Accounting Manager

Cala Health • San Mateo, CA • Full Time • $130,000–$150,000 / year

Posted on Thu, Oct 8, 2026

About Cala

At Cala, we’re working to free people from the burden of chronic disease. We began by creating the first non-invasive prescription therapy for hand tremor. After years of careful fine-tuning and improvements, we released Cala kIQ — our most sophisticated therapy yet. Our products have empowered thousands of people to get back to their lives with confidence and ease.

But we won’t stop there. Our pioneering technology can be applied across neurology, cardiology, and so much more. It’s all part of our mission to help people in their struggle with chronic disease. We’re only just getting started.

The Opportunity 

As our Accounting Manager, this individual will take full ownership of our core accounting operations—from driving the month-end close and handling complex journal entries to managing revenue, COGS, and clinical accruals.

Beyond the day-to-day close, they’ll play a major strategic role in strengthening our financial infrastructure—building out scalable internal controls, managing audit relationships, and serving as our technical GAAP subject matter expert as the company expands.

Title: Accounting Manager
Reports to: Controller
Location: Hybrid, 3 days a week at our San Mateo, CA Office
Employment type: Full Time, Exempt
Pay range: $130,000 - $150,000


**Final compensation is based on experience, skills, market benchmarks, and internal equity.**

Responsibilities:

Financial Close Leadership: Lead month-, quarter-, and year-end close processes, managing journal entries, reconciliations, and complex revenue, COGS, and R&D/clinical accruals.
Financial Analysis & Reporting: Perform monthly budget variance and quarterly flux analyses, preparing routine and ad hoc accounting schedules for internal and external stakeholders.
Technical Accounting: Serve as the US GAAP subject matter expert, author technical memos and build process flowcharts.
Audit, Compliance & Tax: Act as primary contact for external/internal auditors, maintain SOX compliance procedures, and manage state sales tax submissions.
Systems & Process Optimization: Oversee financial systems, assist with ERP implementations, design internal controls, and partner cross-functionally to drive continuous accounting process improvements. 


Qualifications & Skills

Required Qualifications

Preferred Qualifications

Applicants must be authorized to work in the United States on a full-time basis, or eligible for work authorization through a sponsorship path that Cala Health is able to support. Sponsorship decisions are made individually based on role, timeline, and cost considerations, and are not guaranteed.

Cala Health believes our success is based on diversity of people, teams and thinking. We offer all employees the tools, training and mentoring they need to succeed. Our selection process is driven by the key requirements for the role rather than bias or discrimination on the basis of a candidate’s sex, gender identity, age, marital status, veteran status, non-jobrelated disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification.

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