Senior Accountant

Pair Team is a public benefit company reimagining care for the safety net. As an AI-enabled medical group for Medicaid and Medicare, we deliver medical, behavioral, and social care by integrating shelters, pantries and other community-based organizations into our whole-person model. As California’s largest complex care provider, we’ve proven our impact to reduce avoidable emergency care, including a 52% and 26% reduction in ER visits and hospitalizations respectively. Once scaled nationally, our approach would save tax payers $150B per year.

With our years of experience and vast data collected, we are now building an AI platform that embeds social work agents across the safety net to truly unify our fragmented healthcare and welfare system. By scaling our country’s frontline medical and social services workforce, we aim to bring high-touch care to everyone.

At Pair Team, we’re not just delivering care—we’re transforming it. We’re building a future where high-touch, community-driven care is accessible to everyone, especially the most underserved.

• Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid’s regulatory moment with Neil Batlivala from Pair Team
• Journal of General Internal Medicine: A Novel Intervention for Medicaid Beneficiaries with Complex Needs

We're hiring a Senior Accountant to play a key role in building our world-class accounting function. In this role will own significant areas of the accounting operation, strengthen our accounting foundation, and help prepare the company for its first external audit.

This is a high-impact role for someone who enjoys operating at the intersection of execution and systems-building. You'll be responsible for ensuring accounting processes are accurate, scalable, and audit-ready while identifying opportunities to improve controls, automate workflows, and strengthen financial operations. You'll partner closely with leadership and stakeholders across finance, operations, strategy, data, r&d, people, and business teams to implement scalable solutions that enable long-term growth.

This is a fully remote position reporting up to the Controller.

• Prepare for and support in GAAP financial audit
• Support in resolving key issues, and identifying opportunities that drive consistent, timely, and accurate revenue reporting and reconciliations 
• Support month end close, reporting, reconciliations, and other accounting activities
• Ensure timely and accurate financial reporting, perform monthly and quarterly flux analyses for the balance sheet and income statement
• Assist with payroll accounting, including accruals, reconciliations, and period end close activities; ensure accurate recording of compensation expenses and related liabilities in compliance with GAAP and company policies
• Support JE for intercompany transactions and reconciliations across entities; ensure accurate eliminations and timely settlement
• Identify opportunities to improve financial and accounting processes, including systems, tools, software, and workflows
• Build and develop AP process for month end close activities, including accrual process and aged payable review 

• BA/BS in Accounting
• 4+ years of accounting experience ideally with some experience in a healthcare organization and/or high-growth startup  
• Experience working with GAAP accounting standards
• Proficiency with accounting software and ERP systems
• Strong Accounts Payable expertise, including invoice processing, vendor management, purchasing workflows, and process development 
• Ability to multitask, prioritize, and manage projects and tasks 
• Experience supporting building processes, procedures, and workflows that enable sustainable business scaling
• Ownership mindset – own driving results for the mission, business, and customer experience
• Strong collaboration skills with thought partners from engineering, design, data science, and operations
• Strong desire to work in an early stage startup environment that is fast paced, complex, and has minimal barriers to make decisions (no “red tape”)
• Passion for helping individuals experiencing complex chronic needs such as homelessness, severe mental illness, and substance use disorder

Bonus points for any of the following:

• Experience working with healthcare organizations in MSO/PC structures
• A CPA designation
• Familiarity with healthcare financial models, including per-member-per-month (PMPM), Medicare reimbursement, and shared savings arrangementsExperience with modern accounting, payroll, and business intelligence tools such as QuickBooks Online, NetSuite, Rillet, Rippling, Runway, Looker (or similar: Power BI, Tableau, etc.)
• Proven track record of supporting an accounting ecosystem (Financial ERP or payable software) implementations
• Prior experience working with external auditors 

• Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.

• Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.

• Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.

• Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.

• Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

Because We Value You

• Competitive salary: $120,000 - $140,000
• Equity compensation package
• Flexible vacation policy – take the time you need to recharge
• Comprehensive medical, dental, and vision coverage
• 401(k)
• 100% company-sponsored short and long-term disability and life insurance
• Subsidized backup childcare and caregiver supports through Wellthy
• Work entirely from the comfort of your own home
• Monthly $100 work from home expense stipend 
• We provide the equipment needed for the role
• Opportunity for rapid career progression with plenty of room for personal growth!