Sr. Manager, Accounting

About AgelessRx

AgelessRx is a first-of-its-kind, longevity-focused telehealth platform with an e-commerce component. Our mission is to collectively give people millions of extra healthy years, so everyone can enjoy more of what they love in a world where people are empowered to live as long as they want. We believe aging should no longer be treated as a dreadful inevitability, but instead, as a puzzle that can be solved, a fight that can be fought – just as a disease with a cure. Through our free-to-use platform, we offer trusted, data-driven longevity solutions and scientifically backed prescription therapies to help safely lower the risk of age-related diseases. 

About the role
The Senior Accounting Manager will own and scale AgelessRx’s accounting function, building a structured, reliable financial foundation that supports rapid, compliant growth across multiple entities. This role combines strong technical accounting leadership with a focus on process maturity, system optimization, and automation to strengthen reporting accuracy and operational efficiency. Partnering closely with the Director of Finance and other cross-functional leaders, the Senior Accounting Manager plays a key role in enhancing financial visibility, reinforcing internal controls, and developing a scalable accounting infrastructure for a mission-driven, high-growth healthcare organization. 

The ideal candidate brings hands-on accounting expertise in a fast-growing environment, a process-improvement mindset, and the confidence to take ownership of core financial operations while building scalable systems and controls. 

Please Note: We’re open to starting this role as a contract position, with the potential to move into a full-time role for the right fit. This isn’t required, but something we’re open to exploring. 

What you'll do

Operational Accounting & Close 

• Own the end-to-end accounting function across entities, including GL management, revenue recognition, payroll, AP/vendor management, AR, tax coordination, and financial statement preparation 

• Lead and continuously improve the monthly, quarterly, and annual close processes, driving speed, accuracy, predictability, and GAAP compliance 

• Prepare and review journal entries (accruals, reclasses, and complex/non-routine transactions) with clear support and documentation 

• Establish and maintain reconciliations, schedules, and close support files that support reporting accuracy and audit readiness 

Controls, Compliance & Audit 

• Design, document, and maintain scalable accounting policies, SOPs, and internal controls that support operational consistency and audit readiness 

• Oversee balance sheet integrity through review of account reconciliations and timely resolution of discrepancies 

• Own relationships and coordination with external auditors, tax advisors, and outsourced accounting partners, driving smooth audits and tax engagements 

Systems, Automation & Scale 

• Evaluate and evolve accounting systems, tools, and workflows to support growth, with an automation- and AI-first mindset 

• Drive process improvements that increase efficiency, accuracy, and close velocity while reducing manual work and key-person risk 

• Maintain system integrity and clean data flow across financial platforms, including intercompany transaction tracking and reconciliations 

Financial Reporting & Business Partnership 

• Prepare and review internal financial reporting, delivering variance analysis, trend insights, and management-ready explanations 

• Partner closely with FP&A and Finance leadership so reliable actuals inform forecasting, budgeting, and strategic planning 

• Serve as a trusted finance partner to leadership, supporting ad hoc analyses and proactively identifying risks, gaps, and improvement opportunities 

Leadership & Function Development 

• Act as the day-to-day owner of accounting execution, setting standards for quality, documentation, accountability, and continuous improvement 

• Build scalable processes and infrastructure that allow the accounting function to grow beyond a single individual and support future team expansion 

Qualifications

• Bachelor’s degree (BA or BS) in Accounting, Finance, or a related field 

• CPA designation or active progress toward certification preferred 

• 3–5 years of progressive accounting experience in a high-growth, startup, or multi-entity environment 

• Experience supporting month-end close, reconciliations, and audit preparation in a scaling organization 

• Proficiency in Excel or Google Sheets, including complex formulas, data analysis, and structured financial models 

• Experience working with cloud-based accounting systems (e.g., QuickBooks, NetSuite, or similar) 

• Strong attention to detail with the ability to translate financial data into clear, actionable insights 

• Highly organized and comfortable managing multiple priorities in a fast-paced, remote-first environment 

• Collaborative communicator who can partner effectively across Finance, Operations, and Leadership 

• Experience in telehealth, healthcare, or regulated environments a plus