People Matter

Senior Accountant - General Ledger

Sword Health

Sword Health

Accounting & Finance
Porto, Portugal
EUR 31,150-48,950 / year + Equity
Posted on Feb 7, 2026
Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere, while significantly reducing costs for payers, self-insured employers, national health systems, and other healthcare organizations. Sword began by reinventing pain care with AI at its core, and has since expanded into women’s health, movement health, and more recently mental health. Since 2020, more than 700,000 members across three continents have completed 10 million AI sessions, helping Sword's 1,000+ enterprise clients avoid over $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies and over 44 patents, Sword Health has raised more than $500 million from leading investors, including Khosla Ventures, General Catalyst, Transformation Capital, and Founders Fund. Learn more at www.swordhealth.com.
We are seeking an experienced Senior Accountant – General Ledger to play a critical role in the monthly close and financial reporting process. This role is responsible for executing and reviewing core GL activities, ensuring balance sheet integrity, and supporting consolidated reporting in a multi-entity, international environment.
The Senior Accountant – GL is a key pillar of the close engine and works closely with the Assistant Controller to deliver a clean, predictable T+5 close.

What you’ll be doing:

  • Execute core month-end GL close activities, including accruals, deferrals, and adjustments.
  • Prepare and review balance sheet reconciliations.
  • Ensure completeness and accuracy of the general ledger.
  • Perform FX remeasurement and related postings.
  • Assist with group consolidation activities, including review of consolidation entries and FX impacts.
  • Prepare variance analysis and support management reporting.
  • Support audits by preparing schedules and responding to auditor queries.
  • Enforce accounting cutoffs, standards, and close discipline.

What you need to have:

  • Chartered Accountant - Preferred.
  • 5+ years of progressive accounting experience.
  • Proven experience in GL close ownership or senior close execution.
  • Strong understanding of IFRS and/or US GAAP.
  • Experience in multi-entity and multi-currency environments.
  • Exposure to group consolidation concepts (eliminations, FX).
  • Strong attention to detail with a reviewer mindset.
  • Ability to operate effectively under close deadlines.
  • Systems & Tools (Strong Plus): NetSuite experience (GL, intercompany, reporting); Experience with close management and reconciliation tools; Advanced Excel / reporting skills.

To ensure you feel good solving a big Human problem, we offer:

  • A stimulating, fast-paced environment with lots of room for creativity.
  • A bright future at a promising high-tech startup company.
  • Career development and growth, with a competitive salary.
  • The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare.
  • A flexible environment where you can control your hours (remotely) with unlimited vacation.
  • Access to our health and well-being program (digital therapist sessions).
  • Remote or Hybrid work policy.
Portugal - Sword Benefits & Perks:
• Health, dental and vision insurance
• Meal allowance
• Equity shares
• Remote work allowance
• Flexible working hours
• Work from home
• Discretionary vacation
• Snacks and beverages
• English class
Note: Please note that this position does not offer relocation assistance. Candidates must possess a valid EU visa and be based in Portugal.
Sword Health complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.

31150 - 48950 EUR a year

*This range includes base, variable and equity
These compensation bands are just the starting point. Once someone joins and proves they’re outlier talent, we adjust quickly to ensure their compensation aligns with their impact.
Our job titles may span more than one career level. Actual pay is determined by skills, qualifications, experience, location, market demand, and other factors. Compensation details listed in this posting reflect the base salary and any potential variable, bonus or sales incentives, and the Company’s estimation of the value of private company stock options, if applicable. The pay range is subject to change, future value of company stock options is not guaranteed, and compensation may be modified in the future. In addition to our total compensation, Sword offers a number of benefits as listed below.