SENIOR ACCOUNTING AND FP&A MANAGER

Location: Minneapolis, MN
FLSA Status: Exempt
Job Status: Full Time
Work Model: Hybrid
Work Schedule: Monday–Friday with occasional evenings and/or weekends
Vehicle Required: No
Amount of Travel Required: Minimal
Positions Supervised: None
Reports To: Head of Finance and Accounting
At Reema Health, we believe that a personalized, community-based approach to care makes it easier for people to access what they need to live healthier, better lives. Life’s challenges often stem from systems that are complex and hard to navigate. Building relationships with real people who listen, meet members where they are, and connect them to community resources is at the heart of our mission.
We are seeking an experienced and detailoriented Senior Accountant who can balance hands-on accounting responsibilities with financial analysis and planning. This role will be instrumental in maintaining accurate financial records, supporting month-end close, delivering insightful reporting, building budgets and forecasts, and helping scale our financial processes as we grow.

Reporting to the Head of Finance and Accounting, the Senior Accounting Manager plays a critical role in:

• Ensuring accurate and timely accounting entries and financial reporting
• Establishing and maintaining scalable, GAAP compliant accounting processes to support rapid growth
• Implementing and optimizing financial systems
• Establishing and maintaining strong internal controls

Responsibilities:

• Manage day-to-day accounting operations, including general ledger, accounts payable/receivable, and reconciliations.
• Support monthly, quarterly, and annual close processes to ensure timely and accurate reporting.
• Assist with revenue recognition in accordance with ASC 606, particularly related to medical claims.
• Partner with the Head of Finance and Accounting on internal and external financial reporting, including KPI tracking and board materials.
• Prepare, monitor, and update budgets and rolling forecasts in partnership with department leaders.
• Conduct variance analysis and identify trends to inform strategic and operational decisions.
• Build and maintain financial models to support scenario planning, cash flow projections, and business cases.
• Help maintain internal controls, accounting policies, and procedures to ensure compliance and scalability.
• Support audits, tax filings, and compliance requirements (e.g., HIPAA, SOC2 where applicable).
• Assist in implementing and optimizing financial systems and tools to improve automation and data integrity.
• Collaborate cross-functionally to provide financial insights to non-finance stakeholders.
• Manage relationships with external auditors, tax advisors, and key vendors.

Requirements:

• Bachelor’s Degree in Accounting, Finance, or related field. CPA or CMA preferred
• 6+ years of progressive accounting/finance experience, with a blend of accounting operations and FP&A responsibilities.
• Proven experience preparing budgets, forecasts, and financial models.
• Strong technical accounting knowledge and working understanding of US GAAP, ASC 606, and internal controls.
• Experience conducting variance analysis and presenting findings to leadership.
• Systems-oriented, with proficiency in QuickBooks Online, NetSuite, or similar, plus strong Excel/Google Sheets skills.
• Strong business acumen with the ability to connect financial metrics to operational outcomes.
• Excellent organizational skills, attention to detail, and ability to meet deadlines in a fast-paced environment.
• Strong communication skills, with the ability to translate complex financial concepts to non-financial audiences.
• Experience with medical billing, claims adjudication, or revenue cycle management platforms.

Preferred Skills and Experiences:

• Familiarity with venture-backed companies, investor reporting, and strategic decision-making.
• Knowledge of equity accounting and experience with tools like Carta.
• Hands-on experience with system implementations or upgrades (e.g., QuickBooks Online, NetSuite, Bill, Ramp, Brex, RCM tools, or payroll providers).
• Strategic planning experience, particularly with high-growth companies or startups.

Benefits:

• Competitive Salary and Equity Package
• Medical, Dental, and Vision Insurance
• HSA, FSA, and Life Insurance Options
• 401(k) Retirement Savings with Company Match
• Employee Assistance Program
• Flexible Schedules and Remote Work
• Technology Stipend
• Accrued Paid Time Off
• Paid Family and Medical Leave

As an equal opportunity employer, Reema Health is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state and local laws.
Reema Health has reviewed this job description to ensure that essential functions and basic responsibilities have been included. It is intended to provide guidelines for job expectations and assess the prospective employee and/or current employees ability to perform the position described. It is not intended to be interpreted as an exhaustive list of all functions, responsibilities, skills, and abilities for this role. Additional functions and requirements may be assigned by supervisors as deemed appropriate

Reporting to the Head of Finance and Accounting, the Senior Accounting Manager plays a critical role in:

• Ensuring accurate and timely accounting entries and financial reporting
• Establishing and maintaining scalable, GAAP compliant accounting processes to support rapid growth
• Implementing and optimizing financial systems
• Establishing and maintaining strong internal control

Responsibilities:

• Manage day-to-day accounting operations, including general ledger, accounts payable/receivable, and reconciliations.
• Support monthly, quarterly, and annual close processes to ensure timely and accurate reporting.
• Assist with revenue recognition in accordance with ASC 606, particularly related to medical claims.
• Partner with the Head of Finance and Accounting on internal and external financial reporting, including KPI tracking and board materials.
• Prepare, monitor, and update budgets and rolling forecasts in partnership with department leaders.
• Conduct variance analysis and identify trends to inform strategic and operational decisions.
• Build and maintain financial models to support scenario planning, cash flow projections, and business cases.
• Help maintain internal controls, accounting policies, and procedures to ensure compliance and scalability.
• Support audits, tax filings, and compliance requirements (e.g., HIPAA, SOC2 where applicable).
• Assist in implementing and optimizing financial systems and tools to improve automation and data integrity.
• Collaborate cross-functionally to provide financial insights to non-finance stakeholders.
• Manage relationships with external auditors, tax advisors, and key vendors