Senior Accountant

Reposted 18 Days Ago
New York, NY, USA
In-Office
110K-125K Annually
Senior level
Healthtech
The Role
The Senior Accountant will manage month-end close processes, maintain financial accuracy, support audits, enhance controls, and improve operational efficiencies with a focus on using AI tools.
Summary Generated by Built In
Pelago is the world’s leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use disorders, Pelago delivers a personalized solution based on individual health, habits, genetics, and goals, providing care for members wherever they might be on the substance use spectrum.
 
Pelago's suite of virtual services ranges from education, to cognitive behavioral therapy (CBT) to comprehensive medication-assisted treatment (MAT). Pelago enables employers and health plans to deliver accessible, affordable, and effective treatment for substance misuse.
 
Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members manage their substance use better. We have recently closed our Series C and raised over $151m from leading global investors. If you are passionate about making an impact on the health of others, join us and make it happen!
Overview of the Role...

As a Senior Accountant, you'll sit at the center of a small, high-trust finance team — working directly with our CFO and Controller, owning the close, and shaping how we report and operate as we scale. The work is real, the scope is wide, and you'll be doing it at a company where what you build here truly matters.

At Pelago, we're actively building toward an AI-native way of working, and we want people who are genuinely energized by that. Not because AI replaces the work, but because the best finance operators we know are already using it to think sharper, move faster, and do more with less. If that's how you naturally work – or how you want to – you'll fit right in here.

This is a hybrid role with a high-collaboration rhythm (3 days/week in our NYC office).

In this role you will…
  • Own major parts of the month-end close process: prepare journal entries, perform balance sheet reconciliations, and maintain the consolidated GL reporting.
  • Maintain data accuracy: build and maintain schedules that keep our financials clean, complete, and audit-ready without being asked twice.
  • Own audit execution: coordinate PBC deliverables, manage documentation, and be the person the auditors can count on for organized, responsive support.
  • Be a real partner to FP&A: translate actuals into clear variance analysis that informs forecasting.
  • Improve the control environment: identify gaps, document policies, and raise the operational bar on GAAP compliance as we scale.
  • Keep AP and expenses running cleanly: review employee expenses and manage vendor relationships with accuracy and accountability.
  • Make the work better over time: proactively identify inefficiencies, propose solutions, and take ownership of improving how the team operates, including where automation or tooling can help.
The background we are looking for... 
  • 5+ years of progressive accounting experience, with clear growth in scope and ownership over time.
  • Big 4 or public accounting background preferred; blend of public + private is a plus.
  • Deep command of US GAAP and the fundamentals of financial accounting — you know why the rules exist, not just what they are.
  • Proven experience owning month-end close and balance sheet reconciliations, not just supporting them.Strong systems fluency: Excel or Sheets is table stakes; NetSuite experience is a plus but coachable.
  • Comfort using AI tools in your day-to-day work, for analysis, drafting, or efficiency. 
  • High attention to detail with the organizational discipline to manage competing deadlines independently.
  • Clear communicator who can work across functions and doesn't need to be chased for follow-through.
What you’ll love about us… 

We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.

  • Generous and meaningful equity package
  • Full Medical, Dental, & Vision coverage 
  • 401k Plan 
  • Unlimited PTO Policy, 10 paid holidays, & company wide “Me Time” Days
  • Paid maternity, paternity & new parent leave
  • Flexible working environment
  • Annual Learning and Development stipend to support continued learning and career development
  • Wellness Reimbursement Program 
  • Access to Reproductive & Family Planning Care 
  • Substance Use Support for employees and family members 

At this time, we are unable to offer visa sponsorship for this position. 

Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.

The provided range reflects our US target salary range for this full-time position, which is part of our broader total compensation package, including incentive bonus program, stock options, comprehensive benefits, and incentive pay applicable to eligible roles. Individual pay within the range will vary based on a variety of factors like role-related experience and education, internal pay equity, and other relevant business factors. At Pelago, we are committed to an equitable and fair pay philosophy and review total compensation for our employees at least twice a year.

Base Pay Range
$110,000$125,000 USD

Skills Required

  • 5+ years of progressive accounting experience
  • Big 4 or public accounting background preferred
  • Deep command of US GAAP
  • Proven experience owning month-end close and balance sheet reconciliations
  • Strong systems fluency in Excel or Sheets
  • NetSuite experience is a plus but coachable
  • Comfort using AI tools
  • High attention to detail
  • Clear communicator able to work across functions
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The Company
HQ: New York, New York
167 Employees
Year Founded: 2017

What We Do

Pelago is the world’s leading virtual clinic for substance use management. We are transforming substance use support—from prevention to treatment—delivering education, management skills, and opportunities for positive change to members struggling with substance use, most commonly tobacco, alcohol, or opioids. Our solution gives employers the means to offer on-demand, personalized support to workers seeking to live healthier lives. Pelago’s cognitive behavioral therapy (CBT) and medication-assisted treatment (MAT) programs deliver convenient, accessible, and effective support that seamlessly integrates with health plans, pharmacy benefit managers, and wellness platforms. To date, Pelago has helped more than 750,000 members manage their substance use and improve their lives. Visit www.pelagohealth.com for more information.

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