Senior Accountant

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Hiring Remotely in San Francisco, CA, USA
In-Office or Remote
Healthtech • Machine Learning • Natural Language Processing
PicnicHealth helps individuals manage their own health records.
The Role

PicnicHealth is simplifying clinical research with AI, making it faster and cheaper to get new treatments to patients. We’re bringing a patient-centered, AI-first approach to a $100b market otherwise dominated by old-school, services-driven incumbents.  We’re creating a streamlined operating system for clinical research, built on top of our AI for medical record data in trials and a personal health assistant that keeps patients engaged (NPS 66). 

Founded in 2014, PicnicHealth has raised over $100 million from investors including YC, Amplify Partners, Felicis Ventures and B Capital Group. Our business running observational studies more than doubled last year and we expect to grow even faster this year.  We've gained real traction in a conservative industry: 12 of the top 20 pharma companies use PicnicHealth, we've got 60+ publications across 40 disease areas, and we just had our first FDA approval that included our data in the submission.


The Opportunity

The Senior Accountant will support the day-to-day accounting operations and financial reporting processes, working closely with a small, dedicated accounting team to ensure compliance with GAAP and regulatory standards. This role requires a hands-on contributor with a strong background in accounting, preferably in the life sciences or clinical research industry.   You’ll bring an innovative mindset, attention to detail, and act as the Controller’s right hand in driving key accounting processes, leading automation initiatives using AI tools, supporting the company’s first audit, and playing a critical role in scaling our finance operations.

What we’re looking for in a Senior Accountant:

  • Solid understanding of GAAP, ASC 606, ASC 842, internal controls, and financial reporting standards
  • Public accounting experience with a Big 4 or nationally recognized accounting firm and CPA 
  • Experience in tech, healthtech, clinical research, pharmaceutical, or life sciences
  • Bachelor’s degree in Accounting, Finance, or related field

Over the next 12 months, you will be focused on:

  • Supporting the financial close process and the preparation of consolidated financial statements
  • Ensuring consolidated financial statements are in accordance with U.S. GAAP reporting requirements and company policies
  • Partnering with controller in developing, implementing, and maintaining the internal systems and financial controls for scalable growth with a focus on AI tools 
  • Ensuring compliance with local, state, and federal reporting requirements 
  • Managing general ledger activities including journal entries, reconciliations, accruals, and revenue recognition
  • Supervising Accounts Payable and Accounts Receivable functions
  • Partnering with FP&A and operational teams to ensure alignment between financial results and project performance
  • Supporting financial statement audits and ensure compliance with internal controls, policies, and procedures
  • Assisting the controller with tax filings, compliance, and liaise with external accountants or consultants as necessary
  • Providing training and mentorship to accounting team members

You’ll be successful if you:

  • Strong knowledge of Netsuite, MS Office and/or Google Suite
  • Strong organizational and time management skills
  • Excellent interpersonal, written, and verbal communication skills
  • Drive to build scalable systems and workflows leveraging AI to increase operational efficiency
  • Ability to work independently and collaboratively in a fast-paced environment

We expect all team members to be amazing in their roles and, ultimately, to move the PicnicHealth mission forward.

What is clinical research and why will PicnicHealth win?

Clinical research is the industry responsible for conducting studies to evaluate the effectiveness of drugs and treatments. Better trials lead to faster, more cost-effective drug development, ultimately resulting in more and improved treatments for patients However, the process remains highly inefficient. Trials are a major bottleneck in drug development, and the promising advancements in biotech cannot achieve their full potential unless clinical research becomes more effective

The industry runs on outdated technology and manual processes. Research sites (hospitals, academic centers, doctors' offices) are a major bottleneck, and contract research organizations (CROs) spend most of their time wrangling sites and cobbling together vendor software. 

PicnicHealth has built technology that uniquely positions us to run faster, cheaper, and more flexible studies without requiring sites:

  • PicnicAI (trained on 350M+ clinician annotations over 100k+ patient records) is the only system that can effectively access and structure all participant EMR data trials need
  • Our AI health assistant (NPS of 66 in 2024) guides participants through study activities and enables most to be done at home
  • We're an integrated solution — virtual site, CRO, and software platform — with AI built in from the ground up, initially focusing on observational research.  

The other perks & benefits you get when you work at PicnicHealth   

We pay competitive salaries. Everyone on the team is an owner: all full time employees get competitive equity.

Target Base Salary Range: $85K -$115K 

The base salary PicnicHealth offers may vary depending upon the scope, complexity, and autonomy of the position and on the candidate’s job-related knowledge, skills, and experience. 

We’re a remote first company, with teammates spread across the US. We support in-person gatherings, including co-working spaces and multi-day onsites, to build connections and move forward strategic initiatives. Expect to travel 2-4 times a year.  For our team members in the Bay Area, who prefer to work in person we can offer a hybrid set up to work from the SF office on a flexible schedule.

You also get:

  • Comprehensive benefits including above market Health, Dental, Vision
  • Family friendly environment 
  • Flexible time off
  • 401k plan
  • Free PicnicHealth account
  • Equipment and internet funds for home office set up 
  • Wellness Stipend

PicnicHealth is committed to promoting an inclusive work environment free of discrimination and harassment. We value a diverse and balanced team where everyone can belong. 

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The Company
HQ: San Francisco, CA
100 Employees
Year Founded: 2014

What We Do

Healthcare needs good data. At PicnicHealth, we are building deep real-world datasets fueling cutting edge research while giving patients control of their own medical record data. These complete, clinically-rich datasets produce unique insights - across dozens of diseases - to ultimately get the right treatments into patients’ hands faster. We do this by working directly with patients and leveraging state of the art machine learning and human curation to transform messy medical records into structured, research-ready datasets. To date, we’ve helped tens of thousands of patients securely access their records and proactively contribute to advancing research in diseases that impacts their lives. We partner with some of the largest life sciences companies (including 10 of the Top 30) and have raised more than $100M including a recently closed $60M Series C led by B Capital Group, with continued investments from Felicis Ventures and Amplify Partners, who also participated in the Series B.

Why Work With Us

We are a team filled with so many different backgrounds, including Doctors, Nurses, Product and Engineering masters, Scientists, and so much MORE! We believe in our mission, feel good about what we are doing, and want to share this with as many people as possible. Joining our team would only be the stepping stone!

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