Job Description

Responsibilities

• Lead accounting of standards specific to healthcare and technology, including Revenue Recognition, Stock Based Compensation, Internally Developed Software, Equity, and Leases.
• Provide accounting guidance for complex arrangements like collaborations with healthcare providers, payers, and strategic partners.
• Develop technical accounting memos for significant transactions such as new product offerings, licensing agreements, financing transactions, and equity-based compensation.
• Collaborate with legal, compliance, and operations teams on accounting and financial implications of regulatory requirements like HIPAA compliance.
• Develop and maintain the company's accounting policies.

• Partner with sales and operations teams to evaluate customer contracts ensuring proper revenue recognition under ASC 606.
• Analyze healthcare-specific revenue streams, including subscription models, bundled payments, and value-based care arrangements.
• Maintain documentation and processes for revenue related to Twin's digital health services and hardware offerings.
• Build and maintain revenue recognition models and workpapers to streamline and operationalize monthly revenue recognition compliant with ASC 606.

• Prepare quarterly and annual financial statements in compliance with U.S. GAAP and SEC requirements.
• Manage XBRL tagging for SEC filings.
• Assist with month-end and quarter-end close processes.
• Ensure timely reporting of metrics and financial data for healthcare partnerships and payer agreements.
• Manage reporting for investors, board members, and strategic healthcare partners.
• Coordinate external audits and prepare Audit Committee materials.

• Develop and maintain strong internal controls over financial reporting, especially related to healthcare and technology platforms.
• Identify and mitigate risks related to growth in regulated healthcare markets and international expansions.

• Partner with data and analytics teams to integrate operational metrics into financial reporting like patient outcomes and cost savings.
• Support FP&A in developing financial models accounting for healthcare costs, payer reimbursements, and scalability.
• Collaborate with product and operations teams to evaluate financial impact of technology and service enhancements.

• Assist in financial evaluation of strategic initiatives including new payer networks, healthcare markets, and product lines.
• Support investor presentations, fundraising, and healthcare partner discussions.
• Other duties as assigned.

Qualifications

• Bachelor’s degree in Accounting, Finance or related field (CPA strongly preferred).
• 6+ years experience in public accounting (Big 4 highly desirable) or combination with corporate technical accounting.
• In-depth knowledge of U.S. GAAP, SEC reporting, and technical accounting standards.
• Strong project management skills, managing multiple priorities in fast-paced environment.
• Excellent communication and interpersonal skills for cross-functional collaboration.
• Experience in healthcare or technology industries a plus.
• Experience with NetSuite and Microsoft Office.
• US based persons only, must be authorized to work in the US; no visa sponsorship available.

Compensation and Benefits

• Competitive compensation aligned with leading tech companies.
• Remote friendly with opportunities for relationship building and collaboration.
• Equity participation opportunity.
• Unlimited vacation with manager approval.
• 16 weeks 100% paid parental leave for delivering parents; 8 weeks for non-delivering parents.
• 100% employer sponsored healthcare, dental, and vision for employee; 80% coverage for family; HSA and FSA options.
• 401k retirement savings plan.