Director of Accounting

Our Mission We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel supported throughout treatment and beyond.

Today, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. Our model combines high-touch human support with powerful technology and AI to bring together everyone involved in a person's cancer journey: caregivers, oncologists, health plans, and employers.

As a tech-native organization, we believe technology should strengthen the human connection at the center of care. Through data science, automation, and AI, we simplify complexity, improve collaboration, and help care teams focus on what matters most: supporting people through cancer.

Looking ahead, our vision is bold: to become a household name in cancer care, where every person diagnosed asks for Thyme Care by name. If you're inspired to make cancer care more human and to help reimagine what's possible, we'd love to meet you. Together, we can build a future where every person with cancer feels truly cared for, in every moment that matters.

Why This Role Matters

Thyme Care is transforming cancer care through value-based care, and our Finance organization plays a critical role in enabling that mission. As we continue to scale nationally, expand increasingly sophisticated value-based care arrangements, and prepare for future financing and capital markets opportunities, we are investing in accounting leadership to help build a best-in-class, public-company-ready finance organization.

Reporting to the Controller, the Director, Accounting will serve as the Company’s technical accounting leader and a strategic partner in advancing our accounting organization. This role will collaborate closely with the Controller to strengthen financial reporting, accounting governance, internal controls, and scalable accounting processes while helping prepare the organization for continued growth, increasing audit complexity, future financing activities, and long-term public company readiness. What You’ll Do

As Director, Accounting, you will partner closely with the Controller to strengthen Thyme Care’s accounting organization by leading technical accounting, accounting policy, governance, and value-based care accounting initiatives. You’ll work cross-functionally with Strategic Finance, Legal, Operations, Actuarial, and external auditors to ensure the Company maintains a scalable, compliant, and audit-ready accounting environment while supporting strategic business initiatives.

Accounting Leadership & Financial Reporting

• Partner with the Controller to support the monthly, quarterly, and annual financial close by providing technical accounting guidance for complex transactions, estimates, and new business activities.
• Collaborate with the Controller to ensure timely, accurate, and GAAP-compliant financial reporting across a growing multi-entity organization.
• Oversee the preparation and review of technical accounting analyses supporting financial statements, account reconciliations, and significant accounting estimates.
• Partner with the Controller in preparing executive financial reporting packages and analyses for senior leadership.
• Develop and maintain accounting policies and procedures that support scalable financial operations and evolving business models.
• Drive continuous improvement through automation, process standardization, and adoption of modern finance technologies.
• Evaluate and govern AI-enabled accounting tools while maintaining appropriate internal controls and financial governance.
• Partner with the Controller and external tax advisors to support tax compliance, tax provision matters, and planning activities.

Technical Accounting & Governance

• Serve as Thyme Care’s technical accounting subject matter expert and principal advisor to the Controller on complex accounting matters.
• Lead technical accounting evaluations related to new business models, contractual arrangements, strategic partnerships, acquisitions, financings, equity transactions, and other significant business initiatives.
• Own the Company’s accounting policy framework and technical accounting research process.
• Prepare technical accounting memoranda and position papers supporting management conclusions, external audits, and Board reporting.
• Lead implementation of new accounting standards and evaluate the impact of emerging U.S. GAAP guidance.
• Partner with the Controller to strengthen accounting governance, internal controls, and documentation supporting future SOX compliance and IPO readiness.
• Develop scalable accounting policies and reporting frameworks consistent with public-company standards.
• Partner with Legal, HR, FP&A, and external valuation specialists on equity compensation programs, 409A valuations, capitalization table governance, and share-based compensation accounting.
• Support financing transactions, capital markets initiatives, and future SEC reporting readiness by providing technical accounting leadership.

External Reporting, Audit & Compliance

• Partner with the Controller to coordinate the Company’s annual external audit and serve as the primary technical accounting liaison with external auditors.
• Lead technical accounting discussions with auditors and defend accounting conclusions through well-supported analyses and documentation.
• Support audit planning, execution, and resolution of complex accounting matters.
• Assist the Controller in preparing the organization for increasing audit complexity, evolving reporting requirements, and future public-company readiness.
• Ensure ongoing compliance with U.S. GAAP and emerging financial reporting requirement

Value-Based Care Accounting

• Serve as the technical accounting lead for Thyme Care’s value-based care arrangements, including shared savings, risk-based reimbursement models, and emerging healthcare payment structures.
• Develop accounting policies, methodologies, and governance frameworks supporting shared savings revenue recognition, settlement accounting, reserves, accrual methodologies, and financial reporting.
• Partner with Strategic Finance, Actuarial, Analytics, Clinical Operations, and Product teams to evaluate reimbursement methodologies and ensure appropriate accounting treatment.
• Collaborate with the Controller to oversee shared savings settlement processes and financial reporting.
• Evaluate accounting implications of new payer arrangements, provider contracts, and value-based care models before implementation.
• Develop audit-ready documentation supporting accounting judgments, estimates, and significant assumptions

