About Blackbird Health

Blackbird Health is clinician-founded, owned, and operated by dedicated professionals. We believe that providing the best care for children starts with building the best possible team. We deliver virtual and in-person mental health services across Pennsylvania, Virginia, New Jersey & Maryland—and we’re growing into new markets in 2027.

At Blackbird, we take a whole-child approach, looking at how the brain, body, and behavior interact to address the root causes of challenges, not just the symptoms. Every role matters here, and you’ll join a collaborative, supportive, and innovative team that’s shaping the future of pediatric mental health care. If you’re passionate about helping children and families while growing your career, Blackbird is the place to make an impact.

Join us and help change mental health care for children for the better!

Position Summary

Blackbird Health is seeking an ambitious, detail-oriented Accounting Manager to support our growing Finance team. In this role, you will report directly to the Director of Accounting and partner closely with Finance and cross-functional leaders to build out our modern accounting architecture.

You will own day-to-day general ledger operations, combining hands-on execution with strategic operational ownership, including journal entry preparation, flux analysis, multi-entity consolidation, balance sheet reconciliations, and full-cycle accounts payable management. Additionally, you will serve as a key player in high-impact initiatives, including supporting our upcoming ERP accounting system implementation and driving overall audit readiness. This hands-on role offers broad exposure across Finance and Operations in a fast-paced, multi-state environment.

What Makes You, You

• General Ledger & Financial Close Expert: Deep experience managing month-end close workflows, multi-entity consolidations, accruals, and GAAP-compliant balance sheet reconciliations.
• Startup-Ready & Process Builder: Adaptable, proactive, and comfortable managing confidential financial information while building efficient processes and scaling systems in a high-growth environment.
• Systems & Automation Partner: Experienced with modern cloud accounting software and spend management platforms, with direct exposure to ERP implementations and audit prep.
• Detail-Oriented Communicator: Meticulous approach to accuracy, high level of integrity, and strong cross-functional communication skills across Finance and leadership.

How You'll Make an Impact

• General Ledger & Financial Close: Own end-to-end month-end close execution. Prepare and review complex journal entries, accruals, prepayments, multi-entity consolidations, intercompany eliminations, and monthly balance sheet reconciliations.
• Variance & Flux Analysis: Perform detailed monthly financial variance (flux) analysis across revenue and operating expenses, partnering with FP&A to translate financial data into meaningful insights for leadership.
• Accounts Payable & Operational Accounting: Manage full-cycle Accounts Payable (AP), overseeing vendor onboarding, invoice processing, payment runs, corporate card management, and expense management tools.
• System Implementation & Audit Readiness: Serve as a core operational partner in evaluating, designing, and implementing our next-generation ERP system. Prepare audit-ready workpapers, schedules, and internal controls for external financial audits.
• Cross-Functional Partnership: Support invoice processing, operational initiatives, and cross-functional projects alongside Finance and People team leaders as Blackbird scales.

The Basics You'll Need

• 3–5 years of progressive experience in general ledger accounting, public accounting, or financial operations in a high-growth, multi-state startup environment.
• Associate's or Bachelor's degree in Accounting, Finance, or a related field (or equivalent experience); CPA is a strong plus.
• Solid technical knowledge of US GAAP, multi-entity consolidations, complex journal entries, and variance analysis.
• Hands-on experience with modern cloud accounting systems (NetSuite, QuickBooks) and spend platforms (Ramp, Bill.com, Rippling).
• Direct exposure to ERP implementation projects and external financial audit preparation.

Benefits

Standard Benefits

Salary Range

$95,000—$110,000 USD

Join us!

To raise the standard of pediatric mental health care through accurate understanding and precise treatment that reflect how each child’s brain, body, and behavior work together.

“It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone.”

Fostering an inclusive environment:

Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a diverse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. Blackbird provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type. If you need a reasonable accommodation during the application or interview process, please contact us at recruiting@blackbirdhealth.com so we can support you.

Our patient support team is busy helping children and families, please do not call or email them about your application — this helps us process your application more efficiently.