Location: This position is based in our Campbell, California offices. This position is on-site, full-time
Why Imperative Care?
Do you want to make a real impact on patients? Imperative Care is changing the way stroke and vascular diseases are treated. As part of our team, you’d be developing breakthroughs that will revolutionize the future of stroke care. Every day, the technologies that we develop at Imperative Care directly impact human lives. Our focus is on the needs of the patient, and they come first in everything we do.
What You’ll Do
We are seeking a highly analytical and hands-on Senior Cost Accountant to take ownership of inventory and cost accounting in a dynamic medical device manufacturing environment. This role is ideal for someone who thrives in a data-intensive setting, enjoys solving complex reconciliation challenges, and can build scalable tools and processes to improve visibility into cost and margins.
This individual will play a key role in strengthening inventory accuracy, enhancing variance analysis, and partnering closely with Production Planning , Supply Chain, R&D and Quality to drive better business decisions. The right candidate will combine strong accounting fundamentals with advanced Excel capabilities and a continuous improvement mindset.
- Own and continuously improve inventory accounting processes, including reconciliation of perpetual inventory to the general ledger across raw materials, WIP, finished goods, and field inventory
- Lead efforts to resolve inventory discrepancies and implement sustainable process improvements to ensure ongoing accuracy and control
- Develop, maintain, and enhance standard costing, including annual cost rolls, BOM and routing validation, and overhead rate updates
- Build and scale robust Excel-based models and schedules to support cost accounting, inventory tracking, and variance analysis (handling large datasets and improving automation where possible)
- Deliver clear, actionable variance analysis (purchase price, usage, manufacturing, and absorption variances), with insights into root causes and business impact
- Partner closely with Production Planning and Supply Chain to improve cost visibility, understand operational drivers, and support decision-making
- Support month-end close activities, including journal entries, account reconciliations, and work order close reviews
- Maintain and optimize cost accounting and inventory-related data within QAD; identify opportunities to improve data integrity and system utilization
- Support cycle counts and physical inventory processes, ensuring accuracy and compliance
What You’ll Bring
- Bachelor’s degree in Accounting or Finance
- 5+ years of cost accounting experience in a manufacturing environment (medical device or highly regulated industry preferred)
- Strong understanding of standard costing, inventory accounting, and variance analysis
- Experience working cross-functionally with operations, supply chain, or manufacturing teams
- Experience with ERP systems (QAD strongly preferred)
- Advanced Excel skills required, including:
- Complex formulas (e.g., INDEX/MATCH, SUMIFS)
- Ability to manage and analyze large datasets (100k+ rows)
- Building structured, scalable, and well-documented models
- Experience with Power BI or Tableau is a plus
- Strong problem-solving skills with the ability to identify root causes and implement practical solutions
- High level of ownership and accountability
- Ability to operate effectively in a fast-paced, evolving environment with competing priorities
- Clear and effective communicator, able to translate financial data for non-finance partners
- Detail-oriented with a strong focus on accuracy and process discipline
Employee Benefits include a stake in our collective success with stock options, bonus, competitive salaries, a 401k plan, health benefits, generous PTO, and a parental leave program.
Salary Range: $108,000 - 118,000 annually
Please note that the salary information is a general guideline only. Imperative Care considers factors such as scope and responsibilities of the position, candidate's work experience, education/training, key skills, and internal equity, as well as location, market and business considerations when extending an offer.
Join Us! Apply Today
Skills Required
- Bachelor's degree in Accounting or Finance
- 5+ years of cost accounting experience
- Strong understanding of standard costing and inventory accounting
- Experience with ERP systems (QAD strongly preferred)
- Advanced Excel skills
Imperative Care Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Imperative Care and has not been reviewed or approved by Imperative Care.
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Fair & Transparent Compensation — Posted salary bands for multiple roles are explicit and compare favorably to U.S. norms in several functions. Publicly listed ranges help anchor expectations and indicate a market‑competitive stance.
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Equity Value & Accessibility — Stock options are consistently included as part of offers and total rewards. Equity is positioned as a meaningful component alongside base pay and, in some roles, bonus.
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Leave & Time Off Breadth — Company materials highlight generous PTO and a parental leave program as standard benefits. Multiple postings reiterate these time‑off elements across roles.
Imperative Care Insights
What We Do
Imperative Care is a Silicon Valley-based medical technology company focused on developing the next generation of innovative solutions to address the vast and urgent needs in stroke intervention and peripheral thrombectomy. With a physician-driven approach and a culture of rapid innovation, we are working to improve every aspect of the stroke procedure with the goal of bringing patients the best care possible. We have two 510(k) cleared product platforms, as well as an expansive technology development pipeline. Follow us for updates as we work to change the way stroke is treated. For important safety and risk information, visit bit.ly/3yWkfEJ.








