patients with Restless Legs Syndrome) - **Mission or purpose statement**: To innovate the next generation of clinically-validated wearable therapeutics to address the unmet needs of millions of people living with chronic medical conditions. ## Products & Services - **[Nidra® Therapy (TOMAC Therapy)]**: A prescription wearable device that delivers Tonic Motor Activation (TOMAC) therapy to treat Restless Legs Syndrome (RLS). It is a non-pharmaceutical, clinically validated alternative that uses neuromodulation to alleviate symptoms without disrupting sleep. The therapy has received favorable inclusion in the American Academy of Sleep Medicine (AASM) clinical practice guidelines and has dedicated CMS reimbursement codes. ## Market Standing - **Valuation/Market Cap**: Acquired by ResMed for $340 million (announced May 6, 2026). - **Key Metric**: Total funding raised was approximately $57M (per CB Insights) to $107.2M (per LinkedIn), with the most recent round being a Series C - II. Annual revenue is estimated at $2.5M (pre-acquisition). - **Notable Investors/Partners**: ResMed (acquirer), OrbiMed, Treo Ventures, The Blue Venture Fund, Sandbox Industries, Bridge Bank. - **Growth Signals**: Headcount grew 100% YoY to 110 employees. The company secured dedicated CMS reimbursement codes for Nidra therapy. The therapy was included in new AASM clinical practice guidelines for RLS. The company was acquired by ResMed for $340M in May 2026, signaling strong validation and a major growth trajectory. ## Competitive Advantages - **First-to-market with a non-pharmaceutical wearable for RLS**: Nidra therapy is a clinically validated, drug-free alternative for a condition affecting ~7% of adults globally, offering a significant differentiator in a market dominated by pharmaceuticals. - **Strong clinical and regulatory moat**: The therapy has been included in AASM clinical practice guidelines and has dedicated CMS reimbursement codes, creating high barriers to entry for competitors. - **Backed by ResMed**: The $340M acquisition by the global leader in sleep health provides immense resources, distribution channels, and market credibility. ## Strategic Focus - **Post-acquisition scaling**: Following the acquisition by ResMed, the primary focus is on rapidly scaling U.S. commercialization, expanding market access, and integrating Nidra therapy into ResMed's global sleep health portfolio. - **Expanding indications**: While currently focused on RLS, the company's platform technology has potential for treating other chronic neurological disorders. - **Building the commercial engine**: The company is actively hiring across sales, marketing, patient access, and engineering roles to support its growth. ## Why Work Here - **Patient-centered mission**: The company is deeply mission-driven, with a culture that prioritizes improving patient lives. Employees describe a strong sense of purpose in delivering life-changing therapy. - **High-growth environment**: With 100% YoY headcount growth, a recent $340M acquisition, and 50+ open roles, this is a fast-scaling company with significant career advancement opportunities. - **Culture of transparency and problem-solving**: The company emphasizes core values like "embrace the unknown," "build trust through transparency," and "win as a team," fostering a collaborative and innovative environment. - **Remote-friendly**: Many roles are listed as remote, including sales, patient access, and support positions, though some engineering and marketing roles are based in Pleasanton, CA, or Pittsburgh, PA. - **Strong engineering and clinical culture**: The team is a mix of seasoned medical device experts, neuroscientists, and engineers from the consumer electronics world, offering a unique blend of high-tech and life-science work. ## Sources 1. [noctrixhealth.com](https://noctrixhealth.com/) 2. [noctrixhealth.com/careers](https://noctrixhealth.com/careers/) 3. [greenhouse.io](http://job-boards.greenhouse.io/noctrixhealth) 4. [linkedin.com](https://www.linkedin.com/company/noctrix-health) 5. [cbinsights.com](https://www.cbinsights.com/company/noctrix-health) ## Other roles at Noctrix Health - [Territory Sales Manager – Georgia](https://feeny.ai/job/territory-sales-manager-georgia-noctrix-health-remote-bbsvb9hxhtbp) - [Territory Sales Manager – Southern California](https://feeny.ai/job/territory-sales-manager-southern-california-noctrix-health-remote-6wpp7jpg860w) - [Manager, Regulatory Affairs](https://feeny.ai/job/manager-regulatory-affairs-noctrix-health-pleasanton-rww4jfgpsbbq) — Pleasanton, CA - [Director, Clinical Affairs](https://feeny.ai/job/director-clinical-affairs-noctrix-health-pleasanton-d2z573r6sg9t) — Pleasanton, CA - [Senior Quality Engineer](https://feeny.ai/job/senior-quality-engineer-noctrix-health-pleasanton-hdys93mj5sgm) — Pleasanton, CA - [Document Control & Quality Systems Administrator](https://feeny.ai/job/document-control-quality-systems-administrator-noctrix-health-pleasanton-sk3hnc4decz3) — Pleasanton, CA - [Clinical Research Engineer](https://feeny.ai/job/clinical-research-engineer-noctrix-health-pleasanton-8a3wadsm94sk) — Pleasanton, CA - [Patient Access Appeals Case Manager](https://feeny.ai/job/patient-access-appeals-case-manager-noctrix-health-remote-zhezztk3yg44) - [Patient Access Case Manager](https://feeny.ai/job/patient-access-case-manager-noctrix-health-remote-ed8qk3d71rek) - [Head of Marketing](https://feeny.ai/job/head-of-marketing-noctrix-health-pleasanton-5etv0s0qq434) — Pleasanton, CA