Sr Manager, Technical Accounting and Reporting

Sword Health is on a mission to free two billion people from pain. 

With 67% of members achieving a pain-free life and a 70% reduction in surgery intent, at Sword, we are using AI Care to change lives, and save millions for our 25,000+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $300 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2025, this award highlights our focus on being a destination for the best and brightest  talent. Not only have we experienced unprecedented growth since our market debut in 2020,  but we’ve also created a remarkable mission and value-driven environment that is loved by our growing team. With a recent valuation of $3 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our global impact. 

Joining Sword means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 900+ (and growing!) talented colleagues, spanning three continents. Your charge? To help us build a pain-free world, powered by AI, enhanced by people — accessible to all.

The Senior Manager, Technical Accounting and Reporting will be Sword's leader in technical accounting and reporting excellence. You will serve as the go-to expert for the accounting organization and the business, proactively surfacing issues before they arise and elevating the entire function’s technical acumen. Key focus areas for this role will be equity accounting, revenue accounting, leases, as well as the preparation of financial statements and related disclosures. As part of public company readiness, this role will assist the team to ensure that all key accounts have reconciliations by partnering with different functional teams. 

What you'll be doing:

• Take the lead of working with members of the accounting team to uplevel quality controls: reconciliations, flux analysis, performance of key controls;
• Help lead the build out and monthly aggregation of financial data for accounting close package
• Be direct liaison with auditors and internal accounting team to efficiently get through audits
• Take lead on building out reports within NetSuite
• Responsible for all technical accounting activities: partner with legal to develop a clear calendar for option activity to be updated in Carta quarterly and book related SBC entries, perform equity rollforward, accounting related to US corporate taxes, and special project accounting including acquisitions and adoption of new accounting guidance;
• Be owner of revenue accounting including the maintenance of internally developed model to calculate revenue on a monthly basis;
• Assess and maintain intercompany agreements.

What you need to have:

• 8+ years of combined experience at Big 4 public accounting + technical accounting and SEC reporting at a public company;
• Significant experience with ASC 606, ASC 718, ASC 805;
• Experience compiling financial statements and disclosure, and completing disclosure checklists;
• Project management experience required, including demonstrated savvy in working with cross functional partners through proactive prioritization of tasks to meet deadlines and balancing demands;
• Concise and effective communicator with teammates, leadership and a variety of other internal and external stakeholders;
• Excellent organizational skills and attention to detail;
• Experience with close management software including Blackline, Numeric or Floqast.

What we'd love to see:

• CPA designation preferred, or desire to obtain it;
• Experience with SEC reporting, including XBRL;
• Experience operating within a US public company and complying with SOX requirements;
• Experience with NetSuite plus.

To ensure you feel good solving a big Human problem, we offer:

• A stimulating, fast-paced environment with lots of room for creativity;
• A bright future at a promising high-tech startup company;
• Career development and growth, with a competitive salary;
• The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare;
• A stimulating environment with room for creativity;
• A flexible environment where you can control your hours (remotely) with unlimited vacation;
• Access to our health and well-being program (digital therapist sessions);
• Remote or Hybrid work policy.

Total compensation range

€61,686 - €83,520 a year

Base: €34,736 - €54,585

Variable: €3,474 - €5,459

Net equity value per year: €23,477

These compensation bands are just the starting point. Once someone joins and proves they’re outlier talent, we adjust quickly to ensure their compensation aligns with their impact.

Our job titles may span more than one career level. Actual pay is determined by skills, qualifications, experience, location, market demand, and other factors. Compensation details listed in this posting reflect the base salary and any potential variable, bonus or sales incentives, and the Company’s estimation of the value of private company stock options, if applicable. The pay range is subject to change, future value of company stock options is not guaranteed, and compensation may be modified in the future. In addition to our total compensation, Sword offers a number of benefits as listed below.