Director of Accounting

Job Description

Responsibilities

• Close and reporting: Own month-end, quarter-end, and year-end close across the general ledger, AP, AR, and payroll for all 3 entities, delivering accurate, GAAP-compliant financials on a consistent timeline.
• Multi-entity ownership: Manage intercompany transactions, allocations, and entity-level reporting across MSO structure, ensuring each entity’s books roll up cleanly to the parent.
• Technical accounting: Serve as our technical accounting resource, researching and documenting positions on the areas most relevant to us — including revenue recognition (ASC 606) across our software, RCM billing revenue streams and Pharma projects
• Outsourced accounting transition: Own the transition off our current outsourced accounting provider (Pilot) — extracting institutional knowledge, closing documentation gaps, and ensuring no continuity issues during the handoff.
• Controls and process: Design and document internal controls, accounting policies, and repeatable procedures that fit a fast-growing, multi-entity company.
• Cash and AP/AR oversight: Own day-to-day cash visibility and AP/AR processes across all entities.
• Finance business partnering: Support VP Finance and leadership with clean, consistent financials, and act as the go-to resource for accounting questions across the company.
• Systems and automation: Lead our migration from QuickBooks Online (Premium) to a true multi-entity platform, redesign the chart of accounts for multi-entity reporting, and bring in AI-enabled tools and automation to make the function faster and more reliable.
• Team building: As grows, hire, train, and manage additional offshore-based accounting staff.

Skills and Qualifications

• 8–12 years of progressive accounting/finance experience, including at least 3 years at a Controller or Accounting Manager level.
• Direct, hands-on experience working with or for a US-based company — not solely BPO-style transactional support for a domestic client base. This is a hard requirement, not a preference.
• CPA or equivalent recognized certification.
• Strong command of US GAAP, financial reporting, and internal controls, with real fluency in multi-entity and intercompany accounting.
• Demonstrated experience setting up or standing up an accounting function — Controller-level ownership, not just execution.
• A true “player-coach”: comfortable being both the hands-on preparer today and the manager who hires and trains a team tomorrow.
• Deep QuickBooks Online expertise, including direct experience leading a platform or tier transition. Experience with NetSuite or another enterprise-scale ERP is strongly preferred and will directly inform our platform decisions.
• Excellent written and verbal communication skills, with the ability to translate accounting concepts clearly for non-finance stakeholders and proactively flag issues before being asked.
• Comfort working as an independent contributor now, with a clear path to managing a small team as it’s built out.

Nice to Have

• Big 4 or equivalent top-tier public accounting/audit firm background — the preferred profile for this role.
• Healthcare or healthcare technology industry experience.
• Familiarity with MSO (Management Services Organization) structures specifically.
• Experience with AI-enabled finance/accounting workflows or automation tools.
• Track record of scaling an accounting function during a high-growth period.

Are you interested in this position?
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