Being sick or injured is painful. Getting better shouldn’t be.
Most industries have been transformed by new technology. Healthcare is still waiting — and you can help change that.
Our mission is simple but ambitious: make healthcare accessible, transparent, and effortless for all. We put the consumer at the center, move fast and partner with forward-thinking providers to deliver software that makes care better, faster, and more human. This is work with real-world stakes — and you can help lead the way.
We are looking for someone to take ownership of our core accounting processes. This role covers day-to-day accounting operations, order to cash, and financial reporting accuracy with a direct line to the Controller and a clear path toward Accounting Manager as the company scales.
You’ll inherit a working foundation and be expected to make it yours – more organized, more scalable, and less dependent on anyone else to keep it moving. You’ll own AR and AP workflows end-to-end, and be the person who catches the reconciliation issue before anyone else does. If you thrive in the SOP development phase, care deeply about data accuracy, and want to grow fast - this is the role.
What You’ll Be Own
Order to Cash
- Validate that billing milestones, subscription start dates, and one-time fees are invoiced per contract terms and recognized in the correct period in accordance with ASC 606
- Own the full AR cycle: customer contract setup in accounting system (Campfire), invoicing, cash application, and collections
- Monitor aging AR and drive timely follow-up - you don’t wait to be asked
- Resolve billing disputes and discrepancies directly with customers and internal teams
- Flag cash flow risks early; communicate proactively, and bring context and a point of view when you do
General Ledger, Close & Expense Management
- Review and code AP and corporate card transactions; identify prepaid items and budget anomalies, maintain amortization schedules through close
- Reconcile material accounts monthly: cash, payroll, accruals, prepaids, and investment accounts; monitor daily cash activity for accuracy
- Perfect our revenue reconciliations (Invoice <> MRR <> P&L Revenue); flag variances before they hit reporting
- Maintain vendor records; track and flag contract renewals with a view toward cost efficiency
- Prepare supporting journal entries, account reconciliations, and flux commentary for monthly and quarterly packages
Quality Management
- Manage and review the work of an accounting assistant (contractor); you set the standard for quality and turnaround
- Build processes that are repeatable, auditable, and not dependent on any one person
- Use AI tools to move faster and do more; that’s how we operate and expect you to operate that way too
- Identify what can be delegated vs. what requires your judgment
You'll be great for this role if you
- Have 4-6 years of accounting experience with real ownership – you’ve closed the books, not just supported someone who did
- Are comfortable building before the process exists; Big 4 or large bank background alone is not a fit – we need someone who can operate with ambiguity and doesn’t need a playbook handed to them
- Understand ASC 606 revenue recognition and can apply it to subscription and usage-based contracts
- Are comfortable connecting data across systems (CRM, Billing, Spend Management), curiosity and adaptability matter more than exact system match
- Communicate proactively – to the Controller and across teams – and bring solutions, not just flags
- You’ve reviewed others’ work and held a standard
- Ship accurate work on time; you’re detail oriented but not a perfectionist who stalls the close or billing waiting for perfection
Growth Path
This role is designed to grow into an Accounting Manager. You’ll take on increasing ownership of the close process, cross-functional financial reporting, and team-building as Solv scales.
Salary ranges vary by location:
- San Francisco & New York: $95,000 - $125,000
- Colorado: $90,000 - $115,000
- All other locations: $85,000 - $125,000
Solv offers robust benefits including:
- Solv equity for full time US based employees
- Medical, Dental, Vision Insurance - 100% for employees
- 401k plan available
- Up to 12 weeks of paid Parental Leave
- Monthly Wellness Reimbursement
- Flexible Time Off
- Company Paid Life Insurance, LTD, and STD
- Company contribution towards HSA
- Medical and Dependent care FSAs available
This position is being hired on an urgent basis. The application window may close before August 31 if a sufficient number of applications to select a candidate are received prior to that date.
Unfortunately, we are unable to sponsor visas at this time.
Skills Required
- 4-6 years of accounting experience with ownership of close processes
- Direct experience closing the books and preparing monthly/quarterly packages
- Knowledge and ability to apply ASC 606 for subscription and usage-based contracts
- Ownership of end-to-end AR and AP workflows, invoicing, cash application, collections
- Experience reconciling cash, payroll, accruals, prepaids, and investment accounts
- Familiarity with accounting system Campfire or similar systems for contract setup and billing
- Ability to connect and reconcile data across CRM, billing, and spend management systems
- Experience preparing journal entries, account reconciliations, and flux commentary
- Experience managing or reviewing the work of others (accounting assistant/contractor)
- Comfort using AI tools to improve efficiency and build repeatable, auditable processes
What We Do
We’re about one thing: convenient healthcare for everyone. Solv allows you to book same-day doctor’s appointments and urgent care visits. Choose from highly-rated providers, read patient reviews and book appointments after hours and on the weekend. At Solv, we believe getting access to high quality, last-minute care should be simple, fast and effortless. Consumers should be able to know where they can go, when they'll be seen and how much it will cost. That's the future we're building with Solv. For providers, Solv's end-to-end platform revolutionizes the delivery of convenient care. We create tools to grow your practice, delight patients and boost your reputation. ATTRACT MORE PATIENTS. Dominate Google by promoting your clinics on Solv and UrgentCareLocations.com and optimize your own site for online conversion. Your branded mobile scheduling site with insurance card scanning turns more web traffic into clinic visits. DELIVER AN AMAZING EXPERIENCE Automate patient communication that save staff time and improve patient satisfaction. Text message alerts keep patients up to date, reduce no-shows and handle post-visit follow up. Seamless queuing of both walk-ins and online bookings reduces wait times, optimizes patient flow and helps set expectations with patients through accurate wait time estimates. INCREASE LOYALTY Boost your online reputation by broadcasting reviews and increasing your clinic ratings to make a positive impression on new patients. Then keep them coming back with secure patient profiles that encourage painless re-bookings with your clinic. Following visits, collect valuable patient feedback with NPS surveys on performance, identify issues and address complaints instantly. Finally, mobile dashboards let you view operational data such as wait times and volumes so that you can make adjustments in real time.








