Accounting Lead

Mochi Health’s mission is to be the discovery layer of healthcare. We are building a platform that makes it easier for patients to find the right providers, access the right medications, and take control of their health with transparency and trust.

Over the past few years, we have experienced rapid growth by combining operational excellence, clinical expertise, and innovative technology to deliver care that is more human, intuitive, and effective. From pharmacy pricing transparency and personalized medication management, to long-term medical record access and community-based chronic illness support, Mochi is creating a new model of care that empowers patients, providers, and pharmacies alike.

We believe the future of healthcare is personal, and we are building the technology to power it. At Mochi Health, you will join a team that values inclusivity, collaboration, and bold thinking, and you will have the opportunity to do the most meaningful work of your career.

$150,000 - $200,000
Full-time / Onsite (5 days/week)

About The Role

We are seeking an exceptional Accounting Lead to build and scale our accounting function in a high-growth environment. This role will own end-to-end accounting operations, with responsibility for people, processes, and systems. You will play a critical role in establishing scalable infrastructure, ensuring financial accuracy, and supporting executive leadership, board reporting, and investor needs.

What You’ll Do

• Own and scale the day-to-day accounting function, including month-, quarter-, and year-end close
• Manage all core accounting operations including accounts payable and receivable, payroll, general ledger, and cash management
• Prepare and review monthly financial statements (Profit & Loss, Balance Sheet, Cash Flow) and perform detailed flux and variance analysis
• Maintain a clean and accurate general ledger, ensuring strong historical financial integrity and reconciling legacy data as needed
• Partner closely with executive leadership to support management reporting, board materials, and investor presentations
• Design, implement, and continuously improve internal accounting processes, policies, and controls to support scale
• Manage annual federal and state tax filings and coordinate with external tax advisors
• Serve as the primary point of contact for audits, including managing external auditors and ensuring timely completion
• Lead ad hoc financial and operational projects in support of company growth

Who You Are

• 10+ years of progressive accounting experience, including ownership of full-cycle accounting
• Demonstrated ability to independently manage and scale accounting operations in a high-growth environment
• Strong knowledge of U.S. GAAP and financial reporting best practices
• Bachelor’s degree in Accounting, Finance, or a related field
• Experience supporting executive leadership, board reporting, and investor communications
• High integrity, professionalism, and discretion in handling confidential and sensitive information
• ​​Experience leading or managing audits
• Experience with ERP selection, design, and implementation
• Prior experience in venture-backed or technology-enabled companies

Nice to Have

• CPA or equivalent certification

Life at Mochi 

At Mochi, we believe your best work happens when you feel your best—so we’ve designed an environment that fuels your creativity, supports your growth, and makes every day exciting.

🥗 Daily Meals and Espresso Bar - Breakfast, lunch, and dinner every weekday. Our on-site barista keeps the espresso and matcha flowing all day

💰 Pre-Tax Commuter Perks - Save on transit and parking through pre-tax commuter benefits

💸 Top-of-Market Compensation - We offer competitive salaries along with generous equity packages so you can share in the success you help create

💣 Profitable and Rapid Growth - We’re scaling fast, with financial discipline and long-term vision. No VC constraints, just sustainable momentum and smart decisions

🚀 High-Impact Work - Help shape the future of digital healthcare. Your work here directly improves lives and scales nationwide

👩‍💻 World-Class Team - Collaborate with teammates from Tesla, SpaceX, Citadel, Harvard, IIT, and more. We value excellence, humility, and empathy in equal measure

✨ Comprehensive Benefits - 401(k) with match, generous time off, life insurance, and high-quality medical, dental, and vision plans

💊 Mochi Health Membe