Senior Accountant

Overview

A rapidly growing infusion provider is seeking a Senior Accountant to play a foundational role in building and scaling the accounting function during a period of rapid growth. This position reports directly to the Controller and will help transition key accounting functions from outsourced providers to an in-house team while designing scalable processes, strengthening internal controls, and leveraging technology to improve efficiency.

This role is ideal for an experienced public accountant who enjoys building accounting processes rather than just maintaining them. The candidate should combine strong technical accounting knowledge with a continuous improvement mindset and be excited to help shape the future of the Finance organization.

Location: Remote (Nashville, TN area preferred)

Responsibilities

Build & Scale the Accounting Function

• Partner with the Controller to transition accounting responsibilities from outsourced providers to an internal accounting team.
• Develop and implement scalable accounting processes supporting a rapidly growing, multi-location healthcare organization.
• Standardize account reconciliations, month-end close procedures, and supporting schedules across multiple legal entities.
• Identify opportunities to automate manual accounting processes and improve efficiency through technology and AI-enabled tools.

Financial Close & General Accounting

• Own significant portions of the monthly close process.
• Prepare and review complex journal entries, account reconciliations, and financial analyses.
• Research and apply U.S. GAAP guidance to complex accounting transactions.
• Support intercompany accounting, allocations, and consolidation activities.
• Assist with accounting for acquisitions, new center openings, and other strategic growth initiatives.

Specialized Accounting Areas

• Manage monthly accounting for lease activity, including new leases, modifications, terminations, amortization, and related reconciliations in accordance with ASC 842.
• Prepare and review revenue and accounts receivable accounting, including reconciliations, reserve analyses, and month-end reporting in accordance with ASC 606.
• Prepare payroll accounting entries and reconciliations, including wages, payroll taxes, employee benefits, bonus accruals, and other compensation-related accounts.
• Analyze complex accounting transactions and prepare supporting schedules to ensure accurate financial reporting.
• Research technical accounting matters and prepare accounting memorandums to support significant accounting conclusions when needed.

Cross-Functional Partnership

• Collaborate with Finance, Accounts Payable, Operations, Revenue Cycle, and Human Resources teams.
• Support system enhancements, implementations, and finance transformation initiatives.
• Participate in special projects and strategic initiatives as the organization continues to grow.

Requirements

• Bachelor’s degree in Accounting, Finance, or related field.
• CPA certification required.
• 3-5+ years of progressive accounting experience.
• Previous experience with a Big 4 or nationally recognized Top 10 public accounting firm.
• Strong technical accounting knowledge under U.S. GAAP.
• Experience with ASC 606 (Revenue Recognition) and ASC 842 (Leases).
• Experience managing complex month-end close responsibilities.
• Excellent analytical, communication, and problem-solving skills.
• Ability to thrive in a fast-paced, high-growth environment.

Systems Experience

• Experience with Sage Intacct is a plus.
• Experience using AI tools to improve productivity, automate routine tasks, analyze data, or enhance accounting workflows.
• Strong Excel skills with the ability to work with large data sets.

Compensation & Benefits

• Medical, dental, and vision insurance through employer plan.
• Short and long-term disability coverage.
• 401(k) plan with employer match.
• 15 days of paid time off.
• Competitive paid parental leave and flexible return to work policy.
• Access to professional development opportunities to support career growth.

Equal Opportunity

This employer is an Equal Employment Opportunity (EEO) organization committed to diversity and inclusion, believing that a diverse team strengthens the company and its ability to achieve its vision.