Revenue & 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 Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

THE ROLE

We're looking for a Revenue & Technical Accounting Manager to own how Abridge accounts for its most complex arrangements, and to design the agentic systems that let a lean team do that work at scale.

Abridge's AI is used by clinicians at hundreds of health systems. As we grow into a multi-product platform, our commercial and business operations are becoming more sophisticated, and each one brings new accounting challenges.

The role has three parts:

- Revenue accounting. Turn those arrangements into accurate, well-documented, audit-ready financials, and get the answer right before the close, not after.

- Technical accounting. Research and document the questions a fast-growing, pre-IPO company faces: stock-based compensation, financings, M&A, and customer incentives paid in equity. Coordinate with external specialists on technical accounting matters requiring specialized expertise, managing inputs, timelines, and deliverables.

- Agentic systems design. You'll be on point to design and build the agentic systems that take in our agreements, pull out the terms that matter, and account for them, with people reviewing the judgment calls. This is systems design work, not just using tools someone else built. No coding background is required—just curiosity, openness to learning, and a willingness to experiment and build.

You'll report to our Senior Manager of Revenue & Technical Accounting. You'll work closely with:

- our GL Accounting Manager, who runs the close

- our FinOps Lead, who handles day-to-day subscription setups and basic contract changes

- our Systems, RevOps, Legal, and Deal Desk partners

- our Big 4 auditors

We're an automation- and agentic-first team. We build our own apps, agents, and workflows so a lean team can keep up with a fast-scaling business, and you'll help set the direction for agentic accounting and technical research at Abridge.

WHAT YOU'LL DO

Own Revenue Accounting

- Own the revenue accounting that feeds our monthly, quarterly, and year-end close: complex revenue entries, deferred revenue and unbilled rollforwards, and revenue flux review. Our GL Accounting Manager runs the close. You make sure revenue is right going in.

- Review complex new and amended customer contracts. That means identifying performance obligations, determining transaction price, allocating standalone selling price (SSP), and flagging non-standard terms early with Deal Desk and Legal.

- Partner with our FinOps Lead, who owns standard subscription setups and basic contract modifications. You're the escalation point when a contract gets complicated.

- Own the accounting for consideration payable to customers, including service credits and equity-based customer incentives such as warrants. This includes quarterly assessments of whether milestones are probable, and the resulting catch-up adjustments.

- Maintain our SSP analysis. Own the accounting for partner revenue-share arrangements and for capitalized contract costs (commissions under ASC 340-40).

Research, Document, and Defend Technical Positions

- Research and draft decision-ready memos on the questions a pre-IPO company faces: stock-based compensation, financings and preferred stock, M&A and purchase accounting, and equity-based customer incentives. Other areas include ASC 606, ASC 842 leases, and ASC 350-40 capitalized software.

- Settle technical positions ahead of the audit, not during it. Partner with our auditors and external advisors so conclusions are agreed before the books are final.

- Keep our revenue recognition policy and related accounting policies current as new products, pricing models, and transactions come up.

- Translate complex accounting into plain language for commercial, product, and executive stakeholders. Help them understand how deal structure drives the P&L.

Design Agentic Systems for Our Agreements

- Design and build the agentic system that takes in new and amended agreements, extracts pricing, terms, and non-standard clauses, and drafts the accounting treatment and entries for review.

- Define the workflow end to end: where agents do the work, where a person reviews, the controls and audit trail, and the exception path.

- Co-own oversight of our revenue agent with our FinOps Lead: review its output, refine its rules, and keep improving its accuracy.

- Partner with our Systems team on the data flow from Salesforce and our contract management system into our ERP.

- Bring the same approach to technical research: agents that pull guidance, draft first-pass memos, and keep a record of our positions.

Be Audit-Ready

- Serve as a primary point of contact for our Big 4 auditors on revenue and technical accounting areas: PBC schedules, walkthroughs, and responses to technical queries.

- Draft the revenue and technical accounting sections of our annual financial statements and footnotes.

- Design and document the key controls over revenue, including the controls around our agentic systems, as we build toward public-company readiness.

WHAT YOU’LL BRING

- Big 4 foundation: Assurance or Accounting Advisory experience at a Big 4 firm, at Senior to Manager level. We're open to candidates coming directly from Big 4. Some private-industry experience is a plus.

- Technical strength: A very strong technical foundation, with exposure across revenue recognition, stock-based compensation, financings, M&A, and leases.

- Credentials: Active CPA license.

- ASC 606 experience: Hands-on ASC 606 experience, in any industry.

- Memo writing that holds up: You've written technical memos that auditors accepted, or evaluated technical memos as an auditor, and you're comfortable defending a position with a Big 4 engagement team.

- Builder mindset (required): You've built apps, scripts, or automations, or you're eager to build agentic AI workflows, and you want to help shape how agentic accounting and research work here. Everyone on our team builds. Advanced Excel/Google Sheets and working knowledge of SQL, Python, or AI tools will help you hit the ground running.

- Systems thinking: You can design a workflow end to end, including the data, the controls, and the exception handling, not just automate a single task.

- Communication: You can explain a complex accounting conclusion to a sales leader in two sentences.

BONUS POINTS IF…

- Some private-industry experience, ideally owning revenue recognition at a high-growth SaaS, AI, or tech company.

- Apps, agents, or automations you've built that other people use.

- Worked through stock-based compensation, financings, or M&A at a pre-IPO or recently public company.

- Applied ASC 718 to warrants or equity instruments issued to customers or partners.

- Experience with ASC 842, ASC 340-40, or purchase accounting (ASC 805).

- Led or supported an ERP or revenue-system implementation.

- Worked with health systems or other enterprise customers operating under master agreements with many statements of work.

- Exposure to IPO readiness, SOX, or SEC reporting.

We value people who want to learn new things, and we know that great team members might not perfectly match a job description. If you're interested in the role but aren't sure whether you're a good fit, we'd still like to hear from you.

This role is based in San Francisco. You must be able to work in our SF office on a regular hybrid schedule (M/W/F).

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: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees

- Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families.

- Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.

- Paid Parental Leave: Generous paid parental leave for all full-time employees.

- Family Forming Benefits: Resources and financial support to help you build your family.

- 401(k) Matching: Contribution matching to help invest in your future.

- Personal Device Allowance: Tax free funds for personal device usage.

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

- Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.

- Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.

- Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.

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

- ... and much more!

EQUAL OPPORTUNITY EMPLOYER

Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

We're committed to providing reasonable accommodations throughout the interview process. Once you submit your application, we'll follow up with details on how to request an accommodation for interviewing, completing any assessments, or otherwise participating in the selection process.

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 http://abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article https://consumer.ftc.gov/consumer-alerts/2023/05/scammers-are-hijacking-job-ads-heres-how-spot-fakes. Please exercise caution and cease communications if something feels suspicious about your interactions.