Staff Accountant

Status: Full-time, Exempt

Location: Onsite in Santa Clara initially; remote or hybrid will be considered after fully onboarded

Reports to: Finance and Accounting Manager

T45 Labs builds and funds acquisition-ready cardiovascular companies by de-risking breakthrough technologies and steering them through clinical and regulatory milestones. We partner with experienced physicians and entrepreneurs to identify unmet clinical needs and bring differentiated solutions to market, providing capital, strategy, and operational support while giving founders the space to innovate.

T45 Labs is seeking a Staff Accountant to support the Finance & Accounting Manager with day-to-day accounting operations, month-end close, account reconciliations, financial reporting, and accounting activities across T45 Labs and its portfolio companies.

This role is ideal for a hands-on accounting professional who can maintain accurate financial records, investigate discrepancies, manage priorities across multiple entities, and help strengthen scalable accounting processes. The Staff Accountant will also assist with financial reporting, analysis, and special projects as needed.

Responsibilities

• Prepare and post journal entries, including accruals, prepaid expenses, payroll-related entries, allocations, and other recurring transactions.
• Perform bank, credit card, balance sheet, and general ledger account reconciliations.
• Support monthly, quarterly, and year-end close activities across T45 Labs and its portfolio companies.
• Maintain accurate general ledger records and complete supporting documentation.
• Review vendor invoices, employee expense reports, and payment documentation for accuracy, proper coding, and required approvals.
• Support accounts payable and accounts receivable activities, including invoice processing, payment tracking, and follow-up on outstanding balances.
• Maintain schedules for prepaid expenses, fixed assets, depreciation, accruals, and other balance sheet accounts.
• Assist with intercompany transactions, allocations, reconciliations, and multi-entity accounting activities.
• Investigate account discrepancies, unusual transactions, and variances, and prepare appropriate corrections.
• Prepare recurring accounting reports and financial schedules for review by the Finance & Accounting Manager.
• Assist with cash reporting, expense tracking, and budget-to-actual reporting.
• Support the preparation of financial statements, management reports, and other internal reporting.
• Maintain organized, complete, and audit-ready accounting records.
• Assist with annual audits, tax preparation, compliance requests, and other external reporting requirements.
• Help document and improve accounting procedures, internal controls, templates, and close processes.
• Collaborate with internal teams and portfolio company stakeholders to obtain accurate and timely financial information.
• Support accounting system improvements, process automation, and financial data cleanup initiatives.
• Perform ad hoc accounting, reporting, and financial projects as assigned by the Finance & Accounting Manager.

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
• 3–6 years of professional accounting experience in a Staff Accountant, Senior Accountant, or similar role.
• Strong knowledge of generally accepted accounting principles and standard accounting practices.
• Demonstrated experience preparing journal entries, performing account reconciliations, maintaining general ledger accounts, and supporting month-end close.
• Experience with accounts payable, accounts receivable, accruals, prepaid expenses, and balance sheet schedules.
• Experience working across multiple legal entities, portfolio companies, subsidiaries, or intercompany accounts is strongly preferred.
• Strong Excel skills, including formulas, pivot tables, reconciliations, and financial schedules.
• Experience with accounting or enterprise resource planning systems; QuickBooks Online or similar experience is preferred.
• Strong analytical skills and the ability to identify, investigate, and resolve discrepancies.
• Excellent attention to detail, organization, and follow-through.
• Ability to manage multiple priorities and deadlines in a remote, fast-moving environment.
• Strong written and verbal communication skills.
• Ability to work independently while maintaining close communication with the Finance & Accounting Manager.
• Experience with startups, emerging companies, shared-services organizations, or medical technology companies is a plus.
• CPA designation or progress toward CPA certification is preferred but not required.

Candidates must be permanently authorized to work in the United States without the need for current or future visa sponsorship. We are currently unable to sponsor employment visas, or permanent residency (PERM) applications.

This role is expected to be onsite initially to support onboarding, training, collaboration, and integration with T45 Labs’ accounting and finance processes. Once the employee is fully onboarded and operating independently, a remote or hybrid schedule may be considered based on business needs and manager approval.

This position is open to candidates living within a reasonable commuting distance of our Santa Clara office. At this time, we are not considering applicants who would need to relocate, either within or outside of California. There is no relocation package available.

T45 Labs and our portfolio companies are committed to fair and equitable pay practices and may also consider additional compensation elements such as bonuses, equity, and benefits as part of the total rewards package.

Salary ranges are based on San Francisco Bay Area market data. Actual compensation offered may vary depending on factors such as experience, skills, qualifications, and abilities relevant to the role, as well as the geographic location of the individual hired.

The anticipated salary range of this position is $77,000 - $105,000 annually, based on San Francisco Bay Area market data. Most candidates should expect to receive an offer at the midpoint of the posted range, based on these considerations.

T45 Labs is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, pregnancy, national origin, ancestry, age, disability, medical condition, genetic information, marital status, sexual orientation, gender identity or expression, military or veteran status, or any other characteristic protected by applicable law.

T45 Labs does not accept unsolicited resumes or candidate submissions from staffing agencies or third-party recruiters without a current, signed agreement. T45 Labs will not be responsible for fees associated with unsolicited submissions.