About Incisive

Incisive is building a better model for restorative dentistry. Independent practices are under pressure: lab consolidation is accelerating, digital dentistry has arrived, but most practices are only halfway there, and building a complete workflow alone is expensive, slow, and isolating.

We solve that through one partnership: curated labs matched to specific case types, no-cost digital equipment, a portal to track every case and manage every invoice in one place, and a clinical support team to help. More than 650 doctors nationwide trust us, we retain over 95% of them year over year, and we're growing fast. If you have high standards and want to do work that compounds, you'll fit right in.

About the Role

We're looking for a Senior Accountant to own our end-to-end accounting function as we scale. This is a hands-on, high-impact role for someone who wants to build (and eventually lead) the accounting engine of a hypergrowth early-stage technology company. You'll report directly to the VP of Finance and will play a foundational role in establishing scalable processes, driving a clean and timely monthly close, and leading our external audit.

As we grow, this role has a clear path to managing a team of Staff Accountants and Billing Specialists — making it a great opportunity for someone ready to grow into a people-management role while staying close to the numbers.

What You'll Do

• Own the end-to-end accounting function, including general ledger management, accounts payable, accounts receivable, accruals and invoicing.
• Lead and manage the monthly close process end-to-end, ensuring accuracy and timeliness.
• Prepare and review journal entries, account and bank reconciliations, and update supporting schedules in accordance with GAAP.
• Serve as the primary point of contact for our annual financial statement audit, managing auditor requests and ensuring a smooth, well-organized process.
• Maintain and continuously improve our accounting policies and internal controls as the business grows.
• Manage day-to-day bookkeeping in QuickBooks Online.
• Partner with the VP of Finance on technical accounting matters (revenue recognition, equity/stock-based compensation, capitalization and amortization, etc.).
• Support sales tax compliance and help evaluate/implement automation tools as our footprint expands.
• Help design and implement scalable processes and systems to support continued rapid growth.

Must-Haves

• 4+ years of progressive accounting experience, ideally including time at a startup or high-growth early-stage company.
• Deep hands-on expertise with QuickBooks Online.
• Proven experience owning a monthly close process end-to-end, from initiation to reporting.
• Experience leading or heavily supporting a financial statement audit (managing auditor relationships and requests).
• Strong understanding of GAAP and technical accounting fundamentals.
• Excellent organizational skills and comfort operating in a fast-paced environment while improving processes and procedures.
• Experience with hardware and fixed asset schedules.
• High attention to detail.
• Strong communication skills and the ability to work cross-functionally with Sales, Customer Success, and Engineering teams.
• Excellent analytical skills, used to solving problems in Excel with large data sets.

Nice-to-Haves

• Familiarity with Ramp or similar expense management platforms.
• Familiarity with Stripe or similar billing/payment processing platforms.
• Experience with sales tax automation software such as Avalara, Anrok, or Numeral.
• CPA or CPA candidate.
• Experience with a SaaS or subscription-based revenue model.
• Prior experience managing or mentoring junior accounting staff.
• Some FP&A experience, supporting management with various analytical projects.

What Success Looks Like

• A monthly close process that becomes progressively faster, cleaner, and more automated.
• A smooth, well-prepared annual audit with minimal surprises.
• Scalable accounting processes and controls that can support the company's growth trajectory.
• A trusted right-hand to the VP of Finance who can eventually lead a small accounting team.

What You'll Love

• Competitive compensation: base salary plus target bonus and stock options.
• Comprehensive medical, dental, and vision plans.
• Unlimited paid time off.
• 401(k) plan with company match.
• Work remotely within the US.
• Small, fast-growing team where your work has visible, immediate impact.