Accounting Lead

Healthcare is broken at the first step: patients cant find the right care understand what it costs or access the medications they need. Mochi Health is fixing this.

Were building an AI-driven marketplace that makes healthcare discoverableconnecting patients to the right providers transparent pharmacy pricing and affordable medications. Over the past few years weve grown rapidly by combining clinical expertise with technology that actually works for real people not just hospital systems.

Our platform does what legacy healthcare cant: it gives patients transparent pricing before they pay personalized medication management that follows them across providers and long-term access to their own medical records. Were proving that healthcare can be more affordable more human and far more intuitive than what exists today.

Join a team thats rebuilding healthcare from the patient up. At Mochi Health youll work alongside people who value bold thinking inclusive collaboration and getting meaningful work into the world. If you want to do the most impactful work of your career this is where to do it.

$150000 - $200000
Full-time / Onsite (5 days/week)

About The Role

We are seeking an exceptional Accounting Lead to build and scale our accounting function in a high-growth environment. This role will own end-to-end accounting operations with responsibility for people processes and systems. You will play a critical role in establishing scalable infrastructure ensuring financial accuracy and supporting executive leadership board reporting and investor needs.

What Youll Do

• Own and scale the day-to-day accounting function including month- quarter- and year-end close
• Manage all core accounting operations including accounts payable and receivable payroll general ledger and cash management
• Prepare and review monthly financial statements (Profit & Loss Balance Sheet Cash Flow) and perform detailed flux and variance analysis
• Maintain a clean and accurate general ledger ensuring strong historical financial integrity and reconciling legacy data as needed
• Partner closely with executive leadership to support management reporting board materials and investor presentations
• Design implement and continuously improve internal accounting processes policies and controls to support scale
• Manage annual federal and state tax filings and coordinate with external tax advisors
• Serve as the primary point of contact for audits including managing external auditors and ensuring timely completion
• Lead ad hoc financial and operational projects in support of company growth

Who You Are

• 10 years of progressive accounting experience including ownership of full-cycle accounting
• Demonstrated ability to independently manage and scale accounting operations in a high-growth environment
• Strong knowledge of U.S. GAAP and financial reporting best practices
• Bachelors degree in Accounting Finance or a related field
• Experience supporting executive leadership board reporting and investor communications
• High integrity professionalism and discretion in handling confidential and sensitive information
• Experience leading or managing audits
• Experience with ERP selection design and implementation
• Prior experience in venture-backed or technology-enabled companies

Nice to Have

• CPA or equivalent certification

Life at Mochi

At Mochi we believe your best work happens when you feel your bestso weve designed an environment that fuels your creativity supports your growth and makes every day exciting.

Daily Meals and Espresso Bar -Breakfast lunch and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day

Pre-Tax Commuter Perks -Save on transit and parking through pre-tax commuter benefits

Top-of-Market Compensation -We offer competitive salaries along with generous equity packages so you can share in the success you help create

Profitable and Rapid Growth -Were scaling fast with financial discipline and long-term vision. No VC constraints just sustainable momentum and smart decisions

High-Impact Work -Help shape the future of digital healthcare. Your work here directly improves lives and scales nationwide

World-Class Team -Collaborate with teammates from Tesla SpaceX Citadel Harvard IIT and more. We value excellence humility and empathy in equal measure

Comprehensive Benefits -401(k) with match generous time off life insurance and high-quality medical dental and vision plans

Mochi Health Membership We cover your monthly subscription fee so you can experience the same care as our patients (medications not included)

Time to RechargeEnjoy unlimited PTO generous company holidays and true flexibility. We trust you to take the time you need to rest reset and thrive

Wellness FirstFrom weekly mindfulness sessions to group workouts and fitness perks your physical and mental health are top priority

Team Socials and Community -We make time to connect through regular socials happy hours and spontaneous events. Our stocked kitchen doesnt hurt either

Downtown SF HQ -Our San Francisco office is just steps from BART Muni and great food. Its designed for deep work and casual collaboration

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The base salary for this full-time position ranges from $150000 to $200000 in addition to benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors such as job-related skills experience relevant education or training and location.

LI-Onsite

Workplace Policy

Mochi Health is an in-person company based in San Francisco CA. Our team works together in person five days a week to foster collaboration innovation and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve.

Equal Opportunity

Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran disability status or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment including hiring.

Candidate Privacy Notice

Please review Mochi Healths Candidate Privacy Notice here.

Accommodations

Mochi Health complies with the Americans with Disabilities Act (ADA) as amended by the ADA Amendments Act and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law.

If you need any assistance or accommodations due to a disability please contact us at .