Full-Time

Staff Accountant

Noctrix Health

Noctrix Health

51-200 employees

Prescription wearable neuromodulation for RLS.

Compensation Overview

$75k - $90k/yr

+ Annual bonus eligibility

Pleasanton, CA, USA

Hybrid

Hybrid position at the Pleasanton headquarters.

Bachelor's

Category
Accounting (1)
Required Skills
NetSuite
Oracle
Excel/Numbers/Sheets

Get referred to Noctrix Health

See people who can refer or advise you

Requirements
  • Two to five years of professional accounting experience, including hands-on Accounts Payable and Accounts Receivable responsibilities.
  • Working knowledge of U.S. Generally Accepted Accounting Principles and general accounting principles.
  • Experience supporting month-end close, journal entries, and account reconciliations.
  • Strong proficiency in Microsoft Excel or Google Sheets.
  • Experience with accounting software such as QuickBooks Online, NetSuite, Oracle, or similar platforms.
  • Strong attention to detail with a demonstrated commitment to accuracy and data integrity.
  • Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.
  • Ability to work independently, take ownership of assigned responsibilities, and follow issues through resolution.
  • Strong analytical and problem-solving skills.
  • Effective written and verbal communication skills.
  • Ability to appropriately handle confidential and sensitive financial information.
Responsibilities
  • Manage the full Accounts Payable cycle, including invoice processing, coding, approval workflows, and payment preparation.
  • Review invoices and expense reports for accuracy, appropriate documentation, coding, and authorization.
  • Maintain accurate vendor records, including W-9s, payment information, and supporting documentation.
  • Reconcile vendor statements and research and resolve invoice or payment discrepancies.
  • Prepare and process ACH, wire, check, and other vendor payments in accordance with established payment terms.
  • Support annual 1099 preparation and reporting.
  • Prepare and issue accurate and timely customer invoices.
  • Monitor Accounts Receivable aging and outstanding customer balances.
  • Record and apply customer payments and maintain accurate customer account records.
  • Follow up on past-due balances and coordinate collection activities as appropriate.
  • Research and resolve customer billing and payment discrepancies.
  • Provide Accounts Receivable aging, collections, and outstanding balance updates to Finance leadership.
  • Prepare and post journal entries and maintain appropriate supporting documentation.
  • Perform bank, credit card, and balance sheet account reconciliations.
  • Support monthly, quarterly, and annual financial close processes.
  • Maintain accurate general ledger accounts, reconciliations, and supporting schedules.
  • Support accounting for accruals, prepaid expenses, fixed assets, and other balance sheet accounts.
  • Assist with the preparation of financial statements and internal management reports.
  • Research and resolve accounting discrepancies and ensure timely resolution of outstanding items.
  • Support cash flow tracking and reporting as needed.
  • Maintain organized, accurate, and audit-ready accounting records and documentation.
  • Support annual financial audits, tax preparation, and other financial compliance activities.
  • Support established internal controls and ensure adherence to company accounting policies and procedures.
  • Identify opportunities to improve the efficiency and accuracy of Accounts Payable, Accounts Receivable, reconciliation, and month-end close processes.
  • Support the implementation and optimization of accounting systems, automation tools, and financial workflows.
  • Partner cross-functionally with Finance, Operations, Human Resources, Sales, and other departments to resolve accounting issues and support business needs.
Desired Qualifications
  • A bachelor's degree in Accounting, Finance, Business, or a related discipline.
  • Experience working in a startup, high-growth, healthcare, medical device, technology, or professional services environment.
  • Experience with Ramp or a similar Accounts Payable and expense management platform.
  • Experience supporting external financial audits and tax preparation.
  • Familiarity with expense management, payroll, procurement, or purchasing systems.
  • Experience improving or automating accounting processes and workflows.
  • Experience supporting a company through periods of rapid growth or increasing transaction volume.
  • CPA, CPA-track, or progress toward professional accounting certification.

Noctrix Health makes prescription wearable therapy for Restless Legs Syndrome using the NTX100 Tonic Motor Activation System (Nidra). It uses leg bands to stimulate the peroneal nerves at night, producing gentle muscle activation that reduces RLS sensations and improves sleep. The device is prescribed through healthcare providers for adults with moderate-to-severe, medication-refractory RLS and is backed by FDA De Novo clearance in 2023 following a Breakthrough Device Designation and a multi-center trial. The goal is to establish wearable therapeutics as a standard non-drug treatment option to improve sleep for people with RLS.

Company Size

51-200

Company Stage

Acquired

Total Funding

$90.5M

Headquarters

Pleasanton, California

Founded

2018

Get referred to Noctrix Health

See people who can refer or advise you

Simplify Jobs

Simplify's Take

What believers are saying

  • Noctrix reported about $24 million annual run-rate revenue before closing, already commercializing.
  • CMS issued dedicated HCPCS codes and payment in 2024, reducing patient access friction.
  • ResMed can cross-sell Nidra through existing sleep clinics, HME partners, and international distribution.

