FP&A / Accounting Manager

This is a hands-on role critical to maintaining accurate financial processes in a lean environment. The Senior Accountant will work closely with the outsourced accounting provider while managing internal processes such as purchase orders, expense reporting, shipment tracking, and departmental spend tracking. This position is ideal for someone who is detail-oriented, organized, and eager to grow within a fast-moving med-tech setting.

Responsibilities
Accounting Operations & Month-End Support

• Serve as the primary internal liaison with the external accounting/bookkeeping provider (QuickBooks, Bill.com, Expensify, payroll).
• Review A/P postings, vendor invoices, expense reports, credit card transactions, and account classification prepared by the outsourced vendor.
• Assist with month-end close including accrual calculations, coding review, supporting schedules, and cost center alignment.
• Assist with annual audit and tax preparation (financial audit, state filings, 1099s, 409A support).

• Co-own the purchase order creation process for all departments (R&D, Clinical, Quality, Regulatory, G&A).
• Ensure PO alignment with budgets and internal approval policies.
• Monitor spend commitments, vendor billing, and remaining PO balances.

• Coordinate with R&D, Operations, and Clinical teams on shipment organization & tracking for devices, components, and clinical materials.
• Track domestic and international shipments, including documentation for customs, duties, VAT/EORI, and freight invoices.
• Ensure financial documentation (invoices, packing slips, quotes) aligns with POs and accounting entries.

• Maintain departmental spending trackers and update actuals for CFO review.
• Support variance explanations through invoice-level and PO-level analysis.
• Provide monthly spend summaries to R&D, Clinical, Quality, and Operations.

• Partner with the clinical team to track CRO, sites , and trial-related spending.
• Support R&D and Operations in cost tracking and supplier invoice validation.
• Assist CFO with ad-hoc financial tasks, reconciliations, and process improvements.
• Work with operations and quality team to help maintain accurate raw material and finished goods inventories.

• Bachelor's degree in Accounting, Finance, or related field.
• 3-6 years relevant experience in accounting or audit; med-tech or biotech experience preferred.
• Understanding of GAAP and experience supporting month-end close processes.
• Proficiency with QuickBooks, Bill.com, and Excel; Expensify experience preferred.
• Experience with purchase orders, vendor management, and/or logistics coordination a plus.
• Experience with implementing ERP systems a plus
• Strong attention to detail, accuracy, and organizational skills.
• Ability to work independently, manage multiple priorities, and communicate clearly across technical teams.