Accounting Manager
Confirmed on the employer's own hiring board on Oct 10, 2026. First seen by Alion on Oct 2, 2026.
Role Summary
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 set Eko’s costing methodology and defend it
to our auditors, own inventory valuation and reserves, run landed cost end to end, close COGS each month,
and run procure-to-pay from purchase order to payment. You will partner with Supply Chain, Sales Operations,
and FP&A, and your margin analysis will reach the executive team. You inherit a working foundation and a lot
of room to make it better.
A few things make this role unique. Eko does not run a factory: devices are built by contract manufacturers
and bought as finished goods, so cost is purchase price plus landed cost, and inventory sits with partners we
cannot walk into. Hardware is sold alongside subscription software, so the margin story is blended. And this is
a hands-on manager role with no direct reports to start: 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.
Essential Functions
- Costing methodology: standard cost setting, cost rolls, purchase price and landed cost variance, and the policy behind them.
- Landed cost end to end: accruing duty, tariffs, freight, and brokerage at receipt, truing up on the broker invoice, and allocating correctly between inventory and cost of sales, in partnership with Supply Chain and our customs brokers.
- Inventory valuation under US GAAP (ASC 330, lower of cost or net realizable value) and the excess and obsolete reserve, with methodology you can defend to an external auditor.
- Inventory integrity across our contract manufacturer, 3PL, and marketplace locations: reconciliation cadence, cycle count protocols, cutoff, and audit confirmation or observation.
- Procure-to-pay: PO policy, vendor master governance, three-way match, received-not-invoiced, payment runs and disbursement controls, and the AP close.
- The COGS close and gross margin analytics across hardware and subscription revenue, in partnership with FP&A.
- Audit and control design for the inventory, cost, and P2P cycles, built to withstand SOX and external audit scrutiny.
Required Qualifications
- 7+ years in cost, inventory, or manufacturing accounting, including hardware, medical device, electronics, or another inventory-intensive product environment.
- Hands-on ownership of landed cost, inventory valuation, and the inventory close, ideally where manufacturing was outsourced and stock was held by third parties.
- Hands-on ownership of accounts payable operations, including vendor master controls, three-way match, payment runs, and the AP close.
- Experience supporting external audit testing of inventory valuation and reserves under US GAAP, and the ability to explain how you defended a position.
- Comfort owning ambiguous, cross-system reconciliations, advanced Excel, and the ability to present a conclusion to Finance leadership and hold it under questioning.
- Bachelor’s degree in Accounting or Finance. CPA, CMA, or equivalent preferred.
- 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
Why join Eko Health?
- The opportunity to work on products that impact the health of millions of people.
- Generous paid-time off
- Stock incentive plans
- Medical/Dental/Vision, Disability + Life Insurance
- One Medical membership
- Parental Leave
- 401k Matching
- Learning and Development stipend
Benefits and Perks We Offer:
We believe the ability to listen is the ability to care. Eko was named one of the World’s Top HealthTech Companies of 2025 by TIME and Statista. This honor reflects the mission to transform cardiac and pulmonary care through AI-powered stethoscopes and digital health solutions.
Work Experience & Location Requirements
- This role is a remote position with expected travel. See above for more details on travel expectations.
- Prolonged periods of sitting and working at a computer
- Must be able to perform job duties with or without reasonable accommodation