About 1nHealth, Inc.
1nHealth is a digital technology company utilizing big data analysis to tap qualified and engaged subjects that others ignore. By analyzing consumer behaviors, instead of channel targeting, we bring subjects who match the inclusion criteria for the clinical study. Our mission is to advance human health by filling up research studies faster than anyone thought possible, while being great humans to clients, to each other, and to patients around the world. 

About the role

We’re hiring a Manager of Finance & Accounting to own day-to-day accounting while establishing a lightweight FP&A rhythm for planning, forecasting, and decision support. This is a hands-on, department-of-one role reporting to the CEO, with frequent collaboration across GTM, Delivery/Operations, and HR. You’ll lead the monthly close, manage AR/AP and billing, maintain a clean general ledger and cash cadence, produce timely reporting with clear commentary, and stand up scalable controls, processes, and automation. As we grow, you’ll help mature budgeting/forecasting.

Duties and Responsibilities

• Lead the month-end and year-end close: journals, reconciliations (bank/CC/payroll/AR/AP), variance analyses, tie-outs; keep the GL audit-ready
• Own AR/AP and billing: accurate invoicing aligned to contracts, collections and cash application, vendor setup/W-9s, approvals, payment runs, 1099 support
• Maintain revenue hygiene for services: align billing/recognition with agreements and basic revenue-recognition principles; partner with Delivery on project profitability
• Cash management: weekly cash snapshots and 13-week visibility; recommend term improvements for collections and vendors
• FP&A cadence: annual operating plan, rolling forecast updates, budget vs. actuals, and concise leadership/board-ready summaries (status → risk → recommendation)
• Policies, controls, and compliance: document accounting policies/SOPs; maintain internal controls; coordinate tax/audit activities with outside advisors as needed
• Systems and automation: improve data quality and repeatability across accounting/ERP, expense/payables, and reporting; drive templates and workflow automation
• Cross-functional partner: provide clear financial insight on pricing, margins, hiring plans, vendor choices, and roadmap tradeoffs; communicate in plain English
• Scale path: recommend when to augment with external partners or additional hires; mentor future team members on close discipline and operating rhythm

Qualifications

• 6–8+ years in accounting/finance with ownership of monthly close and exposure to budgeting/forecasting (midpoint between accountant and director scope)
• Strong GAAP fundamentals; comfort with services billing, accruals/deferrals, and revenue timing; familiarity with audit/tax coordination
• Proficiency in modern accounting platforms (e.g., QuickBooks Online, NetSuite, Xero) and spreadsheets for reconciliations, models, and variance analysis
• Track record of reliable close cadence, organization, and follow-through in a fully remote environment
• Clear, concise communicator who can explain financial impacts to non-finance partners and drive decisions with data
• Nice to have: experience in technology-enabled services or project-based revenue; business partnering with GTM/Delivery; building lightweight FP&A processes

What makes us different?

• Unlimited PTO
• 100% remote work
• Access to employee discount program
• 401(k) with employer contribution
• Employer-covered basic Life Insurance