Accounting Manager at Abby Care in San Francisco, CA

About Abby Care: Powering the future of care at home for all of America.

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.

We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.

Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.

We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.

Join us in solving one of the most important challenges of our time.

The Opportunity:

We’re at an exciting inflection point here at Abby Care, as we increase our ability to support family caregivers at scale, our teams that support this work are also growing. We are looking to expand our finance and accounting team and are hiring an Accounting Manager to own day-to-day accounting operations and help us rebuild how our work gets done. Reporting to the Controller, in this newly created role you will support our month end close process by performing critical tasks and analyses, contributing to our overall objective of providing timely and accurate financial results. In this highly visible and cross functional role, you will help Abby Care evolve from early stage finance processes to a modern, audit-ready accounting function in a high-growth environment where creative problem solving is highly valued.

You bring a bias for action to all that you do, and are equally comfortable rolling up your sleeves or taking a step back to assess the bigger picture. Naturally curious, you see the through line, connecting the impact accounting has on the overall goals of our organization. You have an ownership mentality, demonstrate strong accountability and hold yourself and others accountable on progress to goals. Technically strong, you bring solid financial skills to the table, enhanced by a passion for new tools, systems and technologies. If you are excited about joining a team that has a true impact in transforming care delivery, we’d love to hear from you.

What You'll Work On:

• Own the monthly financial close processes, including preparing and reviewing journal entries, account reconciliations, reporting, and flux analyses
• Prepare financial statements along with business commentary
• Manage accounts payable and global disbursements
• Support the annual external audit (2028)
• Provide support for tax/compliance filings
• Collaborate cross functionally to ensure business activities are captured appropriately
• Proactively identify issues and assist in optimizing systems and automation of accounting processes
• Aid in the development, implementation, and documentation of new policies and procedures
• Assist with special projects as needed; driving projects to completion

What You'll Have:

• Bachelor’s degree in Accounting or Finance or equivalent work experience; CPA or CPA candidate is a plus
• 4+ years of progressive accounting experience; public accounting experience a plus
• Experience in a high growth, fast-paced startup environment
• Familiarity with ASC 606/954 for healthcare companies a plus
• Experience with ERP and finance software and tools
• Ability (or willingness) to leverage AI to build workflows to improve data quality and process efficiency
• Strong systems orientation, with experience using ERPs and modern finance tools
• Intermediate Excel (or similar) skills and comfort working with large datasets
• Strong attention to detail, accuracy and data integrity; excellent reconciliation skills
• Ability to think independently, maintain tight deadlines, and solve problems proactively
• Ability to navigate ambiguity and prioritize appropriately

What Success Looks Like:

• At 6 months:

  • Accounting is transitioned in-house from the outsourced accounting firm.
  • AP / CC / Reimbursement processes are controlled and low friction.
  • Month end close is predictable and efficient, and financials are accurate.

• At 12 months:

  • We are ready for our first financial audit.
  • Systems are optimized and AI is leveraged to automate simple and routine tasks.
  • Solid business partnership is established with FP&A, Legal, People, InfoSec, and Operations

Benefits:

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work.
• Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.
• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Our Values

1. Families FirstRedefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
2. Urgency with PrecisionMillions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand**.**
3. Relentlessly ResourcefulAs an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
4. Purpose with PositivityWe take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.
5. Driven to Redefine What’s PossibleWe are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.

Automated Decision Tools

Abby Care may use automated decision tools to help match and rank candidate work experience, education and skills found in online profiles, resumes and job applications against job requirements. We believe that these tools help ensure objective, data-based decisions during the hiring process, however, all Abby Care hiring decisions involve final human review and input. If you have questions or would like to request an alternative process, contact talent@abbycare.org.