What critics are saying

  • ResMed must integrate Noctrix by late 2026 while preserving sales momentum and reimbursement.
  • RLS prescriptions depend on sleep physicians and HMEs; coverage changes would choke adoption quickly.
  • If Nidra stalls below ResMed's expectations, the asset becomes a small, deprioritized portfolio experiment.

What makes Noctrix Health unique

  • Nidra is FDA De Novo-cleared, drug-free TOMAC for medication-refractory RLS.
  • AASM guidelines recognized peroneal nerve stimulation in 2024, validating Noctrix's mechanism.
  • ResMed completed the $340 million acquisition on June 1, 2026, giving channel reach.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

3%

1 year growth

2%

2 year growth

0%
Sleep Review Magazine
May 5th, 2026
Resmed to expand sleep portfolio with $340M acquisition of restless legs syndrome device maker.

Resmed to expand sleep portfolio with $340M acquisition of restless legs syndrome device maker. Resmed will acquire the manufacturer of an fda-cleared nerve stimulation device for refractory RLS, a move that leverages its existing sleep physician and home medical equipment channels. Key takeaways: * Resmed has signed an agreement to acquire Noctrix Health, maker of the Nidra device, for a purchase price of $340 million. * The acquisition targets the estimated 7% of adults globally affected by RLS, a population with meaningful overlap with obstructive sleep apnea. * The transaction is expected to close around June 1, 2026, with revenue to be reported within Resmed's Americas Devices category. Resmed has signed a $340 million agreement to acquire Noctrix Health, a medical device company with an FDA de novo classified product indicated for the treatment of refractory moderate-to-severe restless legs syndrome (RLS). The flagship product, Nidra, is a noninvasive nerve stimulation device. The acquisition marks Resmed's expansion into adjacent sleep health markets, targeting what is considered the third-most-prevalent sleep disorder after obstructive sleep apnea (OSA) and insomnia. RLS affects approximately 7% of adults globally, including around 17 million people in the US, and has a meaningful overlap with OSA. "RLS treatments from Noctrix are noninvasive, clinically proven, and drug-free, just like our CPAP/APAP and bilevel therapies," said Michael Farrell, CEO and chairman of the board at Resmed, during the company's third-quarter earnings call. Resmed, which has been an investor in Noctrix since 2024, plans to leverage its established market access to scale the therapy. Prescriptions for the device are written predominantly by sleep physicians and flow through the same home medical equipment (HME) and durable medical equipment (DME) delivery channels where Resmed currently holds a leading market share. "The reach of our Resmed brand among sleep physicians and HME providers as well as our national and international distribution channel strength makes us the best owner of this scarce asset," Farrell said. The transaction is targeted to close on or around June 1, 2026. Noctrix currently has an annual run rate revenue of approximately $24 million, which Resmed notes is growing at a faster rate and operating at a higher gross margin than Resmed's core business. Once closed, Noctrix's financials will be reported within Resmed's Americas Devices category. The acquisition is expected to result in an approximate $0.02 reduction in non-GAAP earnings per share for the fourth quarter of fiscal year 2026 as Resmed continues to invest in research and development and sales and marketing for the new asset.

Simply Wall St
May 1st, 2026
ResMed names new CFO and acquires Noctrix Health to expand into neurology

ResMed has appointed Aaron Bloomer as chief financial officer, replacing retiring CFO Brett Sandercock, and agreed to acquire Noctrix Health, a medical device company specialising in restless leg syndrome treatments. The moves mark a strategic shift for ResMed, which is primarily known for sleep apnoea devices and related software. The Noctrix acquisition expands the company's portfolio into neurological conditions affecting sleep quality, broadening its clinical scope beyond traditional respiratory care. Investors will be watching how ResMed balances capital allocation between its core sleep apnoea business and new neurology-related devices. Integration risks around Noctrix, including regulatory and reimbursement hurdles, remain key factors to monitor. At $213.81, ResMed shares trade approximately 26% below the analyst target of $288.21.

Michael West Media
May 1st, 2026
Snoring leader buys restless leg syndrome device maker - Michael West

Sleep apnoea company Resmed has acquired a California firm that makes a device for patients with restless leg syndrome, the third-biggest sleep disorder.

FinSMEs
Sep 2nd, 2025
Noctrix Health Raises Up To $33.5M in Debt and Equity Funding

Noctrix Health raises up to $33.5M in debt and equity funding.

FinancialContent
Aug 29th, 2025
Noctrix Health Raises $33.5M for RLS Therapy

Noctrix Health has raised $33.5 million to accelerate the U.S. commercialization of its Nidra® TOMAC therapy for Restless Legs Syndrome (RLS). The funding includes contributions from Blue Venture Fund, Sandbox Clinical Ventures, and a debt facility from Bridge Bank. The company has also expanded its leadership team, appointing Ivan Lubogo as Chief Commercial Officer and promoting Jonathan Charlesworth, Ph.D., to Chief Scientific Officer. Mark Verratti joins the Board of Directors.