Senior Accountant

Sword Health is on a mission to free two billion people from pain. With 67% of members achieving a pain-free life and a 70% reduction in surgery intent, at Sword, we are using AI Care to change lives, and save millions for our 25,000+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $400 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2025, this award highlights our focus on being a destination for the best and brightest talent. Not only have we experienced unprecedented growth since our market debut in 2020, but we’ve also created a remarkable mission and value-driven environment that is loved by our growing team. With a recent valuation of $4 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our global impact.

Joining Sword means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 1000+ (and growing!) talented colleagues, spanning three continents. Your charge? To help us build a pain-free world, powered by AI, enhanced by people — accessible to all.

What you’ll be doing:

• Prepare and record accounting entries according to the deadlines of the group and US GAAP rules;
• Support month-end and year-end close processes;
• Prepare and participate in external audit requests;
• Develop process and technical documentation;
• Plays an integral role in the development, implementation and maintenance of the financial accounting systems;
• Provides management and their team with meaningful, accurate and timely financial information and reports as requested;
• Ability to effectively present information and respond to questions from Management and cross functional teams;
• Participate in the interim and annual audits for the Group;
• Perform other accounting and controller duties and support junior staff as required or assigned.

What you need to have:

• University degree in Finance, Economics, Accounting or any related field;
• Working experience +4 years;
• Fluent in English (written and spoken);
• Experience with month-end/year end close processes in complex multi-national and multi-currency frameworks;
• Independent handling of a variety of tasks with different levels of complexity and organising work efficiently;
• Good communication skills, able to build relationships with internal and external stakeholders.
• Endurance and flexibility, when facing problems;
• Taking ownership of assigned responsibilities, including self-study/research needed to execute the same;
• Very high attention to detail; organized and thorough with a desire for continuous improvement and improve pain-points;
• Curious, enthusiastic, proactive, strong team player.

What we would love to see:

• Comfort with Finance and Accounting principles (local GAAP, US/IFRS will be a plus) and good financial statement analysis ability;
• Interest in building a career in accounting or finance within a fast-paced environment;
• Experience with accounting, R2R and ERP tools (e.g. NetSuite, NAV, SAP, Primavera, etc.).

To ensure you feel good solving a big Human problem, we offer:

• A stimulating, fast-paced environment with lots of room for creativity;
• A bright future at a promising high-tech startup company;
• Career development and growth, with a competitive salary;
• The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare;
• A flexible environment where you can control your hours (remotely) with unlimited vacation;
• Access to our health and well-being program (digital therapist sessions);
• Remote or Hybrid work policy.
• To get to know more about our Tech Stack, check here.

*This range includes base, variable and equity*

These compensation bands are just the starting point. Once someone joins and proves they’re outlier talent, we adjust quickly to ensure their compensation aligns with their impact.

Our job titles may span more than one career level. Actual pay is determined by skills, qualifications, experience, location, market demand, and other factors. Compensation details listed in this posting reflect the base salary and any potential variable, bonus or sales incentives, and the Company’s estimation of the value of private company stock options, if applicable. The pay range is subject to change, future value of company stock options is not guaranteed, and compensation may be modified in the future. In addition to our total compensation, Sword offers a number of benefits as listed below.

Portugal - Sword Benefits & Perks:

• Health, dental and vision insurance
• Meal allowance
• Equity shares
• Remote work allowance
• Flexible working hours
• Work from home
• Discretionary vacation
• Snacks and beverages
• English class

Note: Please note that this position does not offer relocation assistance. Candidates must possess a valid EU visa and be based in Portugal.

Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.