Senior Accountant

Company Overview

Join us for an enriching journey with Outset, a trailblazing medical device company that is revolutionizing the field of dialysis. Our focus is to create one high performing team, obsessed with progress, in an atmosphere that is brimming with transformative opportunities. The heart of our mission is pioneering a groundbreaking technology that redefines the landscape of dialysis, streamlining complexity and cost, because patients deserve “better” now, not some day.

At Outset we’re revolutionizing an industry and changing lives. We’re impacting what the future of dialysis looks like by creating a first-of-its-kind technology in order to reduce the cost and complexity of dialysis. FDA cleared for use across care settings, from the hospital to the clinic to the home, the Tablo® Hemodialysis System harnesses modern technology for a new holistic approach to dialysis care. We’re giving providers time back to focus on patient care. And we’re giving patients the power to take control of their life and get back to enjoying the things they love.

Position Overview

The Senior Accountant is a key member of the Finance organization responsible for supporting accounting operations and financial reporting in a dynamic, high-growth environment. This role requires a strong accounting foundation, analytical mindset, and the ability to manage multiple priorities while maintaining accuracy and compliance. The Senior Accountant will support the month-end close process, financial reporting, fixed assets accounting, travel and expense administration, audit support, and continuous process improvement initiatives.

Essential Job Functions and Responsibilities:

Ensure the timely execution and review of month-end and quarter-end close activities, including account reconciliations, financial analysis, and reporting.

Review general ledger accounts and prepare journal entries, including balance sheet account reconciliations and supporting analyses.

Identify, investigate, and resolve accounting discrepancies and irregularities.

Perform various accounting activities to support the monthly, quarterly, and annual close processes.

Collaborate with cross-functional teams to ensure accounting accuracy and alignment with business operations.

Prepare audit schedules and supporting documentation for internal and external audits.

Participate in special projects related to accounting systems, financial reporting, and process improvements.

Identify, recommend, and implement process improvements to enhance efficiency, accuracy, and internal controls.

Partner with FP&A and Accounts Payable teams to ensure accurate and timely monthly accruals.

Assist with SOX compliance activities, including documentation, testing support, and audit requests.

Support the maintenance and enhancement of internal accounting controls and processes.

Fixed Assets and Capital Projects

Monitor and reconcile Construction-in-Progress (CIP) balances, including preparing reclassifications and adjustments as needed.

Maintain supporting documentation and coordinate with business partners regarding fixed asset capitalization and asset-in-service placement.

Assist with fixed asset accounting activities, including:

Recording monthly depreciation in the ERP system.

Processing asset disposals, retirements, and transfers.

Recording capital improvements and upgrades to existing assets.

Supporting semi-annual fixed asset audits and physical inventory reviews.

SAP Concur Administration

Serve as the primary administrator for SAP Concur Travel & Expense.

Manage and submit support cases with SAP Concur on behalf of the business.

Provide user support related to travel and expense processes, including system issues, payment inquiries, policy questions, and user requests.

Administer and monitor the Company's corporate credit card program.

Ensure travel and expense processes comply with company policies and reporting requirement