Accounting Manager

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Posted Oct 16, 2026

Remote · US Full Time
Est. $95K – $125K/yr

Overview

This role is an Accounting Manager reporting to the Controller. It is a full-time, exempt position with a remote work arrangement.

The Accounting Manager is responsible for the integrity of financial reporting across all entities and partners closely with a small accounting team, an outsourced accounting provider, and leadership including the CFO and operating leaders.

Responsibilities

Financial Reporting & Close

  • Prepare and review monthly consolidated and entity-level financial statements.
  • Lead and manage the periodic financial close across all entities in partnership with the outsourced accounting provider.
  • Own the integrity of the balance sheet, including account reconciliations and support underlying each balance.
  • Develop and maintain accrual estimates for revenue, rebates, and expenses, including true-ups to actual results.
  • Prepare the monthly reporting package for the Controller and CFO.
  • Prepare and post journal entries and account reconciliations as required.

Technical Accounting

  • Review client contracts and amendments for accounting impact, and document revenue recognition conclusions under ASC 606.
  • Research technical accounting matters and document accounting positions.
  • Support accounting for acquisitions, leases, and other non-routine transactions.
  • Manage the external audit process, including preparation of audit schedules and responses to auditor requests.

Operational Accounting

  • Own accounts receivable, including aging review, collection follow-up, and escalation of past due balances.
  • Verify billed and unbilled revenue is complete and accurate across all client contracts.
  • Review client invoicing against executed contracts and amendments and resolve discrepancies.
  • Review vendor invoices for coding, approval, and supporting documentation, and prepare payment runs for Controller release.
  • Monitor daily cash positions and prepare weekly cash requirements for Controller approval.

Internal Controls & Compliance

  • Document accounting policies, procedures, and process narratives.
  • Design and monitor internal controls and maintain documentation sufficient to support external audit and diligence requirements.

Business Partnership

  • Serve as the accounting point of contact for operations, pharmacy, client services, and billing teams.
  • Respond to leadership inquiries regarding client billing, contract terms, and accounting treatment.

Systems & Process Improvement

  • Apply AI and automation tools to streamline recurring close, reconciliation, and contract review processes.
  • Support implementation of NetSuite for acquired entities.

Requirements

  • Demonstrated ability or strong aptitude for applying AI and automation tools to accounting processes.
  • Five or more years of progressive accounting experience.
  • Strong working knowledge of US GAAP, including revenue recognition under ASC 606.
  • Ability to interpret commercial contracts and translate their terms into billing and accounting outcomes.
  • Hands-on approach, including the ability to review work prepared by others and perform work directly.
  • Advanced Excel skills and experience with NetSuite or a comparable ERP.
  • Strong written and verbal communication skills, able to work effectively with finance, operations, and client-facing teams in a remote setting.

Preferred Qualifications

  • Experience in healthcare, pharmacy, or a private equity-backed company.

Education & Credentials

  • Bachelor’s degree in Accounting, Finance, or a related field.
  • CPA, CMA, or an equivalent credential is preferred, including candidates who are partly qualified or actively pursuing certification.
  • Candidates in public practice seeking a first move into industry are encouraged to apply.

Compensation & Benefits

  • Full-time, exempt position. Compensation and benefits details are not specified.

Location

  • Remote