Manager, Accounting

📍 Remote – Must Reside in Eastern or Central Time Zones

Position Overview

Are you an experienced accounting professional ready to take the next step in your career and contribute to a fast-growing, mission-driven organization? We are seeking an experienced Accounting Manager to help lead our accounting function through continued growth and operational excellence.

Responsible for overseeing and directing accounting functions, including
monthly/quarterly/annual accounting close and preparation of balance sheet account analysis. Performs day-to-day financial accounting and reporting responsibilities related to the Company’s various entities, including joint venture and economic partnership accounting.  Prepares periodic reports, reviews and reconciles data, and participates in the development of specialized financial
data.  Oversees and prepares entries and adjustments to Company records, files, and statements. Directs, trains, supervises, and appraises accounting personnel.  Contributes substantially to the accuracy, timeliness and integrity of the general ledger, financial statements and reports.

Key Responsibilities

• Responsible for the monthly/quarterly/annual accounting close process, including preparation and/or review of significant accruals (i.e. retail AR reserves).  Supervise and review/approve journal entries and monthly balance sheet account reconciliations to verify proper accounting in accordance with GAAP and proper supporting documentation.  Ensure that accounting functions and duties are accurately and promptly completed.

• Responsible for accuracy of joint venture reporting, recommending correcting entries as appropriate. Identify efficiencies to scale joint venture close processes to include additional entities as needed. Work in close partnership with financial planning and patient accounting services departments.

• Support ongoing accounting transformation initiatives to optimize processes, improve data quality, and enhance reporting capabilities.

• Maintain and strengthen internal controls and ensure compliance with SOX and other regulatory requirements.

• Collaborate with external auditors and coordinate audit requests and deliverables.

• Assist with accounting aspects of M&A transactions, including due diligence and integration activities.

• Review periodic (monthly, quarterly, annual) consolidated and disaggregated financial results to ensure accuracy and reasonableness, performing financial analyses, investigating questionable transactions, and making recommendations for corrections as needed. Assist with preparation of monthly management and board financial packages as needed.

• Lead and motivate staff. Provide guidance and information to senior and staff accountants, as well as formal supervision (including performance reviews, goal setting, disciplinary action, time off approval and day-to-day oversight and direction).

• Partner cross-functionally with FP&A, Legal, Treasury, Tax, and other teams to support business initiatives and financial reporting needs.

• Research and discuss complex accounting and reporting issues related to significant Company transactions and financial reporting processes, including newly formed joint ventures, site divestitures, physician compensation, accounts receivables and bad debt reserves. Assist with accounting due diligence related to new acquisitions. Perform technical research as needed.

• Supervise, coach, and develop a team of accounting professionals, fostering a culture of accountability, continuous learning, and operational excellence.

• Contribute to system enhancements, implementations, and process automation initiatives to improve efficiency and scalability of accounting operations.

• Assist in preparing financial analyses and reports for executive management and stakeholders as needed.

• Ensure compliance with applicable local, state, and federal regulations.

Required Qualifications

• Bachelor’s degree in Accounting or Finance.

• 6-8+ years of progressive accounting experience, including a mix of Big 4 public accounting and industry experience.

• Ability to research and discuss complex accounting and reporting issues.

• Strong Excel skills.

• Experience leading accounting teams in dynamic, high-growth environments.

• Proficient in ERP systems and financial reporting tools.

• Proven ability to drive process improvements, standardization, and operational efficiencies.

• Experience wit