Finance & Accounting Manager

icotec, a fast-growing global company headquartered in Altstätten, Switzerland and Boston, Massachusetts, is reshaping today's spine care and is defining what the future of spinal implants will make possible.

Using our proprietary BlackArmor® process technology, icotec pioneers radiolucent, nonmetallic spinal implant systems made of Carbon/PEEK. Designed and engineered specifically for patients with spinal tumors and complex spinal conditions, our implants empower visualization throughout the patient care pathway and improve biomechanics. This enables clearer imaging, more precise radiation therapy, and better-informed clinical decision making.

At icotec, you will help shape how spinal tumors and complex diseases are treated, supporting in the treatment of today's surgical spine patients. We value multi-disciplinary collaboration with leading spine surgeons, radiation oncologists, and the entire clinical care teams at renowned global institutions. In this role, you will contribute to a fast-evolving business at the intersection of material science and process technology.

We are a Swiss, family-owned company with global reach defined by enthusiasm, responsible ownership, accountability, collaboration and purpose-driven work. As we continue to grow and expand globally, you will have the opportunity to take responsibility, shape your own career path, and be part of a category leading company. We take great pride in investing in our people with competitive benefits, including 100% company-paid health, dental, and vision coverage for U.S. employees.

If you are looking to do meaningful work, move fast, and be part of a team redefining the future of spine care, welcome to your possible future home.

Join our passionate and innovative team as a

Finance & Accounting Manager

Role Overview

• Key finance role supporting US operations of our fast-growing MedTech company
• Responsible for end-to-end accounting, financial reporting, combining hands-on operational execution with the development of accounting best practices for the US entity
• Leadership responsibility for a small accounting team. Develop team members to next level.
• Close collaboration with Group Accounting, CFO, international finance team, and external auditors

• Own the full accounting cycle, including GL, AP, AR (including collections), payroll, fixed assets, and commissions calculations
• Lead month-end, quarter-end, and year-end closing activities while remaining actively involved in day-to-day accounting operations
• Prepare financial statements in collaboration with the global accounting team
• Perform and review account reconciliations, including balance sheets, intercompany, and bank accounts

• Ensure compliance with U.S./IFRS GAAP, all tax (Sales/Use/Property and Income Taxes), and regulatory requirements in coordination with external tax advisors
• Lead and coordinate external tax consultants, auditors, and payroll providers
• Maintain and enhance internal controls, accounting policies, and processes

• Serve as the key finance contact, together with team, for all U.S. entity-related matters
• Collaborate with headquarters and the international finance team on group reporting and IFRS reconciliations, where applicable
• Support budgeting, forecasting, and cash flow management
• Drive process improvements and system optimization across accounting and reporting functions
• Contribute to building a scalable, best-in-class accounting organization that supports continued business growth and expansion in the U.S. market

• Bachelor's degree in Accounting, Finance, or related field
• CPA qualification preferred
• 5+ years of accounting experience, ideally in a fast-growing SME environment
• Experience with financial reporting, audits, internal controls, and compliance
• Hands-on, proactive mindset with a willingness to work both strategically and operationally
• Experience with ERP systems; Microsoft Dynamics 365 / AX and Power BI are a plus
• Advanced Excel skills and affinity for data analytics and AI tools
• Strong analytical, structured, and detail-oriented approach
• Ability to thrive in a fast-paced, international environment
• Excellent communication skills and confidence working with senior management and external stakeholders
• Strong leadership capabilities with a collaborative mindset
• Occasional business travel to our Atlanta office for team alignment and knowledge exchange