Reporting to the Associate Director of Accounting, the Senior Accountant - General Ledger is a key contributor in the Finance organization and will play a key role in the monthly close process, financial reporting, and accounting operations. This position will be responsible for maintaining accurate financial records, supporting internal controls, partnering with cross-functional stakeholders, and driving process improvements across the accounting organization. The ideal candidate is a detail-oriented accounting professional with experience in a public company and/or public accounting environment, strong knowledge of U.S. GAAP, and the ability to thrive in a fast-paced and evolving organization.
This role is based in Menlo Park, California, and will move to Sunnyvale, California in Fall 2026. It offers a flexible work arrangement, with the ability to work from GRAIL's office or from home. Our current flexible work arrangement policy requires that a minimum of 60%, or 24 hours, of your total work week be on-site. Your specific schedule, determined in collaboration with your manager, will align with team and business needs and could exceed the 60% requirement for the site. At our Menlo Park campus, Tuesdays and Thursdays are the key days where we encourage on-site presence to engage in events and on-site activities.
Responsibilities:
- Perform month-end, quarter-end and year-end closing duties, including preparing journal entries, variance reporting, reconciliations, and account analysis to ensure compliance with U.S. GAAP
- Ensure timely and accurate completion of assigned close responsibilities in accordance with established deadlines.
- Perform balance sheet and income statement fluctuation analyses and provide meaningful explanations for significant variances.
- Own general accrual accounting across assigned cost centers, ensuring accuracy and timely recognition
- Manage clinical trial accruals in partnership with the Clinical Operations and FP&A teams
- Prepare supporting documents for internal/external auditors
- Help design, implement and maintain a thorough system of accounting process, policies and controls designed to accurately and efficiently close the books
- Apply a thorough understanding of GRAIL’s business to all aspects of the accounting function
- Assist in maintaining regular contact and building solid working relationships with various groups to ensure a high level of customer service
- Drive automation and process improvements to improve efficiencies, including leveraging AI tools to reduce manual effort
- Execute and maintain internal controls over assigned accounting areas and support SOX compliance activities.
- Participate in cross-functional projects and other special assignments as needed.
Required Qualifications:
- 5+ years of progressive accounting/finance experience, ideally a public accounting and private industry mix.
- Bachelor's degree in accounting, finance, or related field.
- Excellent professional written and verbal communication and interpersonal skills required.
- Experience with Netsuite and/or Coupa or other ERP systems
- Strong understanding in US GAAP Accounting.
Preferred Qualifications:
- 5+ years of progressive accounting/finance experience, ideally a public accounting and private industry mix.
- Bachelor's degree in accounting, finance, or related field.
- Excellent professional written and verbal communication and interpersonal skills required.
- Experience with Netsuite and/or Coupa or other ERP systems
- Strong understanding in US GAAP Accounting.
Physical Demands & Working Environment:
- Hours and days may vary depending on operational needs.
- Working with dry ice may be necessary.
- Standing or sitting for long periods of time may be necessary.
- May be exposed to hazardous materials, blood specimens and instruments with moving parts, heating or freezing elements, and high speed centrifugation.
- Some lifting (up to 25 pounds) may be necessary
- Ability to travel 10% as required
Skills Required
- 5+ years of progressive accounting/finance experience, ideally a public accounting and private industry mix
- Bachelor's degree in accounting, finance, or related field
- Excellent professional written and verbal communication and interpersonal skills
- Experience with NetSuite and/or Coupa
- Strong understanding of U.S. GAAP accounting
- Familiarity with clinical trial accrual accounting or life sciences industry
- CPA
- Hands-on experience with AI tools, automation, or scripting to improve accounting processes
- Proficient in fixed asset accounting
- Advanced Excel and Google Suite (Sheets, Docs)
- Proven analytical and project management skills
- Ability to work on-site a minimum of 60% (24 hours) per week in Menlo Park / Sunnyvale area
GRAIL Compensation & Benefits Highlights
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Healthcare Strength — Multiple medical plan options, comprehensive medical/dental/vision coverage, and strong mental health programs are described, with employer HSA contributions up to $3,000 for the HDHP. These elements indicate a well‑rounded health offering.
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Leave & Time Off Breadth — Flexible time off is highlighted, with examples of unlimited/FTO policies working well in practice. Paid holidays and company winter breaks further support time away from work.
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Equity Value & Accessibility — New‑hire equity grants that vest over four years and a discounted Employee Stock Purchase Plan are positioned as meaningful parts of total compensation. Ongoing eligibility for additional equity is also noted.
GRAIL Insights
What We Do
GRAIL is a healthcare company whose mission is to detect cancer early, when it can be cured. GRAIL is using the power of high-intensity sequencing, population-scale clinical studies, and state-of-the-art computer science and data science to enhance the scientific understanding of cancer biology, and to develop and commercialize pioneering products.
Why Work With Us
Everything we do is guided by our mission to detect cancer early, when it can be cured. It’s the reason we’re here, and it’s no small task. The right people make all the difference. That’s why we’re looking for those who strive to share their knowledge, contribute their skills, inspire each other and commit to something bigger than themselves.
Gallery
GRAIL Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
GRAIL has a variety of work types depending on the roles. Some roles are onsite like a lab role, some are fully remote like our Galleri Sales Consultant roles. Others are hybrid with 2-3 days onsite. Typically Tuesday and Thursday.












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