Revenue & Technical Accounting Manager at Abridge in SF Office

Job description

About Abridge Founded in 2018, Abridge is the first AI-native clinician intelligence platform organized around the patient, built for clinicians, and designed to help health systems coordinate the clinical, financial, and evidence-based decisions for every moment of care. Powered by purpose-built AI for healthcare, Abridge connects patients, providers, payers, and life sciences companies. This year, the platform will support more than 100 million patient-clinician conversations across more than 300 of the largest and most complex health systems in the U.S. With deep workflow integration, the Abridge clinician intelligence platform has been validated to support encounters in 28+ languages across specialties and care settings. Abridge is setting the industry standard for the responsible deployment of Al across health systems with continual and transparent Al evaluation. Clinical decision support references and cites gold-standard sources of evidence, and features like Linked Evidence map AI-generated documentation to source data, helping clinicians quickly trust and verify the output. Abridge was awarded Best in KLAS for Ambient AI in 2025 and 2026, in addition to other accolades, including TIME Best Inventions of 2024 and 2025, CNBC Disruptor 2025, and Fast Company’s Most Innovative Companies 2025. We are a growing team of practicing clinicians, AI scientists, PhDs, creatives, technologists, and engineers working together to transform healthcare. We have offices located in San Francisco, New York, and Pittsburgh. The Role We're looking for a Revenue & Technical Accounting Manager to own how Abridge accounts for its most complex arrangements, and to design the agentic systems that let a lean team do that work at scale. Abridge's AI is used by clinicians at hundreds of health systems. As we grow into a multi-product platform, our commercial and business operations are becoming more sophisticated, and each one brings new accounting challenges. The role has three parts: Revenue accounting. Turn those arrangements into accurate, well-documented, audit-ready financials, and get the answer right before the close, not after. Technical accounting. Research and document the questions a fast-growing, pre-IPO company faces: stock-based compensation, financings, M&A, and customer incentives paid in equity. Coordinate with external specialists on technical accounting matters requiring specialized expertise, managing inputs, timelines, and deliverables. Agentic systems design. You'll be on point to design and build the agentic systems that take in our agreements, pull out the terms that matter, and account for them, with people reviewing the judgment calls. This is systems design work, not just using tools someone else built. No coding background is required—just curiosity, openness to learning, and a willingness to experiment and build. You'll report to our Senior Manager of Revenue & Technical Accounting. You'll work closely with: our GL Accounting Manager, who runs the close our FinOps Lead, who handles day-to-day subscription setups and basic contract changes our Systems, RevOps, Legal, and Deal Desk partners our Big 4 auditors We're an automation- and agentic-first team. We build our own apps, agents, and workflows so a lean team can keep up with a fast-scaling business, and you'll help set the direction for agentic accounting and technical research at Abridge. What You'll Do Own Revenue Accounting Own the revenue accounting that feeds our monthly, quarterly, and year-end close: complex revenue entries, deferred revenue and unbilled rollforwards, and revenue flux review. Our GL Accounting Manager runs the close. You make sure revenue is right going in. Review complex new and amended customer contracts. That means identifying performance obligations, determining transaction price, allocating standalone selling price (SSP), and flagging non-standard terms early with Deal Desk and Legal. Partner with our FinOps Lead, who owns standard subsc