Manager of Technical Accounting and Reporting position at Twin Health.| United States Of America

Twin Health Manager of Technical Accounting and Reporting

Experience: 6-years

Pattern: full-time

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General

New York, NY....United States Of America

Twin Health At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health. We start by building a dynamic model of each person’s metabolism — drawing on thousands of data points from CGMs, smartwatches, and meal logs — that maps their personal path to better health. Guided by a dedicated clinical care team, our members have lowered their A1C below the diabetes range, achieved lasting weight loss, and reduced or even eliminated medications, all while living healthier, happier lives. Working here Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members. We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment. Twin has been recognized not only for our innovation but also for our culture, including: Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights’ Digital Health 150, and named one of Newsweek’s Top Most Loved Workplace® . With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally. Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world. Join us as we reinvent the standard of care in metabolic health.Opportunity We are seeking a dynamic and experienced Manager of Technical Accounting and Reporting to join our finance team. This critical role will lead the company’s technical accounting initiatives, ensure compliance with U.S. GAAP, and prepare public company-ready financial reporting for internal and external stakeholders. Reporting directly to our Director of Accounting, the ideal candidate will be a hands-on leader who brings deep expertise in technical accounting and SEC reporting, a strategic mindset, and an ability to thrive in a scaling, high-growth environment. Responsibilities Technical Accounting: Lead the accounting of accounting standards specific to healthcare and technology companies, including Revenue Recognition, Stock Based Compensation, Internally Developed Software, Equity, and Leases. Provide accounting guidance for complex arrangements, such as collaborations with healthcare providers, payers, and strategic partners. Develop technical accounting memos and white papers for significant transactions, such as new product offerings, licensing agreements, financing transactions, and equity-based compensation. Collaborate with legal, compliance, and operations teams to assess the accounting and financial implications of regulatory requirements (e.g., HIPAA compliance). Develop, implement, and maintain the company’s accounting policies. Revenue Recognition & Contract Analysis: Partner with the sales and operations teams to evaluate customer contracts and ensure proper revenue recognition under ASC 606. Analyze healthcare-specific revenue streams, such as subscription-based models, bundled payments, and value-based care arrangements. Maintain documentation and processes for tracking and allocating 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. Financial Reporting: Prepare quarterly and annual financial statements, ensuring they accurately reflect the company’s performance and comply with U.S. GAAP and SEC reporting requirements. Manage XBRL tagging for SEC filings. Assist with month-end and quarter-end close processes, with a focus on complex and judgmental accounting areas. Ensure timely reporting of metrics and financial data for healthcare partnerships and payer agreements. Manage reporting obligations for key stakeholders, including investors, board members, and strategic healthcare partners. Coordinate with external auditors to facilitate smooth audits and ensure compliance with applicable regulations. Assist with preparing Audit Committee materials. Internal Controls & Compliance: Develop and maintain strong internal controls over financial reporting, particularly those related to healthcare operations and technology platforms. Identify and mitigate risks related to Twin’s growth in regulated healthcare markets and international expansions. Cross-Functional Collaboration: Partner with the data and analytics teams to integrate key operational metrics into financial reporting, such as patient outcomes, cost savings, and program adherence rates. Support the FP&A team in developing financial models that account for healthcare cost structures, payer reimbursements, and scalability of Twin’s offerings. Collaborate with product and operations teams to evaluate the financial impact of enhancements to Twin’s precision health technology and service delivery. Strategic Initiatives: Assist in the financial evaluation of strategic initiatives, such as expanding into new payer networks, entering additional healthcare markets, or launching new product lines. Support the preparation of materials for investor presentations, fundraising efforts, and discussions with healthcare partners. Additional duties as assigned Qualifications Bachelor’s degree in Accounting, Finance, or related field (CPA strongly preferred). 6+ years of experience in public accounting (Big 4 experience highly desirable) or a combination of public accounting and corporate technical accounting roles. In-depth knowledge of U.S. GAAP, SEC reporting requirements, and technical accounting standards. Strong project management skills, with the ability to manage multiple priorities and deadlines in a fast-paced environment. Excellent communication and interpersonal skills, with a proven ability to collaborate with cross-functional teams. Experience in healthcare or technology industries is a plus but not required. Experience with NetSuite and Microsoft office products. This remote opportunity is available to US based persons. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. Compensation and Benefits The compensation range for this position is $145,000-$160,000 annually. In addition, Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin A competitive compensation package in line with leading technology companies As a remote friendly company we are committed to providing opportunities for all who join to further build relationships, increase cross-functional collaboration, and celebrate our accomplishments. Opportunity for equity participation Unlimited vacation with manager approval 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options 401k retirement savings plan

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Manager of Technical Accounting and Reporting job opportunity at Twin Health.

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