Senior Accountant


Full Time Senior-level / Expert
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Grand Rounds
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This position will support accounting compliance requirements under GAAP, SOX and all other authoritative guidance published by FASB, AICPA, SEC and the PCAOB, as well as provide direct External Audit interface for the company. 


  • Responsible for account analysis and reconciliations, financial reporting, variance analysis, monitoring integrity of system generated calculations, and interfacing with budget owners and other stakeholders to provide business solutions that comply with accounting guidelines and meet business objectives.
  • May design, modify, and/or maintain general accounting systems to provide records of assets, liabilities, and financial transactions.
  • Calculate and submit journal entries for approval.
  • Evaluate accounting issues, conduct research to identify applicable accounting guidance and support prep of position papers documenting issues, facts and conclusions for issues identified.  Comprehend and be responsible for complex accounting items, including but not limited to Revenue Recognition, accounting for internally and externally developed software development, lease accounting, etc.
  • Play a key role in driving the ongoing development/establishment of accounting policies and procedures and operational strategies including the review and implementation of process and system changes.
  • Support monitoring and validation efforts for internal controls.
  • Provide hands on support for varying projects.
  • Directly assist with payroll accounting, including but not limited to resolution of variances to payroll reporting and payroll tax compliance

Required Skills/Education

  • Bachelor’s Degree or Higher in Accounting or Finance
  • CPA 
  • Must be a team player who is detail-oriented, flexible and willing to work in a dynamic environment. 
  • Good organization, communication, analytical, problem-solving, leadership and customer service skills are required.
  • MS Office, Word, Advanced Excel skills, Google Suite

Preferred Experience

  • 3-5 years prior work experience in an accounting position
  • Workday system competency
  • Ability to prioritize work and handle multiple projects.
  • Big 4 Experience
  • Healthcare Experience
  • Payroll Experience
  • IPO Experience
About Grand Rounds Health, Doctor On Demand and Included Health:Grand Rounds Health, Doctor On Demand and Included Health merged in 2021 to form the first of its kind integrated virtual care company to raise the standard of healthcare. Our personalized, longitudinal care services include primary care, specialty care, integrated behavioral health, everyday and urgent care, chronic condition management and prevention and 24/7 triage. We get members to the right care, at the right time through ongoing clinical navigation, expert medical opinions and care coordination.
Partnering with leading employers and health plans, we deliver unparalleled, end-to-end care. Our combined nationwide practice of dedicated clinicians and innovative data science and technology platforms provide better care experiences, better member satisfaction, and better outcomes and cost savings for our nearly 100 million covered lives across commercial, Medicare and Medicaid. 
Headquartered in San Francisco, the combined company has been recognized as a 2020 UCSF Digital Health Award winner for Employer Wellness and 2021 Best Workplaces in Healthcare and Biopharma™ by Great Place to Work and Fortune. Learn more at and
-----Grand Rounds Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Grand Rounds Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.
Job region(s): Worldwide/Anywhere
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