Mural Health is a fast-growing clinical technology start-up that makes clinical trials easier for participants. Our mission is to eliminate any barriers participants or caregivers experience while being part of a clinical trial. Mural Health is looking to expand our team with a Accounting Manager.

Who are you?We're looking for a detail-oriented and forward-thinking Accounting Manager to own our core finance operations while actively building the systems and automation infrastructure that will scale with us. This role sits at the intersection of accounting fundamentals and operational innovation — you'll keep the books clean and the close tight while continuously finding smarter, more automated ways to work. If you're the type who finishes a manual process and immediately asks "how do we never do this by hand again," this role is for you.

Role Location: Remote - US

Reports To:CFO

You will:

Accounts Payable

Own the end-to-end AP cycle with a bias toward automation-first design — actively reducing manual touchpoints in invoice intake, coding, approval routing, and payment disbursement
Build and maintain smart aging and payment term workflows that proactively surface cash flow risks, with alerting and escalation handled programmatically where possible
Enforce internal controls and approval hierarchies that are scalable by design — structured for audit-readiness as transaction volume grows

Invoicing & Accounts Receivable

Own the invoicing process end-to-end, with a focus on automating generation and distribution at scale across contract types, billing schedules, and revenue streams
Drive a collections process supported by automated follow-up sequences, intelligent prioritization of delinquent accounts, and exception-based escalation workflows
Build and maintain AR reconciliation infrastructure capable of handling high payment volumes across multiple processors with minimal manual intervention
Produce AR aging and collections reporting through automated pipelines, with human review focused on exceptions and strategic decisions
Maintain daily cash visibility through automated payment receipt reporting across all channels

General Ledger & Financial Reporting

Prepare and post journal entries for accruals, prepayments, depreciation, and recurring transactions — with a priority on automating recurring entries and reducing manual posting over time
Maintain general ledger integrity, including account coding standards and period-end close accuracy, and help build the control frameworks that make automation safe and auditable
Lead month-end and year-end close contributions with a continuous improvement lens — identifying steps in the close process that can be templatized, accelerated, or automated
Support financial statement preparation and variance analysis, building toward reporting that is increasingly self-serve and real-time

Reconciliation & Data Management

Design and own reconciliation frameworks that scale — built to handle growing transaction volumes across bank accounts, payment processors, merchant accounts, and sub-ledgers with accuracy and speed
Identify, investigate, and resolve discrepancies across platforms, with a focus on building detection logic that catches issues before they require manual discovery
Collaborate cross-functionally to ensure data integrity between accounting systems and operational platforms, and help define the data standards that make automation reliable
Build monitoring and exception-handling for scheduled vs. actual payment activity — flagging timing differences, failed transactions, and duplicates systematically

Finance Systems & Automation

Serve as a key driver of finance automation strategy — owning the identification, prioritization, and implementation of automation opportunities across AP, AR, reconciliation, and reporting
Lead or co-lead the evaluation and rollout of AI tools, automation platforms, and system integrations that reduce manual effort and unlock scale
Partner with finance and technology teams to implement intelligent solutions including automated data extraction, anomaly detection, workflow orchestration, and reporting pipelines
Build and maintain documented, audit-ready automated processes — ensuring controls keep pace with automation adoption
Stay ahead of the curve on emerging finance technology and proactively bring recommendations tied to clear business impact

Qualifications & Skills:

4–7 years of progressive accounting experience, ideally in a high-growth or operationally complex environment
Strong command of AP, AR, general ledger, and month-end close — you can own these functions independently and under deadline
Hands-on experience with accounting software (e.g., QuickBooks, NetSuite, Sage, or similar) and a track record of pushing those tools to their limits
Demonstrated experience building or improving reconciliation frameworks across high-volume, multi-platform transaction environments
Practical experience with finance automation tools, AI-assisted workflows, or no-code/low-code platforms (e.g., Zapier, Make, Ramp, Brex, Vic.ai, or similar)
Comfortable working cross-functionally with operations and technology teams to scope and implement system integrations
Strong Excel or Google Sheets skills; experience with data tools like Python, SQL, or BI platforms is a plus
CPA or CPA-track preferred, but not required — we care more about what you've built than what you've passed
A continuous improvement mindset: you document what you build, you think in systems, and you leave processes better than you found them
Sense of humor

Compensation: Base Salary Range $120,000- $165,000

Mural Health is proud to provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. We also provide reasonable accommodations to individuals with disabilities in accordance with applicable laws. If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, or for your role at Mural Health, please contact careers@muralhealth.com. If you’d like more information about your EEO rights as an applicant, please visit the US Department of Labor's website.

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