Senior Manager, Revenue Accounting

The posting, as NexHealth wrote it

About NexHealth

Our healthcare system remains frustratingly analog. When you live in a world of one-tap car rides, instant meal delivery, and unlimited streaming, why do you still have to call to schedule a doctor’s appointment and fill out a clipboard in the waiting room?

NexHealth’s mission is to accelerate innovation in healthcare by connecting patients, providers, and developers. We’re building the infrastructure layer for modern healthcare, connecting thousands of fragmented, on-premise, and closed EHR systems into a single, modern platform that powers software, APIs, payments, and patient experiences across the ecosystem.

• Founded: 2017
• Headquarters: San Francisco, CA
• Funding: $177M Series C
• Employees: 200+
• Trusted by tens of thousands of providers and hundreds of health-tech developers — forging the infrastructure layer that modern healthcare needs

About the Role

NexHealth is in a high-growth stage, with a revenue mix diversifying into payments, API/usage-based, and marketplace models on top of our core SaaS subscription business. We're transitioning SaaS pricing from fixed-fee toward consumption-based models, pushing more customers toward longer-term and multi-year agreements, and migrating our billing infrastructure from Chargebee to Stripe following the recent launch of our new CPQ-to-Stripe quote flow.

This role is the senior technical authority on revenue accounting at NexHealth: owning ASC 606 policy and judgment calls independently, assessing and advising on our evolving pricing structure to help the company grow while ensuring our reporting reflects it accurately, and serving as the primary point of contact for auditors on all revenue matters — all while building the Order-to-Cash function to support our next stage of growth.

What You'll Do

• Own the Order-to-Cash function end to end (billing, collections, sales tax, MRR/ARR reporting and accounting, etc.) and co-lead the design and build-out of our go-forward billing engine on Stripe, from architecture through the Chargebee migration.
• Own ASC 606 revenue recognition policy end to end as we shift toward consumption-based pricing and multi-year agreements.
• Partner with RevOps, Engineering, and Product to ensure the CPQ-to-billing pipeline holds up as transaction volume and deal complexity grow, and that underlying data flowing from Salesforce to Stripe and Snowflakes supports all critical downstream reporting (ie. MRR/ARR/CARR reporting).
• Co-own our ARR/Bookings/MRR Definitions Memo, Revenue Recognition Matrix (mapping common contract terms to their revenue treatment for Sales/RevOps self-service), Discount Authority Matrix, and related pricing governance documents with RevOps and Sales leadership.
• Reviewing contracts with Sales/RevOps for rev rec impact before signature, and briefing the Controller and CFO on key judgment calls. Co-lead our CPQ flow with the deal desk function as we build it out, serving as the revenue accounting voice on non-s

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mance. The range listed is just the base salary component of NexHealth’s total compensation package for employees. Other benefits may include stock options, an unlimited paid time off policy, and up to 100% coverage on medical, vision and dental insurance.

NexHealth Compensation Range
$151,500 — $203,000 USD

Benefits

• Full Medical, Dental, and Vision (up to 100% covered)
• 401K and commuter benefits
• Flexible PTO
• High-impact work that directly improves the healthcare experience for millions

Our Values

• Solve the customer’s problems, not yours

When making decisions, think from the perspective of the customer. It’s easy to make decisions that make our lives simpler, but not the customers.

• Do the things others are not willing to do

As a Nexer, always go after the hardest problems. Pursue things at the highest quality. Move at the fastest pace.

• Take ownership

Act like a founder. Own your roles, destinies, mistakes, behavior, and our mission. The buck stops with each of us - no blaming or excuses.

• Say what’s on your mind, with positive intent

Be direct, proactive, transparent, and frequent in your communication.

• Default trust

As a Nexer, you do not have to earn trust, trust is given to you by default. If we by default trust each other, our speed of communication, feedback, information sharing, and overall improvements will be a lot faster.

• Think in first principles

We first identify the problem and then break it down to its fundamentals before diving into solutions. We constantly ask “why” to validate our assumptions.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We provide reasonable accommodation for individuals with disabilities to participate in the application or interview process. Contact talent@nexhealth.com to request assistance.