Finance & Accounting Manager

About exacare ai
exacare ai is a leading healthtech company on a mission to build the AI operating system for post-acute care. Our platform connects referral sources, admissions workflows, and reimbursement systems so teams can review documentation, evaluate patients, and act quickly and confidently. Today, exacare ai powers more than 2,500 post-acute facilities / agencies.

Backed by a $30M Series A led by Insight Partners, we’re bringing world-class talent together to transform healthcare. If you like building, learning, and making a real impact, come join us!

About the Role

exacare ai is seeking a highly motivated, hands-on Finance & Accounting Manager to join its growing finance function. Reporting to the Controller, the Finance & Accounting Manager will oversee day-to-day accounting operations while helping build scalable processes, accelerate the month-end close, and improve the quality of financial reporting as the company scales.

This role is well suited to someone who enjoys ownership, solving problems, and improving how work gets done. The Finance & Accounting Manager will own core accounting operations across billing, AR, AP, reconciliations, reporting, and audit preparation, with scope expanding into budgeting and forecasting as the function grows.

What You’ll Do

• Accounting operations: Oversee daily accounting operations, including general ledger activity, journal entries, and account reconciliations prepared in accordance with U.S. GAAP.
• Billing: Manage the end-to-end customer billing process, including subscription setup and updates, invoice generation, billing accuracy, customer inquiries, and the resolution of billing discrepancies.
• Accounts receivable and payable: Own the day-to-day AR and AP workflow, ensuring invoices are issued and collected on time and vendor payments are processed accurately, with weekly reporting that escalates collection risks and payment issues.
• Month-end close: Prepare month-end, quarter-end, and year-end close deliverables, including journal entries, balance sheet reconciliations, and supporting schedules, ensuring financial records are accurate, complete, and delivered on time.
• Financial reporting: Prepare monthly financial statements, including the P&L, balance sheet, cash flow statement, and supporting analysis, along with reports and dashboards that track key SaaS performance indicators.
• Audit readiness: Support the annual audit by preparing schedules, organizing workpapers, and responding to auditor requests.
• Payroll funding: Partner with the People team to ensure payroll is funded accurately and on time.
• Planning and analysis: Assist with budgeting, forecasting, cash flow management, and financial planning, and provide analysis that informs decision-making across the business.
• Controls and process: Help develop and improve accounting policies, procedures, internal controls, and close processes as the company scales.
• Automation: Identify opportunities to use automation and AI-enabled tools to improve efficiency, accuracy, and visibility across finance operations.

What You’ll Bring

• CPA designation: A completed CPA designation is required.
• Education: Bachelor’s degree in Accounting, Finance, Commerce, or a related field.
• Experience: 3 to 5 years of progressive accounting experience, ideally including public accounting, audit, or assurance.
• Technical foundation: Strong understanding of U.S. GAAP, financial reporting, and full-cycle accounting.
• Operational breadth: Experience across billing, month-end close, reconciliations, AR, AP, financial statements, and audit preparation.
• Attention to detail: Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
• Independence: Ability to manage multiple priorities and work independently in a fast-paced, high-growth environment.
• Communication: A clear and thoughtful communicator who brings openness, transparency, respect, and accountability to their work.

Bonus Points

• You have Big Four experience.
• You have worked in a SaaS or subscription business.
• You actively use AI-enabled tools and automation in your work.
• You have helped build or improve a finance process from the ground up.

Benefits + Perks

• Competitive salary and equity in a high-growth startup
• Flexible PTO, take what you need
• Medical, dental, and vision coverage
• Great startup culture, including company off-sites
• High-achieving team, including ex-Amazon engineers and alumni of Bain, BCG, Goldman Sachs, and more

An insight into our Core Values

Only the best belong here

We are unapologetic about talent. This should be the best team you have ever been on. Protecting that standard is how we honor each other’s time, ambition, and craft.

We work even harder to keep our partners than we did to earn them initially

The work does not stop when a customer first onboards to our platform. It deepens over time. We partner with operators, listening and learning about real problems, and translate that into solutions that help them succeed in practice. We earn trust through consistent delivery.

We keep the patient downstream of every decision

At the end of the day, this is about the patient. We get there by deeply respecting and reflecting on our purpose: to develop software that aids teams in delivering better care.

Raise the bar on ownership

We grow because people here go beyond the minimum. We invest extra effort, care, and ownership into what we build.

The world is moving fast. We move faster.

This is a race. We work hard, we move early, and we stay ahead of problems and competitors. If we slow down, someone else will pass us.

Radical candor, zero politics

We say what’s true, early, and we keep communication direct and clean so the team can move.

Bring good vibes and win together

We win as a team. We bring energy, support each other, and make the workplace somewhere people are excited to show up.

If this sounds like you, we'd love to have a chat!

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