Senior Accountant

The Senior Accountant plays a critical role on Salma Health's Finance team, owning the day-to-day accounting operations that keep a fast-growing, multi-site healthcare organization running with precision. Reporting to the Controller, you will manage the full accounting cycle — from general ledger maintenance and month-end close to financial reporting and audit and tax support — while navigating the nuances of healthcare revenue and multi-entity operations. This is a hands-on role for someone who thrives in a high-growth environment and takes pride in building clean, compliant books. Location: Hybrid – preferred in-office Monday–Wednesday at our San Mateo headquarters, with flexibility to work remotely for candidates based in PST zone states. Key Responsibilities: Own the full accounting cycle, ensuring timely and accurate financial statements that reflect the true performance of a multi-site healthcare organization. Maintain and reconcile general ledger accounts across all clinic locations, resolving discrepancies with speed and precision to keep our books audit-ready at all times. Prepare and analyze financial reports — including P&L statements, balance sheets, and variance analyses — that equip leadership with the insights needed to drive strategic decisions. Support external audits and tax filings by preparing work papers, coordinating documentation, and serving as a knowledgeable point of contact for auditors and advisors. Partner cross-functionally with clinic operations, billing, and leadership teams to improve financial processes, identify cost drivers, and support budget planning and forecasting cycles. Ensure ongoing compliance with GAAP, healthcare industry regulations, and state-specific requirements, proactively flagging risks and recommending corrective actions. Contribute to the financial infrastructure build-out as Salma Health scales — including ERP/accounting system improvements, policy documentation, and internal controls development. Required Qualifications: Bachelor's degree in Accounting, Finance, or a related field; CPA license or active CPA candidacy strongly preferred. 5+ years of progressive accounting experience, with at least 2 years in a healthcare, multi-site, or similarly complex environment. Deep working knowledge of GAAP, with demonstrated experience applying standards to ASC 842, ASC 606,, accruals, and financial reporting. Experience with healthcare revenue cycle and payer mix accounting, including familiarity with CPT codes, insurance adjudication, and behavioral health or psychiatry billing. Experience navigating a MSO/PC relationship is preferred. Background in high-growth or acquisition-stage companies, with exposure to integrating financial systems and processes across newly acquired entities. Proficiency with accounting software and ERP systems (e.g., QuickBooks, Ramp, Candid, Everest or comparable platforms) and advanced Excel skills. Proven ability to manage competing deadlines with precision — you close the books on time, every time, without sacrificing accuracy. Strong analytical and communication skills, with the ability to translate complex financial data into clear narratives for non-finance stakeholders. Compensation & Benefits The compensation for this position includes: Base: $75,000-$100,000 depending on experience, qualifications, and location Benefits: Medical, dental, vision, PTO, and additional benefits We reserve the right to modify benefit offerings at any time, in accordance with applicable laws. Company Mission & Vision We are the brain health company of the future that integrates care delivery, technology innovation and research breakthroughs to better understand brain biology and diagnose, treat and ultimately cure brain disorders for all stages of life. Who We Are At Salma Health, we are transforming the mental and neurological brain healthcare paradigm from a disjointed, one-size-fits-all approach to a comprehensive, end-to-end brain healthcare system featuring advanced diagnostics, evidence-based rapid-acting interventions, and care coordination under one roof. Through a streamlined system of continuous monitoring and support, Salma Health’s system will deliver much-needed improved outcomes for conditions such as major depressive disorder, PTSD, bipolar disorder, and other conditions with imminent risk, as well as neurodegenerative disorders. Work Authorization Sponsorship for employment authorization may be considered on a case-by-case basis depending on the role and candidate qualifications. Equal Opportunity & Accessibility Statement We are committed to providing a workplace that is inclusive, respectful, and free from discrimination. We welcome applicants of all backgrounds and make employment decisions without regard to race, color, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, ancestry, citizenship, age, physical or mental disability, medical condition, genetic information, marital status, military or veteran status, or any other characteristic protected by California or federal law. In accordance with the California Fair Chance Act, we will consider qualified applicants with arrest and conviction records. 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