Accounting Manager

Akura Medical, a Shifamed Portfolio Company, is focused on a differentiated approach delivering an effective solution to address the major challenges of venous thromboembolism (VTE). Akura recently announced the first-in-human use of its mechanical thrombectomy platform. Each year VTE affects as many as 900,000 Americans, resulting in about 100,000 premature deaths. To learn more about Akura Medical, please visit

Founded in 2009 by serial entrepreneur Amr Salahieh, Shifamed LLC is a privately held medical device innovation hub focused on the development of novel medical products to address clinical needs in the rapidly evolving fields of cardiology and ophthalmology.

We are seeking a highly motivated and experienced Accounting Manager to join our growing finance team during an exciting stage of transformation and growth. Reporting directly to the VP of Finance, this role offers the opportunity to work hands‑on in a dynamic, well‑financed medical device company at the forefront of cutting‑edge technology. You will play a critical role in building robust financial systems and processes, ensuring accurate financial reporting, and driving compliance with US GAAP.

This is a unique chance to contribute to the foundation of a high‑growth, newly commercialized organization and gain exposure to a broad range of accounting and financial responsibilities.

• Manage month‑end and year‑end close processes. This includes preparing and posting journal entries, performing balance sheet account reconciliations, and analyzing financial data to ensure accuracy and completeness.
• Assist in preparing financial statements, including the income statement, balance sheet, and statement of cash flows, in accordance with US GAAP.
• Maintain the general ledger, ensuring all transactions are properly recorded and classified.
• Track and accrue costs related to clinical trials, ensuring accurate and timely recognition of expenses.
• Oversee the consolidation accounting with the foreign subsidiary.
• Manage the company’s fixed asset ledger, including tracking acquisitions, disposals, and calculating monthly depreciation.
• Assist in the accounting for stock‑based compensation, including tracking stock options and calculating expense under ASC 718.
• Prepare and maintain comprehensive audit work papers and supporting documentation in a clear and organized manner.
• Serve as an important point of contact for external auditors during the annual audit, providing them with necessary information and addressing their inquiries in a timely manner.
• Play a key role in implementing and improving accounting systems and processes as the company grows.
• Assist in developing and implementing internal controls to safeguard company assets and ensure the integrity of financial reporting.
• Support the VP of Finance with budgeting, forecasting, and financial analysis. This includes preparing reports for internal management and external stakeholders.
• Ad-Hoc Projects:
  Take on other duties and special projects as needed to support the company’s evolving needs.

• Bachelor’s degree in Accounting, Finance, or a related field.
• CPA certification.
• 7+ years of progressive accounting experience, preferably in Med Tech or life sciences with commercialization and manufacturing.
• Solid understanding of US GAAP and experience with AICPA audit preparation.
• Experience with stock‑based compensation, clinical trial accounting and fixed asset management is highly desirable.
• Proficiency in accounting and equity systems (e.g., Quick Books, Net Suite, Carta) and Microsoft Excel.
• Excellent analytical, problem‑solving, and communication skills.
• Proven ability to work independently and as part of a team in an evolving startup environment and manage multiple priorities.

Our salary ranges are calculated by role, level, and location. Please note that your position within that range will be determined by your job‑related knowledge, location, skills, experience, relevant education, and training/certifications. The base salary range for this full‑time position is between $130,000 to $155,000 plus equity plus benefits.

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