Accounting Manager
Fabric
Accounting & Finance, Sales & Business Development
New York, NY, USA · Remote
USD 140k-170k / year + Equity
Posted on Nov 19, 2025
Accounting Manager
New York City • Remote
Finance
Remote • Remote
Full-time
About Fabric Health
At Fabric Health, we're not just building technology; we're fixing healthcare's capacity problem. Our mission is to power healthcare to move faster, work smarter, and deliver better care, creating seamless, intuitive experiences that simplify and unify virtual and in-person care for thousands of providers and millions of patients nationwide. We're a team of brilliant, thoughtful minds, deeply motivated by improving patient and provider lives, and we believe technology can truly enhance the US healthcare system.
Trusted by leading healthcare organizations: Our customers include Luminis Health, OSF HealthCare, MUSC Health, and Intermountain.
We are backed by leading investors such as Thrive Capital, GV (Google Ventures), General Catalyst, Salesforce Ventures, Vast Ventures, BoxGroup, and Atento Capital. We value working quickly for good reason, listening deeply to solve big challenges, and building products like we would for loved ones.
About the Role
The Accounting Manager will be an integral member of the Finance team at Fabric, reporting directly to the Controller. This is a pivotal role responsible for managing the general ledger and overseeing the entire monthly financial statement close process. You will lead and supervise the existing accounting team and drive continuous process improvement initiatives to enhance departmental efficiency and scalability.
What You'll Do
As Accounting Manager, you will be the core driver of financial accuracy, integrity, and efficiency. Your primary responsibilities will include:
- Financial Close & Reporting: Perform timely and accurate month-end close, managing financial closing activities (including foreign entities), consolidation, balance sheet account reconciliations, and journal entries.
- Team Leadership: Supervise the existing accounting team and oversee daily accounting operations, ensuring all tasks are executed efficiently and accurately.
- Process Improvement: Lead efforts to build out new workflows and structure, actively addressing and improving month-end close processes to drive operational efficiency.
- Technical Accounting: Identify, research, and document Fabric’s technical accounting policies. Evaluate complex business transactions to ensure proper U.S. GAAP accounting treatment.
- Audit & Compliance: Coordinate with external auditors to drive timely closure of deliverables and technical accounting matters.
- Strategic Projects: Assist with financial due diligence and integration of M&A transactions as needed, and support the Controller with other ad hoc projects.
Why You Might Be a Good Fit
- You are a process-driven leader with a clear focus on operational efficiency and building new structures and workflows.
- You possess a thorough knowledge of U.S. GAAP and enjoy the challenge of identifying and documenting complex technical accounting policies.
- You are passionate about building a fast-growing company and are comfortable working in a fast-paced dynamic environment.
- You are an excellent analytical thinker, highly inquisitive, and adept at managing complex financial processes.
- You are excited by the opportunity to provide direct supervision, mentorship, and leadership to an accounting team.
This Might Not Be The Right Fit If...
- You prefer a slow-paced environment and are not comfortable with the ambiguity and change inherent in a fast-growing company.
- You are seeking a purely individual contributor role and are not interested in providing direct supervision and mentorship.
- You lack hands-on experience with cloud-based ERP systems.
- You are not comfortable evaluating complex business transactions and documenting technical accounting policies.
Your Qualifications
- Bachelor’s degree in accounting or related field.
- At least 6–8 years of experience combined from public accounting and private companies.
- Thorough knowledge of U.S. GAAP, including familiarity with revenue recognition and stock-based compensation.
- Experience with cloud-based ERP is required.
- Process-driven with a focus on operational efficiency.
- Excellent analytical skills and highly inquisitive.
- Passion for building a fast-growing company and comfortable working in a fast-paced dynamic environment.
Bonus Points
- CPA certification.
- Excellent technical writing skills.
The national pay range for this role is $140,000.00– $170,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, stock options and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.
Learn more about Fabric
At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.
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Req ID: 231