Director, Accounting

firsthand

United States

December 03, 2025

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Director, Accounting

Remote, US
Support – Finance /
Full Time /
Remote
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health.

firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI.

We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun.


The Director of Accounting will lead the accounting function for firsthand, ensuring accurate financial reporting in compliance with US GAAP and supporting ad hoc reporting for key business stakeholders. This role will contribute to professionalizing the finance and accounting functions, develop and implement robust financial systems, reporting, and internal controls to support expansion, and drive the monthly and quarterly close process. This role will serve as a trusted advisor to leadership and help shape the financial foundation that supports firsthand’s growth.

As Director of Accounting, you will:

    • Oversee day-to-day accounting operations and ensure timely and accurate month-end and year-end financial reporting.
    • Coordinate and support internal and external audits, including providing necessary documentation and addressing audit findings.
    • Drive the implementation and ongoing adherence to ASC 606, ensuring accurate revenue recognition and reporting.
    • Collaborate with internal and external stakeholders to address ASC 606-related issues and provide guidance on complex revenue recognition scenarios.
    • Develop, implement, and monitor internal controls to safeguard company assets and ensure accurate financial reporting.
    • Assist in budgeting and forecasting processes, ensuring alignment with organizational goals and healthcare industry dynamics.
    • Identify opportunities for process improvements and efficiency gains within the accounting function.
    • Assist with financial statement audits, tax reporting, and developing strong internal processes & controls.
    • Shape the future of firsthand’s Finance & Accounting teams by implementing best-in-class systems and processes.

You will be a good fit if you have:

    • Experience in healthcare accounting, including familiarity with payer contracts, risk-based healthcare arrangements, and reimbursement models.
    • Bachelor’s or Master’s degree in Accounting, Finance, or related field; CPA or equivalent professional certification preferred.
    • Strong understanding of GAAP, audit processes, and internal control frameworks.
    • Proficiency in accounting software and ERP systems; experience with Sage Intacct is a plus.
    • Strong attention to detail, accuracy, and accountability.
$160,000 - $170,000 a year
Benefits 

For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.

Vaccination Policy

Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.

New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed.

Unfortunately, we are not able to offer sponsorship at this time.
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