Accounting Lead

Company: Mochi Health
Location: San Francisco
Posted on: February 16, 2026

Job Description:

Job Description Job Description Healthcare is broken at the first step: patients can't find the right care, understand what it costs, or access the medications they need. Mochi Health is fixing this. We're building an AI-driven marketplace that makes healthcare discoverable—connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Over the past few years, we've grown rapidly by combining clinical expertise with technology that actually works for real people, not just hospital systems. Our platform does what legacy healthcare can't: it gives patients transparent pricing before they pay, personalized medication management that follows them across providers, and long-term access to their own medical records. We're proving that healthcare can be more affordable, more human, and far more intuitive than what exists today. Join a team that's rebuilding healthcare from the patient up. At Mochi Health, you'll work alongside people who value bold thinking, inclusive collaboration, and getting meaningful work into the world. If you want to do the most impactful work of your career, this is where to do it. $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 Membership – We cover your monthly subscription fee so you can experience the same care as our patients (medications not included) Time to Recharge – Enjoy unlimited PTO, generous company holidays, and true flexibility. We trust you to take the time you need to rest, reset, and thrive Wellness First – From weekly mindfulness sessions to group workouts and fitness perks, your physical and mental health are top priority Team Socials and Community - We make time to connect through regular socials, happy hours, and spontaneous events. Our stocked kitchen doesn't hurt either Downtown SF HQ - Our San Francisco office is just steps from BART, Muni, and great food. It's designed for deep work and casual collaboration The base salary for this full-time position ranges from $150,000 to $200,000, in addition to benefits. The salary range listed in each job posting represents the minimum and maximum targets for new hire salaries across all locations. Actual compensation within this range is determined by various factors, such as job-related skills, experience, relevant education or training, and location. LI-Onsite Workplace Policy Mochi Health is an in-person company based in San Francisco, CA. Our team works together in person five days a week to foster collaboration, innovation, and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve. Equal Opportunity Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring. Candidate Privacy Notice Please review Mochi Health's Candidate Privacy Notice here. Accommodations Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law. If you need any assistance or accommodations due to a disability, please contact us at hr@joinmochi.com .

Keywords: Mochi Health, Rancho Cordova , Accounting Lead, Accounting, Auditing , San Francisco, California