Senior Revenue Accountant - AcuityMD

About AcuityMD

AcuityMD is the AI platform for MedTech trusted by over 500 MedTech companies – including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology.

In this role, you will own the day-to-day execution of revenue accounting as AcuityMD scales. You will make sure revenue is recognized accurately, on time, and in line with ASC 606 across subscription, usage-based, and professional services contracts. You will partner with Sales, RevOps, Legal, and Finance so complex deals are understood before they close, and you will help build the controls and processes that keep us audit-ready as we grow.

Responsibilities

• Revenue recognition: Apply ASC 606 to new and amended contracts, including performance obligations, standalone selling price allocation, contract modifications, and variable consideration for usage-based fees.
• Month-end and quarter-end close: Prepare revenue entries, deferred revenue schedules, and contract-level reconciliations on a predictable close calendar.
• Systems and data integrity: Maintain the sub-ledger flow between HubSpot and Rillet, reconcile contract data to revenue schedules, and flag gaps before they reach the close.
• Contract review and deal support: Review non-standard terms such as discounts, free or bundled services, and renewals and upsells, and give Sales and Deal Desk fast, clear guidance on revenue treatment.
• Commissions accounting: Support capitalized contract cost accounting under ASC 340-40, including amortization schedules and period-end true-ups.
• Audit readiness: Build and maintain support for revenue and deferred revenue balances, draft technical memos, and respond to auditor requests.
• Process improvement: Document procedures, tighten controls, and automate manual steps so the function scales without adding headcount at the same pace.
• Cross-functional partnership: Explain revenue implications in plain language to non-finance teams and help reduce close-time fire drills.

Your Profile

• Bachelor's degree in Accounting or Finance; CPA or CPA-eligible preferred.
• 4–6 years of revenue accounting experience in public accounting and/or a high-growth SaaS company.
• Hands-on ASC 606 experience with multi-element and usage-based contracts, including SSP analysis and contract modifications.
• Experience owning a revenue close, including deferred revenue roll-forwards and reconciliations.
• Comfort with cloud ERP and billing systems (Rillet experience a plus) and strong Excel or Google Sheets skills.
• Clear communicator who can explain GAAP to Sales, Legal, and executive stakeholders.
• Detail-oriented and proactive, with a bias toward improving the process, not only running it.

Nice to Haves

• B2B SaaS experience, ideally MedTech or another regulated vertical.
• Usage-based or hybrid pricing experience and the related ASC 606 implications.
• Experience with ASC 340-40 deferred commissions.
• Familiarity with HubSpot CRM and its integration to a revenue sub-ledger.
• Exposure to SOX scoping or public company readiness work.

We Offer

• Ground floor opportunity: Join a high-growth startup backed by world-class investors.
• Learning Budget: Reimbursements for relevant learning and up-skilling opportunities.
• Remote work: Full-remote flexibility for employees in the US with a remote office stipend.
• Flexible PTO: Generous time off and flexible hours.
• Paid Health, Dental, and Vision Plans: 100% paid health, dental, and vision plans for all employees and 75% for dependents.
• Home Office Stipend: $1,000 to invest in remote office equipment.
• Optional Team Retreats: In-person gatherings multiple times per year for co-working and social events.
• Parental Leave: 8-16 weeks of fully-paid, flexible parental leave.