Chief Accountant

PaxeraHealth
Newton, MA

We are seeking an experienced Chief Accountant to join our growing medical imaging and healthcare technology organization. This role is critical to maintaining the financial strength of the company by overseeing core accounting operations, ensuring accurate financial reporting, and supporting leadership with reliable, timely financial data.

The ideal candidate is detail-oriented, highly organized, and brings experience from healthcare, SaaS, or technology-driven environments, with a strong understanding of multi-entity and multi-currency accounting.

What You’ll Do

Accounting & Financial Operations

  • Oversee daily accounting activities including general ledger, AP, AR, payroll coordination, and bank reconciliations

  • Manage accurate and timely monthly, quarterly, and annual close processes

  • Maintain the chart of accounts and accounting policies in accordance with U.S. GAAP

Financial Reporting & Compliance

  • Prepare and review financial statements and management reports

  • Ensure compliance with U.S. GAAP, internal policies, and applicable healthcare regulations

  • Support audits, tax filings, and regulatory reporting

Internal Controls & Process Improvement

  • Develop and maintain internal controls to safeguard company assets

  • Identify opportunities to improve workflows, automation, and efficiency

  • Ensure strong documentation and audit trails across accounting processes

Leadership & Collaboration

  • Partner closely with the CFO, Controller, and executive leadership

  • Provide insights on revenue recognition, contracts, projects, and operational performance

  • Mentor and support accounting team members as needed

Industry & Global Accounting Support

  • Support accounting for medical imaging solutions, software licensing, services, and long-term projects

  • Assist with multi-currency transactions, international entities, and intercompany accounting

  • Collaborate with operations and project teams to ensure accurate cost and revenue alignment

What We’re Looking For

Education & Experience

  • Bachelor’s degree in Accounting, Finance, or related field (required)

  • Minimum 5 years of accounting experience

  • Hands-on experience with QuickBooks Online (required)

  • Knowledge of U.S. GAAP and SaaS revenue recognition principles

  • Experience with multi-currency and multi-entity accounting

Skills & Abilities

  • Strong analytical and problem-solving skills

  • Excellent written and verbal communication

  • Exceptional attention to detail and organizational skills

  • Advanced proficiency in Excel and accounting software

  • Ability to manage multiple priorities in a fast-paced environment

  • Professional, proactive, and solutions-oriented mindset

Posted 2026-02-10

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