Financial Operations Lead

About Abridge
Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

The Role
We're seeking an accounting professional who wants to move beyond traditional bookkeeping and become a key player in scaling finance at the forefront of AI in healthcare. This role is ideal for someone with a strong foundation in accounting, ideally from a Big 4 firm, who's ready to own day-to-day operations while gaining hands-on experience with financial systems, automation, and strategic projects.

You'll take charge of core accounting processes — from payables and receivables to reconciliations and close — while also supporting audits, reporting, and process improvements. Reporting directly to the Controller, you'll have a front-row seat to how finance operations evolve in a high-growth environment. Within your first 90 days, you'll own the monthly close and contribute to streamlining workflows that make our financial processes faster and more accurate.

This is a hybrid role based in San Francisco, and candidates must be able to work in-office on a regular schedule — no exceptions.

What You'll Do

• Run the Daily Accounting Engine: Manage accounts payable, accounts receivable, collections, cash applications, and reconciliations to ensure smooth daily operations.
• Execute the Month-End Close: Prepare journal entries, reconciliations, and variance analyses, helping drive a timely and accurate close process.
• Support Revenue and Billing: Own customer invoicing, revenue recognition under ASC 606, and monitor collections to keep cash flow healthy.
• Be Audit-Ready: Assist with external audits by preparing schedules, supporting documentation, and contributing to technical accounting memos.
• Maintain Reporting Discipline: Keep subledgers, schedules, and reconciliations current to ensure readiness for weekly reporting.
• Document and Strengthen Processes: Build and refine accounting policies, workflows, and checklists to support accuracy, consistency, and scalability.
• Learn and Apply Automation: Partner with the Controller to explore automation and systems improvements (ERP, billing, expense management) that reduce manual work.
• Grow into Strategic Projects: Gain exposure to areas like system implementations, stock-based comp, and cross-functional reporting initiatives.

What You'll Bring

• Strong Foundation in Accounting: 1–3 years of experience in public accounting (Big 4 or equivalent), with a solid understanding of US GAAP and financial reporting.
• CPA-Track Credentials: CPA license or active pursuit of certification.
• Audit & Controls Orientation: Experience preparing audit support (PBCs, schedules, memos) and familiarity with internal controls.
• Systems Exposure: Familiarity with tools like NetSuite, Salesforce, Ramp, or similar ERP/expense management systems; interest in learning payroll platforms (e.g., Rippling).
• Tech-Savvy Mindset: Advanced skills in Excel/Google Sheets paired with proficiency in data-driven tools such as Alteryx, Python, SQL, and REST APIs.
• Exceptional Precision: A relentless attention to detail with the ability to anticipate needs and execute tasks autonomously.
• Organizational Prowess: Outstanding ability to manage multiple priorities while maintaining a collaborative and approachable demeanor.

Why Work at Abridge?
At Abridge, we're transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We're driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it's not just what we do—it's how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We're committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

How we take care of Abridgers:

• Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
• Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families.
• Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.
• Paid Parental Leave: Generous paid parental leave for all full-time employees.
• Family Forming Benefits: Resources and financial support to help you build your family.
• 401(k) Matching: Contribution matching to help invest in your future.
• Personal Device Allowance: Tax free funds for personal device usage.
• Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.
• Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.
• Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.
• Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.
• Compensation and Equity: Competitive compensation and equity grants for full time employees.
• ... and much more

Equal Opportunity Employer
Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

Staying safe - Protect yourself from recruitment fraud
We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.

Compensation Range: $127.5K - $149K