Senior Accountant

Opportunity Overview:

We are seeking a Senior Accountant to join the Cohere Health finance team. This position will play an integral role on the team reporting directly to the Controller and broadly to the CFO. You will drive accounting functions including general ledger accounting and financial reporting the month-end close process technical accounting analysis including ASC 606 for new revenue deals audit support and finance operations oversight including travel & expense cash management customer billing accounts payable and accounts receivable. This role is a great opportunity to touch all areas of the general ledger gain exposure to senior leadership and work at an exciting and rapidly growing Series C company sitting at the crossroads of technology and healthcare. 

What you’ll do:

• Calculate and record journal entries to the general ledger in accordance with U.S. GAAP
• Drive the month-end close cycle including preparing and reviewing account reconciliations for cash accounts receivable prepaid assets fixed assets intangible assets and goodwill debt commissions accruals leases and equity
• Support the annual financial statement audit process
• Partner with the Cohere India finance team to record intercompany and consolidation entries
• Perform and document technical accounting analysis including ASC 606 analysis and maintain accounting policies
• Support customer billing and invoice generation
• Drive process improvement system implementations and technology adoption including applicable uses of artificial intelligence in the accounting function
• Support cash flow management and working capital analysis to plan and manage liquidity needs
• Support finance operational areas including accounts receivable accounts payable and travel & expense management

What you’ll need:

• Bachelor’s degree in accounting with a demonstrated high level of academic success
• 3-5 years of relevant experience in public accounting industry accounting or similar role
• Proficient knowledge of U.S. GAAP and technical accounting including ASC 606 ASC 842 and internally developed software accounting
• Passionate about process improvement and technology adoption including the use of artificial intelligence
• Intermediate level knowledge of all accounting functions and related internal controls
• Highly skilled in using Microsoft Excel 
• Organized productive and detail oriented  
• Ability to meet designated deadlines and manage multiple projects to completion 
• Able to function independently in a fast-paced environment while managing multiple priorities 
• Exercises superior judgment discretion interpersonal skills and communication skills to effectively work and communicate on sensitive and confidential issues 
• Big Four public accounting experience and/or CPA strongly desired plus
• Experience with NetSuite plus
• Experience with multinational reporting and consolidation accounting plus

Pay & Perks:

💻 Fully remote opportunity with about 5% travel

🩺 Medical dental vision life disability insurance and Employee Assistance Program 

📈 401K retirement plan with company match; flexible spending and health savings account 

🏝️ Flex Time Off + company holidays

👶 Up to 14 weeks of paid parental leave 

🐶 Pet insurance  

The salary range for this position is $90000 to $100000 annually; as part of a total benefits package which includes health insurance 401k and bonus. In accordance with state applicable laws Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors including but not limited to qualifications for the role experience level skillset and internal alignment. This role is not eligible for hire in: AK CA CO HI NY or WA.

Interview Process*:

1. Connect with Talent Acquisition for a Preliminary Phone Screening
2. Meet your Hiring Manager!
3. Behavioral Interview(s)

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs optimizing the speed cost and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy prior authorization payment accuracy and more–the company improves collaboration and reduces burden resulting in up to 8x ROI and 94% provider satisfaction. 

With the acquisition of ZignaAI we’ve further enhanced our platform by launching our Payment Integrity Suite anchored by Cohere Validate™ an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation we’re creating a transparent healthcare ecosystem that reduces waste improves payer-provider collaboration and patient outcomes and ensures providers are paid promptly and accurately.

Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025) and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management Define Ventures Flare Capital Partners Longitude Capital and Polaris Partners. 

The Coherenauts as we call ourselves who succeed here are empathetic teammates who are candid kind caring and embody our core values and principles. We believe that diverse inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive growth-oriented environment that works for everyone.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement: 

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.  To us it’s personal.

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What We Do

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs optimizing the speed cost and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy prior authorization payment accuracy and more–the company improves collaboration and reduces burden resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI we further enhanced our platform by launching our Payment Integrity Suite anchored by Cohere Validate™ an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation we’re creating a transparent healthcare ecosystem that reduces waste improves payer-provider collaboration and patient outcomes and ensures providers are paid promptly and accurately.Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list the 2025 Inc. 5000 list in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025) and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.

Why Work With Us

Cohere Health brings together a community of healthcare and technology team members passionate about changing the challenging parts of healthcare. If you enjoy solving challenging problems and learning about healthcare then Cohere Health is a great career choice.

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