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
- Minimum of 6+ years of experience working in a public company or as an auditor (Big 4 experience a plus)
- Experience dealing with IPO or public company clients strongly recommended
- CPA designation or equivalent certification required.
- Ability to work independently with minimal supervision
- Bachelor’s degree in finance, Accounting or its equivalent
- Strong understanding of financial accounting principles (US GAAP)
- Ability to work independently with strong analytical skills and attention to detail
- Ability to apply policies and standards consistently
- Able to meet deadlines
Preferred Qualifications
- People management experience a plus
- Experience with ERP systems a plus
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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What the data says about this job
- Advertised pay for Accounting Manager in San Francisco Bay Area: a median of $141,000 across 215 priced postings. This posting advertises $130,000 to $150,000, in line with that median. Explore the market
Measured from employers' own postings and public filings. How we measure