Team Development & Strategic Partnership

• Partner with the Controller to develop and strengthen the accounting organization through coaching, mentorship, knowledge sharing, and technical leadership.
• Provide technical guidance and professional development to members of the accounting team on complex accounting matters and evolving accounting standards.
• Collaborate with Executive Leadership, Strategic Finance, Legal, Operations, Product, and People teams on strategic initiatives and business decisions.
• Lead cross-functional accounting initiatives supporting finance transformation, systems implementations, automation, and public-company readiness.
• Serve as a trusted advisor to the Controller and Finance leadership on accounting policy, governance, financial reporting, and technical accounting matters.

What You’ve Done

• Bachelor’s degree in Accounting or Finance required; Master’s degree preferred.
• Active CPA license required.
• 10+ years of progressive accounting experience, including a combination of public accounting and industry experience.
• Experience serving as a technical accounting leader within a high-growth organization, including developing accounting policies, researching complex accounting issues, and preparing technical accounting memoranda.
• Deep knowledge of U.S. GAAP, including ASC 606, ASC 718, debt and equity instruments, accounting estimates, and other complex accounting matters. Experience with ASC 842, ASC 805, or other significant accounting standards is a plus.
• Demonstrated experience evaluating and documenting accounting conclusions for complex business transactions, contractual arrangements, financing activities, and strategic initiatives.
• Experience partnering with external auditors and defending accounting positions through well-supported technical analyses.
• Proven ability to develop scalable accounting policies, strengthen internal controls, and improve accounting governance in a growing organization.
• Experience supporting multi-entity organizations with complex revenue recognition and financial reporting requirements.
• Experience within healthcare, healthcare services, value-based care, managed care, or another highly regulated industry strongly preferred.
• Experience accounting for value-based care arrangements, including shared savings programs, risk-based reimbursement models, Medicare Advantage, ACOs, or similar healthcare payment structures preferred.
• Demonstrated success leading cross-functional initiatives involving Finance, Legal, FP&A, Operations, and executive leadership.
• Experience improving accounting processes through automation, systems implementations, and modern finance technologies.
• Experience with ERP platforms such as Sage Intacct (or similar cloud-based ERP systems) and modern finance technology stacks.
• Excellent written and verbal communication skills with the ability to translate complex accounting topics for both technical and non-technical audiences.

Preferred Qualifications

• Experience supporting SEC reporting, IPO readiness, SOX implementation, or other public-company reporting environments.
• Experience supporting venture-backed, private equity-backed, or other high-growth organizations through periods of rapid scale.
• Experience supporting debt and equity financings, stock-based compensation, complex capital structures, preferred equity, convertible instruments, warrants, and related valuation matters.
• Experience evaluating complex healthcare reimbursement arrangements, accounting estimates, reserves, and revenue recognition methodologies.
• Familiarity with AI-enabled finance tools, workflow automation, and emerging technologies that improve accounting operations while maintaining appropriate governance and controls.
• Big Four or national public accounting experience preferred.

What Leads To Success

Clear communication. You can effectively convey your thoughts and ideas to both technical and non-technical colleagues and stakeholders.

Attention to detail. You have excellent planning and organizational skills.

Comfort with ambiguity. You understand that rapid changes to the business, strategy, organization, and priorities is par for the course. You are able to shift priorities and focus accordingly.

Curiosity about technology. You're eager to explore how AI and automation can make accounting processes faster and more reliable, and you're excited to help build those solutions alongside the team.

Our Values At Thyme Care, our core values guide us in everything we do: Act with our members in mind, Move with purpose, and Seek diverse perspectives. They anchor our business decisions, including how we grow, the products we make, and the paths we choose—or don't choose.

Our salary ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Thyme Care. Individual pay decisions are based on several factors, including qualifications, experience level, skillset, geography, and balancing internal equity relative to other Thyme Care employees. In accordance with New York City law, the base salary for this role, if filled within New York City, is $195,500 - $230,000. The salary range could be lower or higher than this if the role is hired in another location or at another level.

We recognize a history of inequality in healthcare. We're here to challenge the status quo and create a culture of inclusion through the care we give and the company we build. We embrace and celebrate a diversity of perspectives in reflection of our members and the members we serve. We are an equal-opportunity employer.

Be cautious of recruitment fraud, and always confirm that communications are coming from an official Thyme Care email.