Senior Accounting Manager

About Artisight transforms hospital operations with its Smart Hospital Platform, helping health systems reduce costs, improve efficiency, and enhance patient care. Guided by deep clinical expertise and powered by NVIDIA GPUs, Artisight's voice-activated sensors and computer vision technology enable real‑time observation, virtual nursing, and automated documentation directly in the EHR. The platform integrates seamlessly with existing workflows to reduce staff burden, accelerate patient throughput, and improve safety.

More than 400 hospitals across 30 health systems trust Artisight to deliver measurable results, including cutting patient falls by over 50%, reducing nurse turnover, and saving millions annually.

The Senior Accounting Manager will own the day‑to‑day accounting operations and month‑end close process, ensuring accurate financial reporting, strong internal controls, and audit readiness. This role will partner closely with the Controller to scale accounting operations in a high‑growth environment and will manage accounting staff and external partners.

This role is remote, based in the US, and requires U.S. work authorization.

• Own the month‑end and year‑end close process:
  Lead the close from start to finish, including preparing and reviewing journal entries, account reconciliations, and variance analysis to ensure accurate and timely financial reporting
• Manage day‑to‑day accounting operations:
  Support and oversee core accounting functions including AP, AR, expense reimbursements, payroll support, and general ledger maintenance, remaining hands‑on as needed to keep processes moving
• Oversee inventory and cost accounting:
  Own inventory accounting and reconciliation for hardware, including tracking inventory movements, capitalization, cost recognition, and coordination with operations and supply chain teams
• Ensure audit readiness and strong internal controls:
  Serve as a key contact for audits, maintain documentation, and help design and improve accounting processes and internal controls to support scalability and compliance
• Support revenue and hardware accounting:
  Assist with revenue recognition and hardware‑as‑a‑service accounting, ensuring alignment between billing, inventory, and financial reporting
• Manage and develop accounting staff:
  Oversee and mentor a Staff Accountant, review work for accuracy, set priorities, and ensure deadlines are met while fostering a high standard of execution
• Drive process improvement and scalability:
  Identify inefficiencies, improve workflows, and support system enhancements (ERP, reporting, automation) to help scale the accounting function as the company grows

• 5‑7+ years of accounting experience, including prior experience owning month‑end close and audit support; CPA and Big 4 or national accounting firm background strongly preferred
• Strong knowledge of GAAP and accounting fundamentals, with hands‑on experience in inventory accounting and revenue recognition (ASC 606)
• Experience with Quick Books, Net Suite, or similar accounting systems, and supporting cross‑system integrations to ensure accurate data flow between Salesforce, ERP, and logistics platforms
• Ability to manage multiple priorities while maintaining accuracy and attention to detail, with a strong ownership mindset and ability to operate independently

• Public accounting background
• Familiarity with tools such as Quick Books, Rippling, Net Suite, Salesforce, Excel, or similar systems
• Experience in a startup, Hardware‑As‑A‑Service, or high‑growth environment
• Experience leading or playing a key role in an ERP implementation or migration
• Prior experience building or improving accounting processes
• Comfort working in a fast‑paced, evolving environment

• Impact:
  Your work directly supports the financial health and operational success of the company playing a key role in an upcoming ERP implementation and helping improve close efficiency
• Growth:
  Opportunity to grow alongside a scaling company and take on increasing scope
• Team:
  Work closely with a collaborative Finance team and cross‑functional partners

Artisight is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.

For information about how we collect and use personal data relating to California residents, please review our Candidate Privacy Notice.

To learn more about our culture and the total rewards we offer, visit our Careers page.