Senior Accountant - job 1 of 2

Sword Health is on a mission to free two billion people from pain. 

With 67% of members achieving a pain-free life and a 70% reduction in surgery intent, at Sword, we are using AI Care to change lives, and save millions for our 25,000+ enterprise clients across three continents. Today, we hold the majority of industry patents, win 70% of competitive evaluations, and have raised more than $300 million from top venture firms like Founders Fund, Sapphire Ventures, General Catalyst, and Khosla Ventures.

Recognized as a Forbes Best Startup Employer in 2025, this award highlights our focus on being a destination for the best and brightest  talent. Not only have we experienced unprecedented growth since our market debut in 2020,  but we’ve also created a remarkable mission and value-driven environment that is loved by our growing team. With a recent valuation of $3 billion, we are in a phase of hyper growth and expansion, and we’re looking for individuals with passion, commitment, and energy to help us scale our global impact. 

Joining Sword means committing to a set of core values, chief amongst them to “do it for the patients” every day, and to always “deliver more than expected” on behalf of our members and clients.

This is an opportunity for you to make a significant difference on a massive scale as you work alongside 900+ (and growing!) talented colleagues, spanning three continents. Your charge? To help us build a pain-free world, powered by AI, enhanced by people — accessible to all.

We are searching for a Senior Accountant for our Porto Office preferably with experience in a fast growth environment. Our goal is to build the best Finance team in healthcare.

• Ensure recording, monitoring and reporting general and technical accounting activity according to the Group Policies;
• Support the month-end and year-end closing processes, including journal entries and account reconciliations;
• Be familiar with core accounting sections including: leases, inter-company transactions, fixed assets, capitalized software;
• Conduct detailed financial analysis to identify trends, variances, and opportunities for improvement;
• Perform timely reconciliations for key accounts on a monthly basis;
• Provide administrative support to the finance and accounting team, such as filing, organizing documents, and responding to inquiries;
• Collaborate with cross-functional teams to streamline processes, improve efficiency, and achieve organizational objectives;
• Plays an integral role in the development, implementation and maintenance of the financial accounting systems;
• Provides their team with meaningful, accurate and timely financial information and reports as requested;
• Participate in the interim and annual audits for the Group;
• Stay current on accounting principles, standards, and regulations, ensuring compliance with evolving requirements;
• Perform other accounting and controller duties and support junior staff as required or assigned.

• University degree in Finance, Economics, Accounting or any related field;
• Experience with month-end/year end close processes in complex multi-national and multi-currency frameworks;
• Comfort with Finance and Accounting principles (local GAAP, US/IFRS will be a plus) and good financial statement analysis ability;
• Excellent excel skills and used to work with a complex ERP (NetSuite a plus);
• Independent handling of a variety of tasks with different levels of complexity and organizing work efficiently;
• Good communication skills, able to build relationships with internal and external stakeholders.
• Endurance and flexibility, when facing problems;
• Taking ownership of assigned responsibilities, including self-study/research needed to execute the same;
• Very high attention to detail, organized and thorough with a desire for continuous improvement and improve pain-points;
• Working experience +4 years;
• Fluent in English (written and spoken);
• Ability to work with little or no supervision;
• Curious, enthusiastic, proactive, strong team player.

• 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 stimulating environment with room for creativity;
• 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

• Unlimited vacation

• Snacks and beverages

• English class

• Unlimited access to our Learning Platform

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, which includes SWORD Health, Inc. and Sword Health Professionals (consisting of Sword Health Care Providers, P.A., SWORD Health Care Providers of NJ, P.C., SWORD Health Care Physical Therapy Providers of CA, P.C.*) 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.