Accounting Operations Manager

DELFI Diagnostics, Inc. (DELFI Diagnostics) is developing next-generation, blood-based tests that are reliable, accessible and deliver a new way to help detect cancer. Employing advanced machine-learning methods to whole-genome sequencing data, the DELFI ("DNA EvaLuation of Fragments for early Interception") platform is built to address the highest-burden health challenges. DELFI Diagnostics prioritizes solutions that have the potential to save lives on a global scale, including for historically underserved populations. DELFI Diagnostics’ platform relies on fragmentomics – the discovery that cancer cells are more chaotic than normal cells and, when they die, leave behind tell-tale patterns and characteristics of cell-free DNA (cfDNA) fragments. FirstLook Lung, for individuals eligible for lung cancer screening, is DELFI Diagnostics’ first laboratory-developed screening test and can be part of routine blood work. FirstLook Lung uses millions of data points to reliably identify individuals who may have cancer detected through low-dose CT, including early stage disease with a negative predictive value of 99.8 percent. This test has not been cleared or approved by the FDA.

In our passionate pursuit to radically improve health outcomes, we serve humanity when we:

Lead with Science, Anchor in Pragmatism : We pioneer life-changing science by ensuring quality, transparency, and rigor at all times. We explore thoughtfully, experiment smartly, and deliver impact with conviction.

Build With & For All : We embrace diverse backgrounds to innovate and achieve together. We are not just building a product - we aim to disrupt the path of cancer for all - no matter geography or socioeconomic class

Put We over I : We are a home for high-performing people. Through teamwork, we build collective intelligence. Each of us wins when those we serve and those who serve with us--win. We show up with empathy, humility, and integrity at every step of the journey.

**DELFI has 1-2 designated in-office working days each week for employees who live within within 50 miles of Palo Alto, CA **

What You'll Do

Procure-to-Pay (P2P)

End-to-end ownership of the P2P cycle: requisition, PO issuance, invoice matching, and payment

Manage PO and invoice issues to ensure timely resolution

Design and implement a scalable procurement process

Recommend and implement automated solutions to support P2P

Vendor onboarding, W-9/W-8 collection, ensuring valid vendor payment data, vendor master data integrity in NetSuite

Manage relationships with AP-adjacent vendors (e.g., bill pay, corporate card providers)

Monthly AP close activities: accruals, aging review, partner with FP&A to inform cash planning

Work with R&D teams to understand projected order volumes and timing

Sets re-order points and modify as the company expands

Monitor critical vendors to ensure quoted prices are reasonable, including assisting with vendor consolidation and price negotiation related to high volume and high spend items

Accounts Receivable (AR)

Liaise with external vendor and internal customer experience team to reconcile AR on a monthly basis, including troubleshooting discrepancies with external vendor

Generate and send invoices using NetSuite

Liaise with internal customer experience team to ensure write-offs are recorded into NetSuite timely

Expense Reports and Credit Cards

Ensure proper onboarding and offboarding

Timely approval of expenses

Provide insight and analysis to FP&A on spend

Work with vendors where needed to negotiate better prices on high spend areas

General Accounting

Monthly review of financials to ensure accuracy of PO coding to general ledger accounts and departments

Journal entries and reconciliations for P2P, AR, expense report accrual, credit card accrual

Demonstrate technical accounting knowledge through leveraging understanding of developments within the business to identify accounting risks in owned accounting areas

Monthly financial reporting support, including flux explanations for P2P, AR, expense reports, credit cards

NetSuite & Systems Ownership

Serve as the primary finance internal administrator for NetSuite: timely additions and removals of users, user roles/permissions, workflow configuration, workflow troubleshooting, approval routing, custom fields/forms, reporting

Own the relationship with NetSuite technical admin support: system changes, upgrades, custom workflows, automation, and troubleshooting

Manage integrations between NetSuite and adjacent systems (expense management, procurement/e-sourcing tools, banking/payment platforms, potentially LIMS-adjacent data feeds for lab spend)

Policy & Controls

Own and maintain the corporate approval matrix (spend authority by role, dollar thresholds, PO vs. non-PO approval paths)

Own the expense reimbursement policy and T&E program, including corporate card administration

Design and enforce segregation-of-duties controls appropriate for a pre-IPO/pre-commercial dx company preparing for future audit and compliance scrutiny (SOX readiness, external audit support)

Maintain documentation (SOPs, process flows) for all owned processes to support internal controls and audit requests

Cross-Functional & Leadership

Partner with lab operations, R&D, and clinical teams on purchasing needs specific to a dx/life sciences environment (reagents, instruments, CRO/CDMO spend, biospecimen-related purchases)

Support the Controller and CFO with ad hoc analysis on vendor spend, contract terms, and cost management opportunities

Likely people leadership: this role may have 1+ direct report(s) performing transactional P2P/AP work

Experience with improving and automating processes through system reporting improvements and AI tools

What You'll Bring

Required

7-10+ years of progressive accounting/finance operations experience, including direct ownership of P2P and ERP systems administration

Hands-on NetSuite experience required (administrator-level configuration, not just end-user)

Experience building or scaling accounting, procurement, P2P processes in a growing company (~50-200 employees)

Strong understanding of internal controls and segregation of duties

Comfortable operating without a large team — you will be expected to build processes and solutions from the ground up without a team under you

Strongly Preferred

Life sciences, diagnostics, biotech, or pharma industry experience

Experience in a pre-commercial or recently-commercial company preparing for SOX compliance or external audit scrutiny

Exposure to lab operations, CRO/CDMO vendor management, or clinical trial-related spend

Experience with P2P solutions integrated with NetSuite (e.g., NetSuite Bill Capture, Coupa, Airbase)

Experience with expense management platforms (e.g., ChromeRiver, Expensify, Navan/TripActions) integrated with NetSuite

Nice to Have

CPA, CMA, or other relevant certification

Prior experience in a company undergoing M&A or strategic transaction diligence (given the level of financial rigor and documentation that entails)

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.