Director, Technical Accounting

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Posted Oct 16, 2026

Remote · US · ask about Worldwide Full Time
$160K – $190K/yr

Overview

This role leads the organization’s technical accounting function, ensuring accurate application of U.S. GAAP across complex and judgmental areas. The Director of Technical Accounting serves as a key advisor to senior finance leaders and other stakeholders on accounting implications of strategic initiatives, transactions, and emerging issues. The position will build and oversee a high-performing team of three and strengthen accounting policies to drive consistency across the organization, partnering closely with the Financial Reporting team.

Responsibilities

  • Lead accounting analysis and conclusions for complex transactions including M&A, partnerships/JVs, debt/equity, compensation arrangements, leases, and medical malpractice.
  • Oversee preparation and review of accounting position papers and technical memos for audit and internal use.
  • Partner with FP&A, Legal, Corporate Development, Financial Reporting, and external parties on accounting considerations, diligence, and transaction implications.
  • Serve as the primary liaison with external auditors on technical accounting topics.
  • Provide technical accounting support to the Financial Reporting team on disclosures and complex accounting matters.
  • Review and advise on technical conclusions reflected in financial statements, ensuring alignment between technical positions and external reporting.
  • Maintain and enhance company-wide accounting policies.
  • Ensure consistent application of accounting across Clinical and Technology segments.
  • Lead, develop, and mentor a team.
  • Build a scalable technical accounting function aligned with a multi-billion-dollar organization.

Requirements

  • Bachelor’s degree in Accounting (Master’s preferred).
  • CPA required.
  • 8–12+ years of experience in accounting; Big 4 public accounting experience strongly preferred.
  • Experience supporting financial reporting in a complex organization.
  • Public company/SEC experience preferred.
  • Multi-currency and international accounting experience preferred.
  • Deep knowledge of U.S. GAAP, including:
    • Business combinations
    • Consolidations and noncontrolling interests
    • Debt and equity transactions
    • Stock-based compensation
    • Lease accounting
    • Financial services – insurance
    • Medical malpractice accounting
  • Proven ability to research, document, and clearly communicate complex accounting issues.
  • Strong experience leading and developing teams with cross-functional collaboration skills.
  • Excellent written and verbal communication skills.
  • Ability to influence across functions and communicate effectively with senior leadership and external auditors.

Preferred Qualifications

  • Master’s degree in Accounting.
  • Public company/SEC experience.
  • Multi-currency and international accounting experience.

Compensation & Benefits

  • Salary range: $160,000–$190,000.
  • Final determinations may vary based on education, work experience, certifications, geographic location, and other factors.
  • Eligible for an annual discretionary bonus.
  • Competitive total rewards packages including health & wellness coverage options, 401k benefits, and other benefits such as family planning and telehealth (all benefits subject to eligibility requirements).
  • Benefits eligibility starts the month after hire, with tiered options to choose from.
  • Compensation reviews and career growth opportunities.
  • Generous PTO plans and paid holidays.

Location

  • Flexible remote schedules; Nashville, TN preferred.

Additional Information

  • Equal opportunity employer.
  • The organization participates in E-verify.