Senior Accountant (US-remote)

On this journey for over 12 years, Qventus is leading the transformation of healthcare. We enable hospitals to focus on what matters most: patient care. Our innovative solutions harness the power of machine learning, generative AI, and behavioral science to deliver exceptional outcomes and empower care teams to anticipate and resolve issues before they arise.

Our success in rapid scale across the globe is backed by some of the world's leading investors. At Qventus, you will have the opportunity to work with an exceptional, mission-driven team across the globe, and the ability to directly impact the lives of patients. We’re inspired to work with healthcare leaders on our founding vision and unlock world-class medicine through world-class operations. #LI-MB1

About the Role

We are seeking an experienced and highly motivated Senior Accountant to join our growing Accounting team. This role will take ownership of complex accounting functions, drive the month-end close process, and serve as a key cross-functional partner across the organization. The ideal candidate brings deep technical accounting knowledge, a continuous improvement mindset, and the ability to operate independently in a fast-paced, high-growth environment.

Key Responsibilities

General Ledger Month-End Close

Own and maintain the general ledger; ensure the chart of accounts is accurate, well-structured, and consistently applied across all transactions

Lead the posting and reconciliation of all Balance Sheet accounts on a monthly basis, including but not limited to: Banking, Fixed Assets, Prepaids, Accrued Compensation, Accrued Payables, Deferred Revenue, Accounts Receivable, Accounts Payable, Allocations, and Equity

Own and maintain amortization and allocation schedules, including capitalized internally developed software costs in accordance with ASC 350-40

Prepare and reconcile payroll and payroll clearing entries on a monthly basis

Review customer collectability and analyze aging receivables; escalate collection risks as appropriate

Prepare revenue journal entries in accordance with ASC 606; own deferred revenue schedules and reconcile to the general ledger

Prepare stock-based compensation (SBC) entries and related disclosures in accordance with ASC 718

Prepare accrual entries for month-end including accrued expenses, unbilled liabilities, and deferred items

Support timely and accurate completion of monthly close activities within a 4 business day close schedule

Support the preparation of monthly and quarterly financial reporting packages for management, including Financial Flux Analysis and Debt Compliance

Accounts Payable

Oversee the full-cycle AP process, ensuring accuracy, timeliness, and proper controls

Manage the AP email inbox and resolve vendor inquiries and discrepancies in a timely manner

Oversee vendor onboarding and maintain accurate vendor records

Review and approve vendor bills coded and processed in Bill.com (BILL)

Perform and review vendor sub-ledger account reconciliations

Corporate Credit Cards Expense Management

Own the reconciliation of corporate credit card transactions via Ramp

Lead spend controls management in Ramp and partner with Accounting Manager to implement policy improvements

Review and approve employee expense reports in accordance with the company’s T E policy

Serve as the primary Accounting representative for expense-related policy questions and escalations

Accounts Receivable

Oversee the monthly customer invoicing process in Intacct – entering monthly Customer invoices and managing recurring invoice schedules

Support customer onboarding from an AR perspective; serve as point of contact for billing inquiries

Lead customer aging reviews and manage the collections process for outstanding receivables

Own customer sub-ledger account reconciliations

Maintain deferred revenue schedules and ensure proper recognition in accordance with ASC 606

Tax Support

Own Sales Use Tax compliance, including monthly and quarterly filings, using Anrok

Manage state business registrations and payroll tax compliance

Oversee processing of Company 1099s 3921s

FP A Cross-Functional Support

Assist Accounting Manager as a partner to FP A for vendor spend analysis, personnel cost tracking, and variance explanations

Provide financial data and analysis to support budgeting, forecasting, and planning cycles

Own headcount reconciliation and partner with FP A on workforce planning inputs

Respond to complex ad hoc financial analysis requests from FP A and senior business leaders

Partner with Finance, HR, and Sales Operations on deal structures, billing, and compensation accounting

Audit Support

Assist with annual external audit by preparing PBC schedules, responding to auditor inquiries, and providing supporting documentation

Liaise with external auditors during quarterly reviews and year-end audit

Ensure audit schedules are complete, accurate, and delivered on time

SOPs Process Improvement

Own the docum…