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Confluent Medical

Global Manager, Cost Accounting

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Full-timeRemote$35 - $50/hr
Posted Wednesday, 3/18/2026

Confluent Medical Technologies is Hiring a Global Manager, Cost Accounting!

Location: Alajuela, Costa Rica
Schedule: Monday – Friday
Employment Type: Full-Time

Overview

Confluent Medical Technologies is a rapidly growing global medical device company focused on delivering innovative solutions through advanced engineering and manufacturing.

We are seeking a Global Manager, Cost Accounting to lead company-wide cost accounting activities. This role will partner closely with Operations and Finance teams to provide critical financial insights, support planning processes, and drive operational performance across multiple sites.

Responsibilities

  • Lead and manage the Cost Accounting team supporting global operations

  • Execute annual standard cost setting across all sites using ERP systems

  • Establish PRR/PSR rates and SKU-level cost books

  • Review BOMs and manufacturing methods to ensure costing accuracy

  • Track and analyze manufacturing variances (labor, materials, overhead)

  • Partner with Engineering and Operations to ensure accurate costing structures

  • Prepare month-end journal entries and support financial close processes

  • Perform PVM analysis in collaboration with Commercial Finance

  • Deliver financial performance analysis vs. budget and forecast (PPV, variances, inventory, WIP, etc.)

  • Provide management commentary on key cost drivers

  • Support forecasting, budgeting, and Annual Operations Plan development

  • Maintain inventory valuations and perform reconciliations

  • Oversee cycle counts and inventory reporting across sites

  • Support internal and external audits related to cost accounting

  • Drive process improvements and implement best-in-class systems and controls

  • Prepare FX forecasting and reporting

  • Supervise and mentor two Corporate Cost Accountants

Requirements

  • Bachelor’s degree in Finance or Accounting

  • 5–7 years of progressive experience in accounting or finance within a standard costing environment (manufacturing required; medical device preferred but not required)

  • Experience leading or supervising a cost accounting team

  • Strong communication skills across cross-functional and global teams

  • Proficiency in Microsoft Office (Excel, PowerPoint, Word)

  • Experience with ERP systems and manufacturing cost flows

  • Knowledge of internal controls related to purchasing, inventory, and cost accounting

  • MBA and CPA are considered a plus

  • Experience with Epicor is a plus

  • Knowledge of ISO, FDA, CE Mark, GAAP, NIIF, and local legislation is a plus

Benefits

  • Competitive salary based on experience

  • Opportunity to lead global financial operations

  • Exposure to international teams and cross-functional leadership

  • Career growth in a fast-growing medical technology company

  • Collaborative and high-impact work environment