BillionToOne
Senior Accounting Manager
Menlo Park, CA · Senior
Stay score
odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →H-1B wage level
the lottery is wage-weighted — each level is one more entry
This range already reaches Level IV — the maximum four lottery entries.
DOL prevailing wage, 2026-27 wage year · Accountants and Auditors (13-2011) · San Francisco-Oakland-Fremont, CA. Wage level is derived by USCIS from the offered wage, occupation and worksite; the occupation shown is inferred from the job title.
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About the role
- A Rare Opportunity to Shape the Future of Genomics Join a team of brilliant, passionate innovators determined to transform healthcare.
- Our scientists, engineers, sales executives, and visionaries are united by an unwavering commitment to changing the standard of care in prenatal and cancer diagnostics.
- This is where cutting-edge science meets human compassion, and every innovation you contribute helps remove the fear of the unknown from some of life's most critical medical moments.
Responsibilities
- Month-End Close: Manage the month-end and quarter-end close on a dependency-gated calendar in FloQast, including the journal entry control log, reconciliation sign-offs, and close checklist completion driving continuous compression of the close timeline while raising quality and audit-readiness.
- General Ledger Oversight: Own the accuracy and integrity of the general ledger in NetSuite, including review of recurring and non-standard journal entries, balance sheet reconciliations across the full account population, and root-cause resolution of posting and configuration issues.
- Maintain control narratives and supporting documentation, ensure IPE (information produced by the entity) meets completeness and accuracy standards, and remediate deficiencies with urgency.
- Coordinate submission of deliverables with key business partners.
- Audit & Compliance: Act as a day-to-day point of contact for our Big 4 external auditor and consulting advisors, managing PBC requests, walkthrough support, sample pulls, and interim and year-end fieldwork.
- Financial Reporting & Flux Analysis: Own the monthly management reporting package: month-over-month flux analysis by functional area (COGS, R&D, S&M, G&A), cost-per-test analytics for the prenatal and oncology products, and a management summary suitable for the CFO and leadership team.
- Team Leadership: Lead, mentor, and develop a team of GL and AP accountants spanning general ledger, fixed assets, accounts payable, and payroll, setting clear expectations, building review discipline into every deliverable, and growing the team's technical depth as the company scales.
- Process Improvement: Drive improvements to the close and accounting processes bringing both increased speed & efficiency and demonstrated operational compliance.
- Procure-to-Pay Controls: Provide senior oversight of the vendor master and disbursement control environment, partnering with the Supply Chain team to provide support and governance of procurement across the AP and payment cycle.
- Manage the month-end and quarter-end close on a dependency-gated calendar in FloQast, including the journal entry control log, reconciliation sign-offs, and close checklist completion driving continuous compression of the close timeline while raising quality and audit-readiness.
Requirements
- Strong NetSuite experience required, with the ability to query the system directly (saved searches, and ideally SuiteQL), FloQast, Expensify, and Workiva experience are pluses.
- Bachelor's degree in Accounting, Finance, or a related field.
- The ability to indirectly or directly change the lives of hundreds of thousands patients
- post-IPO experience strongly preferred. Experience in life sciences, diagnostics, or another high-growth regulated industry is a plus.
- CPA required with deep US GAAP fluency. Big 4 or national audit firm experience is a plus.
- Hands-on SOX 404(b) experience as a control owner including familiarity with control narratives in functional areas outside accounting & reporting, IPE requirements, and deficiency remediation.
- Advanced Excel and analytical abilities.
- Excellent communication and interpersonal skills, with the ability to collaborate effectively across departments.
- Benefits And Perks:
- Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
- Open, transparent culture that includes weekly Town Hall meetings
- Multiple medical benefit options
- employee premiums paid 100% of select plans, dependents covered up to 80%
Nice to have
- 8-10+ years of progressive accounting experience, including 3+ years managing the close and leading a team of direct reports
- post-IPO experience strongly preferred.
- Experience in life sciences, diagnostics, or another high-growth regulated industry is a plus.
- CPA required with deep US GAAP fluency.
- Big 4 or national audit firm experience is a plus.
Compensation
- The base salary range for this role is $174,068 - $206,706.
Benefits
- Multiple medical benefit options; employee premiums paid 100% of select plans, dependents covered up to 80%
- Extremely generous Family Bonding Leave for eligible employees (16 weeks, paid at 100%)
- Supplemental fertility benefits coverage
- Retirement savings program including a 4% Company match
- Increase paid time off with increased tenure
- A variety of perks on campus (state of the art gym, restaurant)
This listing is sourced directly from BillionToOne's careers page and normalized into a canonical job model.