Thalamus is the market leader in graduate medical education recruitment technology, empowering over 8,000 residency and fellowship programs at 800+ health systems and all new physicians throughout the US annually. As we expand beyond GME into broader physician recruitment, our unique dataset—spanning the full profiles of residency/fellowship applicants and programs—positions us to revolutionize hiring in healthcare through AI/ML and data-driven insights. This furthers our mission to ensure the right doctor ends up at the right hospital to treat the right patients.
About the Role
We are seeking a hands-on Senior Accountant to join our growing finance team and help us advance along our Finance Maturity Roadmap. This role is mission-critical: ensuring timely, accurate GAAP-compliant closes, preparing for audits, supporting ERP integration, and partnering with the Controller to establish and maintain strong internal controls and compliance. You’ll be both a builder (standing up scalable processes) and an operator (executing closes, reconciliations, AR/AP, and controls).
What You Will AchieveMonth-End Close
Prepare and review journal entries, reconciliations, accruals, and variance analyses.
Ensure closings are timely, accurate, and GAAP-compliant.
Accounts Receivable / Accounts Payable
Manage AR processes, including invoicing, collections, and revenue application.
Oversee AP processes, including vendor management, expense reports, and payment runs.
Perform account reconciliations for AR, AP, and related balance sheet accounts.
Compliance & Audit Readiness
Maintain GAAP accounting policies and ensure ASC 606 compliance for revenue recognition.
Prepare audit schedules, supporting documentation, and internal control evidence.
Operations & Partnership
Partner with the Controller on higher-level tasks and provide coverage as needed.
Support cash flow management, reconciliations, and expense reporting.
Automation & ERP Implementation
Contribute to ERP rollout (Campfire w/ HubSpot integration) and help automate manual workflows.
Develop scalable processes and finance scorecards that support business growth.
You should have…
Bachelor’s degree in Accounting/Finance.
Recent start-up experience
At least 2–3 years of experience at a Big 4 public accounting firm and 2–3 years in a startup or high-growth environment (recent experience preferred).
Prior experience preparing for financial audits in a SaaS or high-growth setting.
Strong knowledge of GAAP and ASC 606 with practical application experience.
Hands-on ERP/accounting system experience with QuickBooks, Campfire/HubSpot, and Ramp.
Proficient in Excel for reconciliations, reporting, and analysis.
Comfortable in a scaling environment: capable of both executing tactical tasks and building long-term processes.
Bonus
- CPA or CPA track
The salary range for this position is $105,000 - $123,000 and a grant of stock options. Final compensation will be determined based on experience, skills, and geographic location.
Thalamus is a mission-driven organization centered on the belief that our company should model what we want of the US healthcare system, that the diversity of providers aligns with patient populations. We believe this is best achieved by building a team with a diversity of backgrounds, cultures, and experiences, including “distance traveled.” Thalamus is an equal opportunity employer. We do not discriminate based upon race, religious creed, color, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status (including registered domestic partnership status), sex and gender (including pregnancy, childbirth, lactation, and related medical conditions), gender identity and gender expression (including transgender individuals who are transitioning, have transitioned, or are perceived to be transitioning to the gender with which they identify), age, sexual orientation, Civil Air Patrol status, military and veteran status, and any other consideration protected by federal, state, or local law. We encourage those who really want to make an impact and who exemplify our core values to apply for our open positions.
Actual base salary offered will be determined by: experience, skills, and work location. This range is for base salary, our total compensation includes equity and benefits. We welcome you to apply even if your expectations are outside our listed range.
Thalamus is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application procedures and throughout employment. If you need assistance or any accommodation, please let us know.
Thalamus does not accept unsolicited resumes from recruiters or employment agencies without a fully executed recruitment agreement in place. In the absence of such agreement, Thalamus reserves the right to pursue and hire any candidates without an obligation to pay fees. Agencies are requested not to contact Thalamus hiring managers or employees regarding recruiting services.
*This position is based in the United States, and you must be legally authorized to work in the United States.
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