Staff Accountant

Outset Medical · Tijuana, Mexico · Operations

Posted 2026-09-14

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Company Overview

Outset Medical is a public medical-device company delivering novel technology into the growing dialysis market; a market that has had little innovation in over a decade. FDA-approved across the continuum of care, Outset’s Tablo Hemodialysis System is an all-in-one enterprise solution featuring real-time water purification and dialysate production on demand in a single, compact unit. With a mission to reduce the cost and complexity historically associated with dialysis treatment, the Tablo system dramatically improves the care experience for patients, families, providers, and physicians, while also freeing providers from having to rely on expensive clinic infrastructure. Patients and providers benefit from the easy to learn and use digital interface, while automated reporting and machine management is made possible through Tablo’s two-way wireless data transfer and cloud-based platform.

Position Overview

The Staff Accountant is responsible for multiple accounting tasks, such as entries, reconciling accounts subledger to the general ledger, fixed assets control, supplier setup and updates and T&E management, among other activities. The position requires a “hands on” person who is flexible, hard-working and able to work well under pressure.

Responsibilities/Functions:

Perform detailed review of general ledger accounts and prepare journal entries, including analysis and reconciliation of balance sheet accounts.

Identify and resolve accounting discrepancies and irregularities.

Participate in the month-end close by performing a variety of accounting tasks.

Coordinate accounting matters with other departments to ensure alignment and accuracy.

Responsible for monthly close process and reconciliations such as accrued expenses, lease accounting, and various assets and liabilities.

In charge of processing any request for new suppliers or making changes to their existing information.

Assist with Fixed Asset activities, such as:

Booking monthly depreciation in ERP system.

Following up with users and processing disposals or retirements.

Record assets improvements or upgrades to existing assets.

Assisting with fixed assets semi-annual audit.

Ownership of CIP monitoring and reconciliation, booking reclasses or adjustment when necessary, maintaining proper documentation, and following up with users for Fixed Assets placement.

Oversee SAP Concur Travel & Expense as Administrator included:

Manages and submits support cases for the business through SAP Concur Travel & Expense.

Provides user support regarding travel and expense program, including addressing issues, requests, system errors, payment inquiries and other matters related to travel and expense.

Monitor and maintenance Company Corporate credit card process.

Collaborate closely with FP&A and Accounts Payable (AP) teams to book monthly accruals.

Assist with SOX documentation for external and internal audit.

Assist with other projects as needed.

Requirements/Qualifications

Accounting degree or equivalent experience.

2+ years of similar experience in Accounting.

Basic understanding accounting, knowledge of US Generally Accepted Accounting Principles (GAAP), including GL journal entries and accruals.

Advance verbal and written English communication skills (desirable 80%-90% level).

Able to work in a fast-paced environment.

Strong sense of confidentiality.

Proactive and capable of working with minimum supervision.

Well organized and high attention to detail.

Maintains high performance standards, passion for excellence and continuous improvement.

Meets deadlines, prioritizes appropriately and is flexible.

Proficient in Excel.

Familiar with QAD ERP is a plus.

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