Role Description
Eko Health builds devices and software that help clinicians detect heart and lung disease earlier. We’re looking for a Manager, Cost Accounting & Procure-to-Pay, remote in the US on Pacific hours, to own two things at the center of our business: what it costs us to put a device in a clinician’s hands, and how we pay for everything that gets it there.
This is a build role. Reporting to the Corporate Controller, you will:
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Set Eko’s costing methodology and defend it to our auditors.
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Own inventory valuation and reserves.
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Run landed cost end to end.
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Close COGS each month.
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Run procure-to-pay from purchase order to payment.
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Partner with Supply Chain, Sales Operations, and FP&A.
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Provide margin analysis to the executive team.
A few things make this role unique:
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Eko does not run a factory: devices are built by contract manufacturers and bought as finished goods.
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Cost is purchase price plus landed cost, and inventory sits with partners we cannot walk into.
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Hardware is sold alongside subscription software, so the margin story is blended.
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This is a hands-on manager role with no direct reports to start.
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You provide review oversight to our offshore transactional team while personally owning the higher-judgment accounting, reconciliations, close, and conclusions.
If you like building both the methodology and the reconciliation behind it, you will thrive here.
Qualifications
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7+ years in cost, inventory, or manufacturing accounting, including hardware, medical device, electronics, or another inventory-intensive product environment.
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Hands-on ownership of landed cost, inventory valuation, and the inventory close, ideally where manufacturing was outsourced and stock was held by third parties.
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Hands-on ownership of accounts payable operations, including vendor master controls, three-way match, payment runs, and the AP close.
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Experience supporting external audit testing of inventory valuation and reserves under US GAAP, and the ability to explain how you defended a position.
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Comfort owning ambiguous, cross-system reconciliations, advanced Excel, and the ability to present a conclusion to Finance leadership and hold it under questioning.
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Bachelor’s degree in Accounting or Finance. CPA, CMA, or equivalent preferred.
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Nice to have: NetSuite, customs and import exposure, 3PL or e-commerce operations, AP automation platforms, SOX, and experience building processes from a low baseline in a high-growth or pre-IPO company.
Requirements
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Prolonged periods of sitting and working at a computer.
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Must be able to perform job duties with or without reasonable accommodation.
Benefits
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The opportunity to work on products that impact the health of millions of people.
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Generous paid-time off.
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Stock incentive plans.
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Medical/Dental/Vision, Disability + Life Insurance.
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One Medical membership.
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Parental Leave.
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401k Matching.
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Learning and Development stipend.