Senior Accountant

Company Overview

Join us for an enriching journey with Outset, a trailblazing medical device company that is revolutionizing the field of dialysis. Our focus is to create one high performing team, obsessed with progress, in an atmosphere that is brimming with transformative opportunities. The heart of our mission is pioneering a groundbreaking technology that redefines the landscape of dialysis, streamlining complexity and cost, because patients deserve “better” now, not some day.

At Outset we’re revolutionizing an industry and changing lives. We’re impacting what the future of dialysis looks like by creating a first-of-its-kind technology in order to reduce the cost and complexity of dialysis. FDA cleared for use across care settings, from the hospital to the clinic to the home, the Tablo® Hemodialysis System harnesses modern technology for a new holistic approach to dialysis care. We’re giving providers time back to focus on patient care. And we’re giving patients the power to take control of their life and get back to enjoying the things they love.

Position Overview

The Senior Accountant is a key member of the Finance organization responsible for supporting accounting operations and financial reporting in a dynamic, high-growth environment. This role requires a strong accounting foundation, analytical mindset, and the ability to manage multiple priorities while maintaining accuracy and compliance. The Senior Accountant will support the month-end close process, financial reporting, fixed assets accounting, travel and expense administration, audit support, and continuous process improvement initiatives.

Essential Job Functions and Responsibilities:

Ensure the timely execution and review of month-end and quarter-end close activities, including account reconciliations, financial analysis, and reporting.

Review general ledger accounts and prepare journal entries, including balance sheet account reconciliations and supporting analyses.

Identify, investigate, and resolve accounting discrepancies and irregularities.

Perform various accounting activities to support the monthly, quarterly, and annual close processes.

Collaborate with cross-functional teams to ensure accounting accuracy and alignment with business operations.

Prepare audit schedules and supporting documentation for internal and external audits.

Participate in special projects related to accounting systems, financial reporting, and process improvements.

Identify, recommend, and implement process improvements to enhance efficiency, accuracy, and internal controls.

Partner with FP&A and Accounts Payable teams to ensure accurate and timely monthly accruals.

Assist with SOX compliance activities, including documentation, testing support, and audit requests.

Support the maintenance and enhancement of internal accounting controls and processes.

Fixed Assets and Capital Projects

Monitor and reconcile Construction-in-Progress (CIP) balances, including preparing reclassifications and adjustments as needed.

Maintain supporting documentation and coordinate with business partners regarding fixed asset capitalization and asset-in-service placement.

Assist with fixed asset accounting activities, including:

Recording monthly depreciation in the ERP system.

Processing asset disposals, retirements, and transfers.

Recording capital improvements and upgrades to existing assets.

Supporting semi-annual fixed asset audits and physical inventory reviews.

SAP Concur Administration

Serve as the primary administrator for SAP Concur Travel & Expense.

Manage and submit support cases with SAP Concur on behalf of the business.

Provide user support related to travel and expense processes, including system issues, payment inquiries, policy questions, and user requests.

Administer and monitor the Company's corporate credit card program.

Ensure travel and expense processes comply with company policies and reporting requirements.

Required Qualifications

Bachelor’s degree in accounting, Finance, or a related field.

5+ years of progressive accounting experience.

Strong knowledge of U.S. GAAP.

Experience supporting month-end close and financial reporting processes.

Excellent analytical, organizational, and problem-solving skills.

Strong time management skills with the ability to prioritize multiple responsibilities and meet deadlines.

Self-motivated with the ability to work independently and collaboratively in a fast-paced, evolving environment.

Excellent written and verbal communication skills.

Strong attention to detail and commitment to accuracy.

Experience with enterprise accounting systems; QAD experience is preferred.

Advanced Microsoft Excel skills.

Company Culture

At Outset, we believe every person matters. Every Outsetter, every patient, every caregiver. Because we are here to create a revolution, and we believe in doing that by innovating everywhere with intelligent speed. Our team expects nothing less than our best display of strengths and skills, and we find joy in working together for a common goal. At Outset, we believe that curiosity, ingenuity and conviction in the power of technology will transform the lives of dialysis patients and providers.

We are fueled by the opportunity to give people their lives back. And we believe that it begins with YOU, our future Outsetter. At Outset, we’ve designed a professional world that our employees are honored and impassioned to belong to, one that offers challenge, the ability to collaborate with great people, and opportunities to build skill and expertise in a fulfilling career.

An opportunity at Outset Medical won’t just be about finding a job. Our culture revolves around the principles of moving farther, faster, together, so working here feels like a masterclass in peak performance, for individuals and teams.

Privacy is important to us. Please review our Applicant Privacy Notice.

Important Notice

We have been made aware of fraudulent activities where individuals are impersonating our company and offering fake job opportunities. Please note, Outset Medical will never request payment or gift cards during the hiring process, nor will we ask you to purchase your own equipment. Anyone reaching out to you with an email address ending in @outsetmedical.cc, is not a legitimate Outset representative. For legitimate opportunities, always apply directly through our official careers page. If you are unsure about the authenticity of a communication, contact us immediately at [email protected] .

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT

Outset Medical is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind on the basis of race, color, national origin, religion, gender, gender identity, sexual orientation, disability, genetic information, pregnancy, age, or any other protected status set forth in federal, state, or local laws. This policy applies to all employment practices within our organization.