Head of Accounting

Solace is a healthcare advocacy marketplace that connects patients and families to experts who help them understand and take charge of their personal health

About the Role

This is Solace’s first senior accounting leadership hire. You will build the accounting function’s foundation: close, controls, policies, systems, and audit readiness while being hands-on doing the work while also designing the machine that will scale. This is a builder role: you’ll create a dependable close process, raise the bar on rigor, hire/coach the early accounting team over time and aren’t afraid of diving directly into anything and everything to make accounting work.

About Solace

Healthcare in the U.S. is fundamentally broken. The system is so complex that 88% of U.S. adults do not have the health literacy necessary to navigate it without help. Solace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions—and get better outcomes.

We're a Series B startup, founded in 2022 and backed by Inspired Capital, Craft Ventures, Torch Capital, Menlo Ventures, and Signalfire. Our fully remote U.S. team is lean, mission-driven, and growing quickly.

Solace isn't a place to coast. We're here to redefine healthcare—and that demands urgency, precision, and heart. If you're looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, you're in the right place. We’re intense, and we like it that way.

Read more in our Wall Street Journal funding announcement here.

What You’ll Do

Own the Close + Financial Reporting

• Design and run the monthly close (calendar, checklist, cutoffs, review standards, reconciliations, variance analysis).

• Ensure the GL is accurate and the balance sheet is clean, supported, and reconcilable at all times.

• Establish accounting policies and judgment frameworks appropriate for our business and stage.

Build the Accounting Function

• Define the chart of accounts and reporting structure to support operational reporting and future scalability.

• Implement best-practice processes for account reconciliations, journal entry controls, and documentation standards.

• Create lightweight, high-signal internal controls (approvals, access, segregation where possible, evidence standards).

Lead Audit/Tax Readiness

• Own the audit readiness roadmap (even if we’re not audited today): close discipline, documentation, tie-outs, and issue tracking.

• Manage external partners as needed (audit firm, tax preparers, bookkeeping support if any).

• Drive PBC requests and ensure support is consistent, complete, and reviewable.

Systems + Cross-Functional Partnership

• Evaluate and recommend tooling (ERP readiness, expense/AP tools, close management) and lead implementation when needed.

• Partner with FP&A, Ops, Sales, and People to improve upstream data quality and establish reliable accounting inputs.

• Build scalable processes for spend management, vendor/customer workflows, and accounting ops.

People + Hiring

• Hire and develop the first accounting team over time (Staff/Senior/Manager), and create clear standards for quality and pace.

• Coach through review, clear expectations, and process design—not just “do the work faster.”

What We’re Looking For

• 6+ years of progressive accounting experience; Big 4 background strongly preferred.

• Proven track record owning a close process end-to-end and improving it over time.

• Hands-on operator mentality: you can design processes and also execute journal entries/reconciliations when needed.

• Strong accounting judgment and ability to translate ambiguity into decisions, documentation, and repeatable processes.

• Experience partnering cross-functionally and driving accountability without creating chaos.

• Comfort operating in a “blank page” environment with evolving systems and priorities.

• CPA.

• Experience in a high-growth startup or scaling environment (first accounting hires, messy inputs, evolving systems).

• ERP implementation or migration experience (NetSuite preferred).

• Experience with revenue recognition (ASC 606) and multi-entity structures

• Exposure to SOC readiness / controls design

Applicants must be based in the United States.

Up for the Challenge?

We look forward to meeting you.

Fraudulent Recruitment Advisory: Solace Health will NEVER request bank details or offer employment without an interview. All legitimate communications come from official solace.health emails only or ashbyhq.com. Report suspicious activity to [email protected] or [email protected].