Senior Accountant

Job Title: Senior Accountant 

Department: Accounting 
Reports To: Controller

Compensation: The base salary range for this position is $80,000.00- $90,000.00 annually. This role is also eligible for an end-of-year performance-based bonus.

Compensation is determined based on factors such as location, relevant experience, and qualifications. Candidates in higher cost-of-living areas or with exceptional expertise may fall above this range.

Position Overview:

The Senior Accountant is a key member of Ivím Health’s Finance team, responsible for owning core general ledger functions with a heavy emphasis on revenue accounting, balance sheet integrity, and month-end close execution across multiple entities.

This role partners closely with the Controller and Assistant Controller to ensure accurate revenue recognition, clean and well-supported balance sheet accounts (including prepaid expenses, fixed assets, and accruals), and timely, reliable financial reporting. The Senior Accountant will play an important role in strengthening accounting processes, supporting close execution, and maintaining strong controls as the organization continues to scale.

This position requires a highly experienced accountant who brings strong technical accounting knowledge, sound judgment, and the ability to operate independently in a fast-paced, fully remote environment.

Who We Are:

At Ivim Health, we’re transforming the future of wellness through truly individualized, accessible care. Our mission is to empower individuals to take control of their health by delivering care tailored to their unique goals, needs, and lived experiences.

We prioritize collaboration and place our patients’ voices at the center of every decision—combining compassionate support with innovative solutions that make care affordable, effective, and human.

At Ivim, individualized healthcare isn’t a luxury. It’s the standard.

Together, we’re advancing a model of care that supports physical, emotional, and mental well-being, one patient at a time.

Key Responsibilities:

Revenue Accounting & Reconciliation

• Lead revenue recognition under ASC 606 across multiple revenue streams, platforms, and legal entities, including preparation of journal entries and supporting reconciliations
• Workwith large and complex data setsto ensure complete andaccuratereporting ofmultiple revenue streams
• Identifydata, system, and process gaps within the revenue cycle and design controls to prevent or detect misstatements

• Develop andmaintaincomplex reserve methodologies, including refund reserves and cutoff-related estimates
• Investigate and resolve revenue variances in partnership with Finance, Operations, and Product teams
• Ensure completeness and accuracy of revenue reporting and support leadership insights into revenue trends and timing

General Ledger & Month-End Close

• Execute month-end close processes, ensuring completion within five business days
• Prepare, review, and post journal entries, including payroll, revenue, expenseaccruals, prepaid expenses,intangibleamortization, and fixed assets
• Own the balance sheet through the preparation, review, and maintenance of monthly general ledger account reconciliations
• Ensure accuracy, consistency, and strong documentation across all accounting records

Financial Reporting, Forecasting & Consolidations

• Compile monthly financial statements and analysis packages for leadership review
• Perform month-end consolidation, allocation, and intercompany entries across multiple legal entities
• Reconcile and settle intercompany balances and cash transactions
• Identifyand resolve irregular balances, including the preparation of adjusting,reversing,or correcting entries. 

Process Improvement, Controls & Compliance

• Support the development, documentation, and refinement of accounting policies and procedures
• Serve as a key point of contact for auditors and tax partners, providing organized and repeatable support
• Identifyopportunities to streamline processes, strengthen controls, and improve scalability as the organization grows
• Assistin leading several sections of the externalaudit

Qualifications:

Experience

• Bachelor’s degree in Accounting, Finance, or Business Administration, or equivalent experience
• 3+ years of progressive accounting experience within an internal or corporate accounting environment
• Strong experience owning general ledger accounts, balance sheet reconciliations, accruals, prepaid expenses, and fixed assets
• Significant hands-on experience with revenue accounting and reconciliation across multiple systems or entities
• Experience in public accounting is preferred
• CPA designation preferred

Skills

• Advanced Excel skills, including working with large datasets, pivot tables, andadvanced formulas
• Experience writing and working with SQL or other data-query tools is a plus
• Strong analytical and problem-solving skills with the ability to derive insights from financial data
• Comfortable learning andoptimizingaccounting systems, financial tools, and HRIS platforms

Attributes

• Highly organized with strong attention to detail and follow-through
• Exhibit a general curiosity to figure out how things work
• Self-directed and effective working independently in a fully remote environment
• Proactive communicator who manages competing priorities and flags risks early
• High integrity, professionalism, and discretion when handling sensitive information

Success in the First 90 Days

Month 1: Learn & Integrate

• Develop a deep understanding ofIvímHealth’s revenue streams, accounting systems, and entity structure
• Build strong working relationships with the CFO,Controller, Assistant Controller, Payroll, and cross-functional partners
• Begin ownership of assigned general ledger accounts andparticipateactively in the month-end close
• Learn key revenue workbooks and be able to convey an understanding of each workbooks purpose

Month 2: Own & Optimize

• Independently manage journal entries, reconciliations, and revenue reviews
• Identifygaps, risks, or inefficiencies in revenue processes and balance sheet management
• Support forecasting updates and leadership reporting withaccurate,timelydata

Month 3: Lead & Scale

• Fully own month-end close responsibilities within established timelines
• Demonstrate strong command of revenue accounting and balance sheet integrity
• Contribute improvements to accounting processes, documentation, and internal controls
• Be viewed as a trusted accounting partner by Finance leadership and cross-functional teams

What We Offer

• Competitive pay that reflects your experience and the impact you bring
• Comprehensive benefits package, including health, dental, and vision insurance
• 401(k) with employer match to support your long-term financial goals
• Generous PTO, paid holidays, sick time, floating holidays, and a flexible remote environment
• ExclusiveperksthroughIvímAtWork, including discounts onIvímservices, wellness offerings, and products

• A fast-paced, innovative environment with significant ownership and growth opportunity
• Direct partnership with Finance leadership in a mission-driven organization