Frontera is reimagining how children with autism and other behavioral health needs get the care they deserve. We bring together world-class clinicians, technologists, and autism specialists to build cutting-edge AI tools that help care teams work smarter and spend more time with the children and families who need them most.

Our platform is HIPAA-compliant and designed for the real-world needs of behavioral health teams - from psychologists to ABA therapists. By combining evidence-based care with powerful technology, we’re expanding access to high-quality services for families everywhere.

Our Mission

Frontera exists to close the care gap: every child, no matter where they live, should be able to access effective behavioral healthcare.

Why Join Us

At Frontera, you’ll join a team driven by impact. We’re growing quickly, backed by leading investors, and united by a shared belief that innovation and equity can change lives. If you’re excited to build the future of pediatric healthcare, we’d love to meet you.

Role Overview

We are seeking a hands-on Senior Accounting Manager to own day-to-day accounting operations and revenue execution across our fast-growing healthcare + technology organization. This role will report directly to the Head of Finance and serve as the operational backbone of the finance function, ensuring our books are clean, our revenue is explainable, and our systems scale with the business.

This is an ideal role for an operator who thrives in high-ownership environments and wants to build foundational finance infrastructure at a mission-driven Series A company.

What You’ll Do

Accounting & Close

Own monthly, quarterly, and annual close processes end-to-end
Maintain accurate general ledger activity, reconciliations, and financial statements
Manage accruals, prepaids, deferred revenue, and revenue recognition
Partner with external accountants on tax filings and compliance support

Revenue, Billing & Accounts Receivable

Own billing and collections across multiple revenue models, including:

B2B SaaS contracts
Direct-to-consumer subscriptions and payments
Clinical services revenue (Medicaid, commercial payers, private pay)

Ensure clean and consistent revenue reporting by product, payer, and business segment
Maintain strong AR discipline, cash application, and collections workflows
Partner closely with our Payor Ops Manager to resolve payer denials, adjustments, and timing differences

Systems & Process Ownership

Serve as the day-to-day owner of our accounting system (QuickBooks)
Improve billing workflows, documentation, and internal controls
Partner with tech, operations, and clinical teams to ensure financial data accuracy
Support automation and tooling improvements where ROI is clear

Controls & Finance Readiness

Establish practical internal controls appropriate for a Series A-stage company
Support audit readiness, investor diligence, and financial data requests
Build scalable processes without unnecessary complexity

What Success Looks Like (First 12 Months)

Monthly close consistently completed within 7–10 business days
Clean, explainable revenue reporting across products, payers, and business lines
Billing errors and AR aging materially reduced
Company is credibly audit- and diligence-ready as we scale

Qualifications

Required

6–10 years of accounting experience
Experience in high-growth startups or small, fast-moving companies
Deep hands-on expertise in:

Month-end close
Revenue recognition
Billing and accounts receivable

Strong operator mindset. Comfortable executing, not just reviewing

Strong Pluses

Healthcare services experience (ABA, behavioral health, Medicaid billing)
SaaS and subscription revenue exposure
Prior startup finance infrastructure build experience
CPA is a plus, but not required

Why Frontera

At Frontera, you’ll have the opportunity to build foundational finance operations at the intersection of healthcare delivery and cutting-edge AI technology. You’ll work closely with senior leadership, own meaningful systems early, and help ensure the financial backbone is strong as we scale access to care nationwide.

We have determined a salary range for this position that takes into account several factors including experience, knowledge, education, skills, and abilities. Please note that the salary information is a general guideline and the exact salary will be determined based on the individual’s qualifications and experience, with consideration given to the factors listed above. All full-time employee benefits include a stake in shared success through stock options, health benefits, 401(k) plan, and 4 weeks of PTO per year.

Annual Salary

$150,000—$190,000 USD

Why Frontera?

Opportunity to be at the forefront of innovation in pediatric healthcare.
Work on challenging and impactful projects that leverage cutting-edge technologies.
Collaborate with a talented and passionate team in a fast-paced and dynamic environment.
Make a real difference in the lives of children and families in rural communities.
Competitive salary and benefits package.

Join us in building the future of behavioral healthcare!

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