Accounting Manager

Today, when you go to your doctor and get referred to a specialist, your doctor sends out a referral and tells you, “They’ll be in touch soon.” So you wait. And wait. Sometimes days, weeks, or even months. Why? Because too often providers are overwhelmed with the painstakingly tedious work required to get paid by insurance companies. Powered by proprietary models, Tennr handles the complex paperwork that gets patients through the door and providers paid, helping operators get patients the right care, at the right time, in the right setting.

As we build out our internal accounting function, we are hiring an Accounting Manager to serve as its operational anchor - owning full-cycle accounting and establishing the processes and controls needed to support the company at scale.

Reporting to the Controller, the Accounting Manager will lead the monthly close, own the Order to Cash life cycle, and help carry the company through its first financial-statement audit toward audit-ready, repeatable operations. This is a high-ownership role for an experienced accountant who can operate hands-on while building for scale.

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  Month-end close: Own the end-to-end close, continuously improving cycle time and accuracy while reducing reliance on manual work and external support.

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  Revenue recognition: Own revenue recognition under ASC 606, deferred revenue, and usage-based billing; reconcile billing systems to the general ledger and resolve variances.

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  Accounts receivable & collections: Manage collections and DSO and develop the AR function, including coaching junior team members.

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  Accounts payable: Oversee AP, vendor payments, and expense management, with disciplined approval workflows and clear vendor accountability.

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  Payroll & equity: Review payroll and support equity and stock-based compensation accounting.

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  Audit & compliance: Lead audit preparation and the PBC process for the financial-statement and 401(k) audits; support sales-tax and multi-state payroll compliance.

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  Systems & process: Design scalable, well-documented processes and controls, support the company's ERP migration, and identify and implement automation.

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  Team leadership: Mentor team members, coordinate with external accounting partners, and grow into leadership of the in-house accounting team.

• 5–7 years of progressive accounting experience, including full-cycle ownership across order-to-cash, procure-to-pay, and record-to-report.

• Strong command of US GAAP, including revenue recognition (ASC 606), with the ability to own the close independently.

• Experience at a high-growth technology or SaaS company, ideally with usage-based or consumption billing models.

• Proficiency with modern ERP and billing systems and advanced spreadsheet skills.

• Experience supporting or preparing for a financial-statement audit.

• A track record of building and documenting scalable processes and controls and of automating manual work.

• High ownership, strong attention to detail, and the ability to thrive in a lean, fast-paced environment.

• Based in the New York City area and able to work onsite 4 days a week.

• Active CPA

• Big 4 or public accounting background

• ERP implementation experience

• Multi-entity or international accounting experience (the company is establishing an international entity)

• Comfort working directly with data (e.g., SQL)

• Drive Impact: one of our company values is Cowboy, meaning you set the pace. You won’t just talk about things, you’ll get them done. And feel the impact.

• Develop Operational Expertise: learn the inner workings of scaling systems, tools, and infrastructure

• Innovate with Purpose: we’re not just doing this for fun (although we do have a lot of fun). At Tennr, you’ll join a high-caliber team maniacally focused on reducing patient delays across the U.S. healthcare system.

• Build Relationships: collaborate and connect with like-minded, driven individuals in our Hudson Square office 4 days/week

• Free lunch! Plus a pantry full of snacks.