Accounting Manager

About AKASA At AKASA, our mission is to build the future of healthcare with AI. As the leading provider of generative AI solutions for the healthcare revenue cycle, we help health systems comprehensively capture and communicate the full patient clinical journey. By empowering health systems to streamline their operations, they can focus on what matters most - delivering quality patient care. We have raised over $205M in funding from investors such as Andreessen Horowitz, BOND, and Costanoa Ventures. This is the most exciting time to join AKASA. Revenue bookings for our new AI-native product suite have grown over 20x since launching in 2024. In this time, we have broken our record for the largest deal in company history three times consecutively. This growth is driven by the massive improvement we are generating for our customers across clinical quality and documentation accuracy, both top priority areas for health system leaders. Our deployments have been recognized nationally as "one of the most comprehensive real-world uses of GenAI in healthcare finance to date" (link https://hitconsultant.net/2025/10/13/cleveland-clinic-deploys-genai-for-coding-and-cdi-across-enterprise-powered-by-akasa/). Our customer base represents more than $120B+ in net patient revenue and includes the most innovative health systems in the country, like Cleveland Clinic, Duke, Stanford, and Johns Hopkins. Some of our most recent recognitions include being named the #1 most promising healthcare RCM startup of 2025 by Black Book Market Research and one of the fastest-growing GenAI startups to watch by AIM Research. Our CEO was ranked among the “Top 50 Healthcare Technology CEOs” by the Healthcare Technology Report, and we have been certified as a “Great Place to Work” for the past five years in a row, just to name a few. We’re building on this momentum to redefine what’s possible in healthcare. We’re looking for exceptional people to help us accelerate that reality. About the Role In this role, you will be responsible for overseeing day-to-day accounting operations, and ensuring timely and accurate reporting of financial information. You will work cross functionally with partners across the organization, driving operational excellence while supporting the goals of the Finance organization and Akasa more broadly. What You’ll Do - Manage and oversee daily operations of Akasa’s accounting department, including offshore resources and external partners, assigning projects and directing staff to ensure compliance and accuracy - Drive month-end and year-end processes including financial account reconciliations and close, financial statement preparation, and compliance activities - Enhance and design scalable finance operations to support timely management reporting to business stakeholders - Analyze financial results to generate operational insights for FP&A and Department leaders - Establish and enforce proper accounting methods, policies and principles in accordance with GAAP - Coordinate and own external annual audits with CPA firm - Continuously evaluate and improve systems, procedures, and processes - Manage timely statutory compliance and filings, including but not limited to, sales taxes, corporate income taxes, and other statutory reports and filings. Ensure compliance with local, state, and federal government tax and filing requirements. Skills and Qualifications - 5+ years of accounting experience - Bachelor’s degree in Accounting or Finance - Comfortable working in a fast paced startup environment - Advanced skills in spreadsheets (Excel, Google Docs), and accounting software - Keen analytical skills: ability to translate large amounts of data into useful information - Strong project management skills with the ability to prioritize, organize, and respond effectively Nice To Haves - Prior experience leading financial audits with external auditors What We Offer - Flexible paid time off (PTO) - Expansive coverage for health, dental, and vision - Employer contribution to Health Savings Accounts (HSA) - Generous parental leave policy - Full employee coverage for life insurance - Home office stipend - Cell phone/internet reimbursement - Company-paid holidays - 401(K) plan Compensation - Based on geo, market data, and other factors, the salary range for this position is $130K-$150K base + Equity. However, a salary higher or lower than this range may be appropriate for a candidate whose qualifications differ meaningfully from those listed in the job description. We’re committed to doing the best work of our lives, together. Come see if we're the right team for you. AKASA is a proud equal opportunity employer and we believe that a diverse and inclusive workforce is an imperative. We welcome people of different backgrounds, genders, races, ethnicities, abilities, sexual orientations, and perspectives, just to name a few. We do not discriminate based upon any protected class and we encourage candidates of all identities and backgrounds to apply. AKASA considers qualified applicants regardless of criminal histories in accordance with the San Francisco Fair Chance Ordinance. http://sfgsa.org/modules/showdocument.aspx?documentid=11600 AKASA is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at recruiting@akasa.com.