Senior Manager of Revenue Accounting, NexHealth
$151.5-203k
Patient experience platform
Posted today
Patient experience platform
201-500 employees
Posted today
$151.5-203k
201-500 employees
Company mission
To accelerate innovation in healthcare.
Role
Who you are
- 8+ years of accounting experience, with 5+ years in revenue accounting/rev rec in a SaaS, API, Payments, or marketplace business; CPA required or strongly preferred
- Strong familiarity with the capabilities of systems like Stripe, Chargebee, and Salesforce — comfortable acting as a co-admin alongside the Controller and RevOps, identifying systems integration issues and process gaps, not just using these tools as an end user
- Hands-on ASC 606 experience with usage-based allocation for consumption pricing, minimum-guarantee accounting for threshold-based API and Payments arrangements, and principal-vs-agent determination on payment take-rate revenue
- Experience with SSP allocation for bundled SKUs and contract modification and financing component analysis on multi-year agreements
- Comfortable working with SQL, big data, and data warehouse concepts (Snowflake or similar) — able to navigate messy, evolving table structures without getting lost, exercise sound data quality judgment, and produce reports that reconcile cleanly back to source data
- Experience coaching and mentoring team members to grow their impact as a company scales, rather than primarily building headcount
- Comfortable operating with significant autonomy in a lean, fast-scaling finance team
- Genuine motivation to build LLM-based automation and agents is a plus
- Experience representing a company's position directly to auditors on revenue matters — leading the conversation, not just supporting someone else who does
What the job involves
- NexHealth is in a high-growth stage, with a revenue mix diversifying into payments, API/usage-based, and marketplace models on top of our core SaaS subscription business
- We're transitioning SaaS pricing from fixed-fee toward consumption-based models, pushing more customers toward longer-term and multi-year agreements, and migrating our billing infrastructure from Chargebee to Stripe following the recent launch of our new CPQ-to-Stripe quote flow
- This role is the senior technical authority on revenue accounting at NexHealth: owning ASC 606 policy and judgment calls independently, assessing and advising on our evolving pricing structure to help the company grow while ensuring our reporting reflects it accurately, and serving as the primary point of contact for auditors on all revenue matters — all while building the Order-to-Cash function to support our next stage of growth
- Own the Order-to-Cash function end to end (billing, collections, sales tax, MRR/ARR reporting and accounting, etc.) and co-lead the design and build-out of our go-forward billing engine on Stripe, from architecture through the Chargebee migration
- Own ASC 606 revenue recognition policy end to end as we shift toward consumption-based pricing and multi-year agreements
- Partner with RevOps, Engineering, and Product to ensure the CPQ-to-billing pipeline holds up as transaction volume and deal complexity grow, and that underlying data flowing from Salesforce to Stripe and Snowflakes supports all critical downstream reporting (ie. MRR/ARR/CARR reporting)
- Co-own our ARR/Bookings/MRR Definitions Memo, Revenue Recognition Matrix (mapping common contract terms to their revenue treatment for Sales/RevOps self-service), Discount Authority Matrix, and related pricing governance documents with RevOps and Sales leadership
- Reviewing contracts with Sales/RevOps for rev rec impact before signature, and briefing the Controller and CFO on key judgment calls. Co-lead our CPQ flow with the deal desk function as we build it out, serving as the revenue accounting voice on non-standard terms and deal structuring
- Lead the Order-to-Cash team — coaching our billing/collections and reporting staff through new pricing and process rollouts, revenue reportings, owning the accuracy of revenue journal entries each close
- Serve as NexHealth's primary point of contact with auditors on all revenue matters
- What Success Looks Like:
- All of our revenue streams have documented SOP, defensible ASC 606 treatment, and MRR/ARR/CAR reporting accurately reflects them — trusted by the whole company and our investors
- The Chargebee-to-Stripe billing migration has a clear design, solution, and project plan in place — built for automation and scalability to support our growth — ready for execution with a clean audit trail and no gaps in revenue data through cutover
- The billing operations team is confidently running day-to-day billing, collections, and reporting under the processes and policies you've built, with clear ownership of revenue journal entries
- You're the trusted owner of revenue — not just for clean, efficient audit cycles with our auditors, but as a go-to partner across the whole company
- Sales and Operations see you as a trusted partner in structuring deals — flagging rev rec impact before signature, not after — and rely on you to keep billing operations running smoothly and scaling in support of their goals
Our take
The lack of integrated medical records is one of the largest obstacles the healthcare industry faces. Clinics must organise appointments and manage both paper and electronic health records, a process which is time-consuming and error-prone.
NexHealth is setting out to change this by building its own data-sharing highway. The platform enables real-time scheduling of healthcare appointments, care-to-patient communications and digital record management. Not only does this help doctors digitise their practices and provide a better patient experience, but it also means developers at other healthcare companies can use NexHealth’s piping (rather than integrate with hundreds of different electronic health records).
In 2022, NexHealth reached a valuation of over $1B, solidifying its status as a Unicorn, and with the support of numerous investors, the company is poised for further expansion. That same year, it opened a new office in Utah (its largest physical presence), marking an exciting new chapter in NexHealth's journey, offering the chance for more groundbreaking work and the expansion of its team.
Steph
Company Specialist at Welcome to the Jungle
Insights
38% employee growth in 12 months
Company
Funding (last 2 of 7 rounds)
Apr 2022
$125m
SERIES C
Jun 2021
$31m
SERIES B
Total funding: $177.2m
Company benefits
- Equity
- Commuter benefits
- 401K
- Full Medical, Dental and Vision
- Unlimited PTO
Company HQ
Potrero Hill, San Francisco, CA
Leadership
Alamin Uddin
(CEO)Studied Biochemistry at the City College of New York.
Waleed Asif
(Co-Founder & CTO)Studied Computer Science at the City College of New York.
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