Senior Accountant-US

About this role

Mission

Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.

In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.

Role Purpose

We're looking for a Senior Accountant to own general ledger accounting for the management company and support the full accounting cycle, from journal entries through financial statement preparation. This role is a strong fit for someone who wants exposure across close, consolidation, and process improvement, and who's comfortable working cross-functionally with Finance, HR, and Operations.

What you'll do in the first 6-12 Months

- Perform general ledger accounting for the management company, including journal entries, account reconciliations, and accruals.

- Prepare monthly, quarterly, and annual financial statements.

- Support multi-entity consolidation, including intercompany eliminations and reconciliations.

- Handle day-to-day bookkeeping, including accounts payable, accounts receivable, and expense allocations.

- Support month-end and year-end close processes, ensuring timely and accurate reporting.

- Maintain bank reconciliations and monitor cash flows.

- Support external audits and tax filings by preparing schedules and documentation.

- Maintain accounting policies, procedures, and internal controls.

- Collaborate with cross-functional teams (Finance, HR, Operations) to ensure accurate reporting of corporate activity.

- Identify opportunities to streamline accounting processes and implement best practices.

Minimum Requirements

- Advanced degree in Accounting, Finance, or a related field.

- 4-6 years of experience in corporate or management company accounting, with a background in audit or a related role.

- Experience with multi-entity consolidation and intercompany accounting.

- Strong command of accounting principles, financial analysis, and reporting standards.

- Proficiency in Business Central, plus advanced Excel skills.

- Curious, ambitious, and eager to work across various finance functions.

- Strong communicator with the ability to work collaboratively across teams.

- CPA preferred.

About titles at Neko

We use a simplified internal title framework that prioritises clarity over hierarchy, so internal titles may differ from market‑facing role titles. Scope, impact and level of the role are fully aligned and will be clearly discussed throughout the process.

Hiring Process

Candidates progress from application and structured screening through thoughtfully designed interviews culminating in a formal offer and final pre-employment checks before joining the team.

Equal Opportunity & Inclusion Statement

Neko Health is committed to inclusive hiring and member-first care. We welcome candidates from all backgrounds and encourage you to request reasonable adjustments to support your application.

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