Technical Accounting Manager

About Abridge

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the SoHo neighborhood of New York, the Mission District in San Francisco, and East Liberty in Pittsburgh.

The Role

We are seeking an experienced and highly analytical Technical Accounting Manager to drive research and application of complex accounting policies in a fast-paced, AI-driven environment. If you have at least one year of experience as a Manager in Assurance at a Big 4 audit firm, this is an opportunity to leverage your technical expertise in an innovative setting. You will be responsible for developing policies, crafting memos, ensuring compliance, and building the foundation for scalable financial reporting.

As a key member of our finance team, you will oversee the interpretation and implementation of evolving accounting standards, manage audits, and provide strategic accounting guidance.

You must be able to work in the office (hybrid schedule) in San Francisco.

What You’ll Do

Research & Apply Complex Accounting Policies

• Serve as the company’s technical accounting expert, providing clear guidance on complex accounting matters.

• Draft technical accounting memos to support financial reporting decisions and ensure compliance with US GAAP and international accounting standards.

• Develop and maintain corporate accounting policies to ensure consistency and compliance with regulatory standards.

• Proactively monitor changes in accounting regulations and assess their impact on the company.

Lead Internal Controls & Audit Readiness

• Develop and implement robust internal control frameworks to ensure financial integrity and compliance.

• Project manage external audits, coordinating with auditors and internal stakeholders to facilitate a seamless audit process.

• Support initiatives to enhance financial controls and compliance as the company scales, including future SOX readiness.

Other Responsibilities

• Enhance financial reporting efficiency through automation and technology-driven solutions.

• Refine process documentation to ensure consistency and operational clarity.

• Manage the administration of the company’s equity compensation plans, ensuring compliance with regulatory requirements.

• Assist in accounting considerations for M&A transactions, financing deals, and other complex business arrangements.

• In the future, you will lead the preparation and filing of SEC reports (10-Q, 10-K, and other filings), ensuring accuracy, timeliness, and adherence to regulatory standards.

What You’ll Bring

• Big 4 Background: At least 1 year as a Manager in Assurance at a Big 4 audit firm, with a strong foundation in technical accounting.

• Technical Accounting Expertise: Extensive experience with US GAAP, including ASC 606 (Revenue), ASC 718 (Stock-Based Compensation), ASC 805 (Business Combinations), and ASC 470-480 (Financing Transactions).

• SEC Reporting Experience: Hands-on experience preparing and filing SEC reports, including 10-Q and 10-K filings.

• Audit & Compliance Leadership: Proven ability to manage audits, implement internal controls, and ensure financial compliance.

• Process & Technology Focus: Ability to improve financial processes through automation and scalable solutions.

• Strong Analytical & Communication Skills: Ability to translate complex accounting concepts into clear, actionable insights.

• Scalability & Growth Preparation: Experience supporting initiatives for enhanced financial controls and compliance in a growing company.

• Systems Proficiency: Experience with financial systems such as QuickBooks, Salesforce, and payroll tools like Rippling is a plus.

Why Work at Abridge?

At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

How we take care of Abridgers:

• Generous Time Off: 13 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees.

• Comprehensive Health Plans: Medical, Dental, and Vision plans for all full-time employees. Abridge covers 100% of the premium for you and 75% for dependents. If you choose a HSA-eligible plan, Abridge also makes monthly contributions to your HSA. 

• Paid Parental Leave: 16 weeks paid parental leave for all full-time employees.

• 401k and Matching: Contribution matching to help invest in your future.

• Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.

• Learning and Development Budget: Yearly contributions for coaching, courses, workshops, conferences, and more.

• Sabbatical Leave: 30 days of paid Sabbatical Leave after 5 years of employment.

• Compensation and Equity: Competitive compensation and equity grants for full time employees.

• ... and much more!

Diversity & Inclusion

Abridge is an equal opportunity employer. Diversity and inclusion is at the core of what we do. We actively welcome applicants from all backgrounds (including but not limited to race, gender, educational background, and sexual orientation).

Staying safe - Protect yourself from recruitment fraud

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.