We're building a new healthcare clearinghouse

Stedi is building the first new healthcare clearinghouse in decades. In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. Clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers. Until Stedi, the space was occupied entirely by a small group of legacy players, built on outdated, often pre-internet technology.

Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked by Ramp as one of the fastest-growing SaaS vendors.

We have lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company’s infrastructure; passion for automation and eliminating toil; $142 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more. To learn more about how we work, watch our founder Zack’s interview with First Round Capital.

What we’re looking for

We’re hiring a Senior Accountant to help scale Stedi’s accounting operations during a period of rapid growth. You will work closely with the Controller and partners across the business to keep our reporting accurate, ensure balance sheet accounts are reconciled, and strengthen the close and core accounting processes as we grow.

This isn’t a narrow task-based role – we are looking for someone to own their work end-to-end, to maintain or raise our high bar for documentation and internal controls, and to drive continuous improvements in how the team operates.

The ideal candidate combines strong technical accounting fundamentals with a builder’s mindset. If you care deeply about clean reconciliations, well-supported journal entries, disciplined close processes, and building systems that scale with the business, this role will provide meaningful ownership and impact.

What you'll do

• Prepare journal entries, perform variance analysis, and support timely, accurate financial reporting in accordance with US GAAP – meeting close deadlines without compromising quality or documentation rigor

• Own accounts receivable and collections, including monitoring aging, driving proactive collection efforts, resolving customer discrepancies, and partnering cross-functionally to reduce DSO and improve cash conversion

• Prepare and review monthly balance sheet reconciliations with clear, audit-ready support and documentation, improve workflows, and standardize workpapers.

• Support external audits and other diligence efforts by preparing organized support schedules and responding to auditor requests

• Identify gaps in accounting workflows and implement process and internal control improvements, including automation and documentation enhancements within NetSuite and related systems

• Develop and maintain deep knowledge of financial systems to independently research issues, improve data integrity, and drive timely resolution

Who you are

• You have a Bachelor’s degree in Accounting; CPA certification or active pursuit of licensure is preferred.

• You have 3+ years of relevant accounting experience, ideally combining Big 4 public accounting with industry experience in a high-growth SaaS or technology company.

• You possess a strong foundation in US GAAP and internal controls, and can apply technical guidance to real-world transactions and scenarios.

• You operate with strong attention to detail while maintaining a systems-oriented mindset focused on scalability and efficiency.

• You thrive in ambiguity, create structure from chaos, and can independently design scalable processes from scratch.

• You are relentless and resourceful. You follow up, escalate, and push until the job is done – and you do it with professionalism and integrity.

• You move fast and operate with precision. You thrive in an environment where clarity, accountability, and urgency matter.

We’ve been made aware of individuals impersonating the Stedi recruiting team. Please note:

• All official communication about roles at Stedi will only come from an @stedi.com email address, or from our official identification verification partner, Persona, @frompersona.com.

• If you’re unsure whether a message is legitimate or have any concerns, feel free to contact us directly at careers@stedi.com.

We appreciate your attention to this and your interest in joining Stedi.

At Stedi, we're looking for people who are deeply curious and aligned to our ways of working. You're encouraged to apply even if your experience doesn't perfectly match the job description.