The Director of Accounting will lead the accounting function for firsthand, ensuring accurate financial reporting in compliance with US GAAP and supporting ad hoc reporting for key business stakeholders. This role will contribute to professionalizing the finance and accounting functions, develop and implement robust financial systems, reporting, and internal controls to support expansion, and drive the monthly and quarterly close process. This role will serve as a trusted advisor to leadership and help shape the financial foundation that supports firsthand’s growth.
As Director of Accounting, you will:
- Oversee day-to-day accounting operations and ensure timely and accurate month-end and year-end financial reporting.
- Coordinate and support internal and external audits, including providing necessary documentation and addressing audit findings.
- Drive the implementation and ongoing adherence to ASC 606, ensuring accurate revenue recognition and reporting.
- Collaborate with internal and external stakeholders to address ASC 606-related issues and provide guidance on complex revenue recognition scenarios.
- Develop, implement, and monitor internal controls to safeguard company assets and ensure accurate financial reporting.
- Assist in budgeting and forecasting processes, ensuring alignment with organizational goals and healthcare industry dynamics.
- Identify opportunities for process improvements and efficiency gains within the accounting function.
- Assist with financial statement audits, tax reporting, and developing strong internal processes & controls.
- Shape the future of firsthand’s Finance & Accounting teams by implementing best-in-class systems and processes.
You will be a good fit if you have:
- Experience in healthcare accounting, including familiarity with payer contracts, risk-based healthcare arrangements, and reimbursement models.
- Bachelor’s or Master’s degree in Accounting, Finance, or related field; CPA or equivalent professional certification preferred.
- Strong understanding of GAAP, audit processes, and internal control frameworks.
- Proficiency in accounting software and ERP systems; experience with Sage Intacct is a plus.
- Strong attention to detail, accuracy, and accountability.
We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you.
Benefits
For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.
Top Skills
What We Do
firsthand is transforming the way individuals living with Serious Mental Illness (SMI) receive care. We are focused on delivering real outcomes for a cohort that has historically been underserved, stigmatized, and deprioritized. By building a service focused on whole-person care, firsthand aims to find, establish a trusting relationship with, and support quality care for individuals living with complex experiences of SMI. Most importantly, our goal is to be the trusted guide, partner, and first call for individuals we serve, guiding them to a life of stability and independence. In doing so, we will not only improve lives, but also improve the economics for managed care plans and states responsible for providing care to this community. This enables us to build solutions that scale and, as a result, change the way our society supports those most impacted by serious mental illness.
Why Work With Us
Our frontline colleagues bring lived experience with serious mental illness to their work- they’ve walked in the shoes of those we serve. They can build trust in a way many others cannot.
Much of our team has a personal connection to the mental illness space, and we come together from a wide variety of backgrounds to unite in this common mission.
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firsthand Health Inc Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Our Support team (Tech, Operations, G&A) members can work remotely anywhere in the U.S or from our NYC office.























