Senior Accounting Manager

Senior Accounting Manager

 

Location: Minneapolis, MN

FLSA Status: Exempt

Job Status: Full Time

Work Model: Hybrid

Work Schedule: Monday–Friday with occasional evenings and/or weekends

Vehicle Required: No

Amount of Travel Required: 10%-20% Occasional domestic travel

Positions Supervised: None

Reports To: Head of Finance and Accounting

 

At Reema Health, we believe that a personalized, community-based approach to care makes it easier for anyone to access the things they need to make their lives better. We know that life’s challenges often exist because the systems built to help are a burden to navigate. We believe building a relationship with a real person — someone who listens, meets members where they are, and understands the community’s resources — can ease those burdens and effectively connect members to health care. Our mission-driven and member-focused company is seeking an experienced and self-motivated Controller.

 

Reporting to the Head of Finance and Accounting, the Senior Accounting Manager plays a critical role in:

• Ensuring accurate and timely accounting entries and financial reporting
• Establishing and maintaining scalable, GAAP-compliant accounting processes to support rapid growth
• Implementing and optimizing financial systems
• Establishing and maintaining strong internal controls

 

Responsibilities:

• Lead all accounting operations, including general ledger, AP/AR, revenue recognition, and financial reporting
• Manage monthly, quarterly, and annual close processes, ensuring timely and accurate reporting
• Own and refine revenue recognition processes in accordance with ASC 606, especially related to medical claims
• Collaborate with the Head of Finance and Accounting to prepare internal and external financial reports, KPIs, and board materials
• Develop and maintain internal controls, accounting policies, and procedures as we scale
• Oversee audits, tax filings, and regulatory compliance (HIPAA, SOC2, etc. where applicable)
• Implement and optimize financial systems and tools to support automation and data integrity
• Manage relationships with external auditors, tax advisors, and key vendors

Requirements:

• Bachelor's Degree in Accounting, Finance, or related field. CPA preferred.
• 8+ years of progressive accounting experience, with at least 3+ years in a strategic role.
• Experience in high-growth startups, preferably in healthcare, healthtech, SaaS, or tech-enabled services.
• Deep knowledge of US GAAP, ASC 606, and internal controls, with the ability to make strategic decisions based on financial analysis and insights.
• Proficiency in accounting systems (e.g., QuickBooks Online, NetSuite) and advanced Excel/Google Sheets skills.
• Strong ability to translate complex financial data for both financial and non-financial stakeholders, and to provide clear, actionable insights for senior leadership.
• Exceptional organizational and communication skills, with the ability to lead and influence cross-functional teams.

Preferred Skills and Experiences:

• Experience with medical billing, claims adjudication, or revenue cycle management platforms.
• Familiarity with venture-backed companies, investor reporting, and strategic decision-making.
• Knowledge of equity accounting and experience with tools like Carta.
• Hands-on experience with system implementations or upgrades (e.g., QuickBooks Online, NetSuite, Bill, Ramp, Brex, RCM tools, or payroll providers).
• Strategic planning experience, particularly with high-growth companies or startups.

Benefits: 

• Competitive Salary and Equity Package
• Medical, Dental, and Vision Insurance
• HSA, FSA, and Life Insurance Options
• 401(k) Retirement Savings with Company Match
• Employee Assistance Program
• Flexible Schedules and Remote Work
• Technology Stipend
• Accrued Paid Time Off
• Paid Family and Medical Leave

 

As an equal opportunity employer, Reema Health is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state and local laws. 

 

Reema Health has reviewed this job description to ensure that essential functions and basic responsibilities have been included. It is intended to provide guidelines for job expectations and assess the prospective employee and/or current employees ability to perform the position described. It is not intended to be interpreted as an exhaustive list of all functions, responsibilities, skills, and abilities for this role. Additional functions and requirements may be assigned by supervisors as deemed appropriate.