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Senior Accountant

Rad AISan Francisco - OnsiteGeneral & Administrative
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Salary
$113K - $141K USD
Job type
Full-time
Posted
27 Aug 2026
Status
Open · checked 7d ago

About this role

This Senior Accountant position is based onsite in San Francisco, offering an exciting opportunity to manage core accounting operations at a fast-growing healthcare artificial intelligence company. This role is a great fit for an experienced accounting professional who combines strong technical fundamentals with a hands-on approach to scaling financial processes.

Role Overview

Rad AI is seeking a hands-on Senior Accountant to join the General and Administrative team in San Francisco on a full-time basis. Reporting directly to the Director of Accounting, this role will take ownership of critical financial workflows including the monthly close, balance sheet reconciliations, payroll, accounts payable, and compliance support. The ideal candidate will thrive in a high-growth environment, working closely with cross-functional partners like FP&A and People Operations to strengthen financial controls and systems.

Key Responsibilities

Own assigned sections of the monthly, quarterly, and annual close processes, such as journal entries and balance sheet reconciliations.
Review and approve U.S. and Canadian payrolls while overseeing related accounting tasks like bonuses, commissions, employee benefits, and payroll liabilities.
Manage general ledger accounts including cash, fixed assets, prepaid expenses, accrued expenses, operating expenses, and intercompany activity.
Oversee accounts payable and spend management operations, which include vendor onboarding, Ramp administration, expense classification, and annual 1099 support.
Investigate unusual variances and ensure financial data is complete and accurate before finalizing the close.
Prepare audit-ready schedules and documentation to support annual financial statement audits, 401(k) audits, and tax filings.
Assist with developing, documenting, and executing internal controls and accounting procedures.
Identify and implement automation opportunities to make accounting processes more efficient and scalable.

Requirements

Bachelor's degree in Finance, Accounting, or a related field.
Minimum of 4 years of progressive accounting experience with hands-on responsibility for month-end closes and balance sheet reconciliations.
Solid understanding of U.S. GAAP principles and the ability to analyze financial statements for appropriate treatment and accuracy.
Experience preparing and reviewing journal entries, rollforwards, accruals, and account reconciliations.
Strong analytical and problem-solving skills to investigate discrepancies and drive issues to resolution.
Proficiency in Excel or Google Sheets, including experience with aggregation formulas, lookup functions, and large datasets.
High attention to detail combined with the ability to manage multiple priorities independently.
Clear communication skills to collaborate effectively with finance and non-finance stakeholders.

Nice to Have

Background working in a SaaS, software, venture-backed, or high-growth technology company.
Direct experience managing payroll, benefits accounting, accounts payable, and spend management.
Experience supporting financial statement audits and working alongside external auditors.
Experience in a multi-entity or international business environment.
Familiarity with modern ERP, expense management, and payroll platforms like Rillet, Ramp, or Rippling.
Experience utilizing automation, system integrations, or AI-enabled tools to improve accounting workflows.

Skills and Tools

General Ledger Accounting
U.S. GAAP
Month-End Close
Balance Sheet Reconciliations
Payroll and Benefits Accounting
Accounts Payable and Spend Management
Financial Audit Support
Internal Controls and Process Documentation
Microsoft Excel and Google Sheets

Salary and Benefits

Annual Salary Range: $113,000 to $141,000 USD
Comprehensive Medical, Dental, Vision, and Life insurance
Health Savings Account (HSA) with employer match, Flexible Spending Account (FSA), and Dependent Care FSA (DCFSA)
401(k) plan
11 Paid Company Holidays
Flexible Paid Time Off (PTO) policy
Annual company-wide offsite and periodic team offsites
Annual equipment stipend

About the Company

Rad AI is transforming healthcare through advanced artificial intelligence, saving time, reducing burnout, and improving patient outcomes. Founded by a radiologist, the company has secured over $140 million in funding and is backed by prominent investors like Transformation Capital, Khosla Ventures, and Gradient Ventures. Its generative AI solutions support nearly 50 percent of all U.S. medical imaging and are utilized by thousands of radiologists daily across leading healthcare systems.

How to Apply

Please apply directly on the official company careers page to ensure your application is submitted securely.

Questions candidates ask

What is the salary range for the Senior Accountant position?

The annual salary for this role ranges from $113,000 to $141,000 USD.

Is this a remote role?

No, this role is listed as San Francisco - Onsite, requiring employees to work from the San Francisco office four days per week.

How many years of experience are required?

Candidates must have 4+ years of progressive accounting experience, including hands-on ownership of month-end closes and balance sheet reconciliations.

What department does this role belong to?

This position is part of the General & Administrative department at Rad AI.

What benefits are included for US-based full-time employees?

Benefits include comprehensive medical, dental, vision, and life insurance, an HSA with employer match, FSA, 401(k), 11 paid company holidays, flexible PTO, annual and periodic team offsites, and an annual equipment stipend.

Ready to apply?

The application is on the official Rad AI careers page.

Apply on company site