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Mochi Health · 15 hours ago

Accounting Lead

San Francisco, CA

Full-time

Onsite

Senior Level, Lead/Staff

$150K/yr - $200K/yr

10+ years exp

Mochi Health is on a mission to transform healthcare by building a platform that enhances patient access to providers and medications. The Accounting Lead will oversee the entire accounting function, ensuring financial accuracy and supporting executive leadership and board reporting in a rapidly growing environment.

Health Care

Responsibilities

Own and scale the day-to-day accounting function, including month-, quarter-, and year-end close

Manage all core accounting operations including accounts payable and receivable, payroll, general ledger, and cash management

Prepare and review monthly financial statements (Profit & Loss, Balance Sheet, Cash Flow) and perform detailed flux and variance analysis

Maintain a clean and accurate general ledger, ensuring strong historical financial integrity and reconciling legacy data as needed

Partner closely with executive leadership to support management reporting, board materials, and investor presentations

Design, implement, and continuously improve internal accounting processes, policies, and controls to support scale

Manage annual federal and state tax filings and coordinate with external tax advisors

Serve as the primary point of contact for audits, including managing external auditors and ensuring timely completion

Lead ad hoc financial and operational projects in support of company growth

Qualification

Full-cycle accountingU.S. GAAP knowledgeFinancial reportingERP implementationAudit managementLeadership supportProcess improvementTax filingVariance analysisProfessionalism

Required

10+ years of progressive accounting experience, including ownership of full-cycle accounting

Demonstrated ability to independently manage and scale accounting operations in a high-growth environment

Strong knowledge of U.S. GAAP and financial reporting best practices

Bachelor's degree in Accounting, Finance, or a related field

Experience supporting executive leadership, board reporting, and investor communications

High integrity, professionalism, and discretion in handling confidential and sensitive information

Experience leading or managing audits

Experience with ERP selection, design, and implementation

Prior experience in venture-backed or technology-enabled companies

Preferred

CPA or equivalent certification

Benefits

Daily Meals and Espresso Bar - Breakfast, lunch, and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day

Pre-Tax Commuter Perks - Save on transit and parking through pre-tax commuter benefits

Top-of-Market Compensation - We offer competitive salaries along with generous equity packages so you can share in the success you help create

Comprehensive Benefits - 401(k) with match, generous time off, life insurance, and high-quality medical, dental, and vision plans

Mochi Health Membership – We cover your monthly subscription fee so you can experience the same care as our patients (medications not included)

Time to Recharge – Enjoy unlimited PTO, generous company holidays, and true flexibility. We trust you to take the time you need to rest, reset, and thrive

Wellness First – From weekly mindfulness sessions to group workouts and fitness perks, your physical and mental health are top priority

Team Socials and Community - We make time to connect through regular socials, happy hours, and spontaneous events. Our stocked kitchen doesn’t hurt either