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About the Role

We are seeking a highly capable, hands-on Senior Accountant to manage core accounting operations, including monthly close, reconciliations, payroll, accounts payable, inter-company activity, audit support, tax compliance, and process documentation. This role will strengthen processes, controls, and systems for a rapidly growing SaaS business, requiring strong accounting fundamentals, ownership, sound judgment, and a practical problem-solving approach. The Senior Accountant will report to the Director of Accounting and collaborate with FP&A, People Operations, and other cross-functional partners.

Responsibilities

Own assigned areas of the monthly, quarterly, and annual close, including preparing journal entries, maintaining supporting schedules, and completing accurate and timely balance sheet reconciliations.
Review and approve U.S. and Canadian payrolls and own the related accounting, including payroll journal entries, reconciliations, employee benefits, bonuses, commission-related payments, and payroll-related liabilities.
Own accounting for cash, prepaid expenses, accrued expenses, fixed assets, operating expenses, intercompany activity, and other assigned general ledger accounts.
Own accounts payable and spend-management operations, including Ramp administration, vendor onboarding and master-data controls, expense classification, payment approvals, annual 1099 support, and related reconciliations and controls.
Review financial activity for completeness and accuracy, investigate unusual items and variances, and resolve issues before the close is finalized.
Maintain organized, audit-ready accounting schedules, reconciliations, and supporting documentation.
Support the annual financial statement audit, 401(k) audit, income and franchise tax filings, and other compliance requirements by preparing schedules and responding to requests.
Assist with the development, documentation, and execution of accounting policies, procedures, and internal controls.
Identify and implement opportunities to automate manual work, strengthen controls, improve accuracy, and make accounting processes more scalable.
Identify accounting issues proactively, communicate them clearly, and drive them through resolution without waiting for step-by-step direction.
Support ad hoc accounting analyses and special projects as the company continues to grow.

Requirements

Bachelor’s degree in Accounting, Finance, or a related field.
4+ years of progressive accounting experience, including hands-on ownership of significant portions of the month-end close and balance sheet reconciliations.
Strong understanding of U.S. GAAP and the ability to analyze financial statements and general ledger activity for completeness, accuracy, and appropriate accounting treatment.
Experience preparing and reviewing journal entries, accruals, account reconciliations, rollforwards, and well-supported accounting schedules.
Strong analytical and problem-solving skills, including the ability to investigate discrepancies, identify root causes, and drive issues through resolution.
Strong Excel or Google Sheets skills, including experience working with large datasets, lookup and aggregation formulas, and building reliable supporting schedules.
High attention to detail with the judgment to balance accuracy, materiality, and close deadlines.
Ability to communicate accounting issues clearly and work effectively with both finance and non-finance partners.
Demonstrated ability to manage multiple priorities independently, take ownership of unfamiliar problems, and operate effectively when processes are still being developed.

Skills

Accounting fundamentals
U.S. GAAP
Financial statement analysis
General ledger activity analysis
Journal entry preparation
Accrual preparation
Account reconciliation
Rollforward preparation
Accounting schedule preparation
Analytical skills
Problem-solving skills
Excel
Google Sheets
Communication skills
Project management
Process documentation
Internal controls development
Automation
AI-enabled tools

Location

San Francisco, CA (Hybrid)
Remote (United States)

Work Type

Hybrid
Remote
Full-time

Experience Level

Senior

Education Level

Bachelor's degree in Accounting, Finance, or a related field

Benefits

Comprehensive Medical, Dental, Vision & Life insurance
HSA (with employer match), FSA, & DCFSA
401(k)
11 Paid Company Holidays
Flexible PTO policy
Annual company-wide offsite
Periodic team offsites
Annual equipment stipend

About the Company

Rad AI is transforming healthcare with AI-driven solutions, revolutionizing radiology by saving time, reducing burnout, and improving patient care.
The company possesses one of the largest proprietary radiology report datasets globally, with AI that has identified hundreds of new cancer diagnoses and reduced error rates in millions of reports by nearly 50%.
Rad AI has secured over $140M in funding, including a $68M Series C led by Transformation Capital, reaching a $528M valuation.
Investors include Khosla Ventures, World Innovation Lab, Gradient Ventures, and Cone Health Ventures.
Their generative AI advancements are used daily by thousands of radiologists, supporting over one-third of U.S. radiology groups and healthcare systems.
Partners include Cone Health, Jefferson Einstein Health, Geisinger, Guthrie Healthcare System, and Henry Ford Health.
Recognized by CB Insights and AuntMinnie as a promising healthcare AI company, and by Deloitte as the 19th fastest-growing company in North America.
Named to CNBC’s Disruptor 50 list for innovation and momentum.
The company prioritizes transparency, inclusion, and collaboration, aiming to empower physicians and revolutionize healthcare.

Equal Opportunity

Rad AI provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Qualified applicants with criminal histories will be considered in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.