# Senior Accounting Manager at BillionToOne

- Company: BillionToOne
- What the company does: We are a team at the forefront of disease detection focused on moving Prenatal Screening and Liquid Biopsy forward. Backed by Norwest, Y Combinator and 500 Global.
- Company website: https://billiontoone.com/
- Type: Startups
- Level: Senior
- Location: Menlo Park, CA
- Work setup: On-site
- Posted: 2026-09-03
- Apply by: 2026-10-18
- Apply: https://job-boards.greenhouse.io/billiontoone/jobs/4730807005
- Page: https://www.1752.vc/careers/jobs/billiontoone-senior-accounting-manager/

## About the role

Join a team of brilliant, passionate innovators determined to transform healthcare. At BillionToOne, we've built a category-defining, publicly traded company on Nasdaq where transparency fuels trust, collaboration drives breakthroughs, and every contribution moves the needle on our mission to make life-changing diagnostics accessible to all. We don't just aim for incremental improvements; we build products that are 10x better than anything that exists today.

## What they're looking for

- CPA required with deep US GAAP fluency. Big 4 or national audit firm experience is a plus
- Hands-on SOX 404(b) experience as a control owner including familiarity with control narratives in functional areas outside accounting & reporting , IPE requirements, and deficiency remediation
- Strong NetSuite experience required, with the ability to query the system directly (saved searches, and ideally SuiteQL), FloQast, Expensify, and Workiva experience are pluses
- Advanced Excel and analytical abilities
- Excellent communication and interpersonal skills, with the ability to collaborate effectively across departments
- Bachelor’s degree in Accounting, Finance, or a related field

Tags: Finance