Revenue Accounting Manager

Full job description
About Sequel
Sequel, headquartered in Manchester, New Hampshire, is a company developing the next generation of transformative drug-delivery advancements starting with diabetes. Sequel’s approach is to look at diabetes management holistically to advance systems that make living with diabetes simpler and easier for all. Sequel’s flagship product, the twiist Automated Insulin Delivery (AID) System, launched in July 2025 for people with type 1 diabetes providing them with personalized diabetes management.

Job Overview

Sequel Med Tech is seeking a sharp, detail-oriented, and collaborative Revenue Accounting Manager to join our growing finance team. Reporting to the Senior Finance Manager, Revenue Accounting, this role plays a critical part in managing complex revenue recognition activities—including programs involving discounts, coupons, rebates, warranties, and other variable considerations that require strong accounting acumen and sound professional judgment.

In this role, you'll take ownership of the company’s receivables portfolio, ensuring accurate invoicing, timely collections, and the proper application of revenue recognition principles in accordance with ASC 606. You’ll reconcile general ledger accounts, resolve payment discrepancies, and serve as a key partner to internal teams and external stakeholders. This is a high-impact position ideal for someone excited by the challenge of applying technical expertise to real-world operational decisions in a fast-paced, mission-driven environment.

Please note that this is a hybrid role, with the expectation for employees to be onsite at least 2-3 days/week in our Manchester, NH headquarters. Relocation assistance is not available for this role.
Job Responsibilities and Essential Duties

Monitor and maintain the accounts receivable ledger, ensuring accurate and timely processing of invoices and credit memos.

Collaborate with the finance team to analyze contracts and verify proper revenue recognition in accordance with ASC 606.

Prepare month-end reconciliations and supporting documentation.

Assist in revenue analysis and preparation of metrics to enhance performance insights, identify trends and solve problems.

Partner with sales operations, legal, and other cross-functional teams to troubleshoot contract-related questions and revenue recognition queries.

Provide on-site support during all third-party audits.

Work cross-functionally to help automate revenue process from contract signature through invoicing.

Assist in developing and maintaining accounting and financial processes and policies, as well as driving process improvements.

Work with customers to address payment issues, disputes, or discrepancies.

Minimum Requirements

Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.

5+ years of progressive accounting experience, with 2+ years of revenue recognition experience/general ledger accounting.

Experience with ERP systems and accounting software (preferably NetSuite).

Required Knowledge, Skills and Abilities

Experience working in a commercial-stage pharmaceutical, biotech, medical device or related regulated healthcare company strongly preferred

Previous experience working in a fast-growing startup environment preferred

Strong analytical and problem-solving skills.

Intermediate Excel skills, including managing large data sets, pivot tables, and Vlookups.

Excellent communication and interpersonal abilities.

Commitment to maintaining the confidentiality of non-public and regulated data.

Able and willing to regularly work in the Manchester, NH office.