Senior Accounting Manager

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.