Senior Accounting Manager

Overview

A healthcare administration organization is seeking a Senior Accounting Manager to provide leadership and oversight of its accounting operations. This role is critical to managing financial processes across multiple legal entities, supporting mergers and acquisitions (M&A) activities, ensuring audit readiness, and maintaining compliance with regulatory and tax requirements. The position supports billing, collections, escrow management, and accounting for Third-Party Administration (TPA) customers.

This is a remote position with a preference for candidates located in Texas.

Responsibilities

• Lead and manage the consolidated month-end close process across all legal entities, ensuring accuracy, timeliness, and GAAP compliance.
• Maintain continuous audit readiness and ensure compliance with accounting standards and regulatory requirements.
• Act as the accounting subject-matter expert throughout the M&A lifecycle, from target evaluation to post-close integration.
• Represent accounting in systems integration and ERP projects to preserve financial data integrity and configure accounting workflows.
• Coordinate multi-entity, multi-jurisdiction tax compliance in collaboration with external advisors.
• Oversee billing, collections, and escrow management operations within Finance.
• Maintain accurate and client-ready accounting records for all TPA customers.
• Build, manage, and develop an accounting team to support organizational growth.

Required Qualifications

• Active CPA license.
• Experience at a Big 4 public accounting firm.
• Minimum of 10 years of accounting experience, including public accounting and industry roles.
• Proven experience managing multi-entity month-end close processes.
• Hands-on experience supporting financial due diligence and post-acquisition accounting integration in an M&A-active environment.
• Experience managing external audit processes, including workpaper preparation and auditor liaison.
• Demonstrated ability to coordinate tax compliance across multiple entities and states.
• Experience in financial operations such as billing, collections, escrow management, or accounts receivable at scale.
• Advanced proficiency in Excel and experience with ERP systems such as QuickBooks, NetSuite, or Sage Intacct.
• Bachelor's degree in Accounting (required); graduate degree in Accounting, Finance, or Business Administration is a plus.
• Strong analytical, organizational, and communication skills, with the ability to explain complex accounting issues to non-accounting stakeholders and executives.

Preferred Qualifications

• Experience in healthcare payer, TPA, health plan, or health sharing ministry industries.
• Experience managing accounting for TPA operations and client fund accounting.
• Background in private equity-backed or high-growth companies undergoing M&A rollups or platform-building strategies.
• Experience leading sell-side or buy-side financial due diligence engagements.
• Knowledge of escrow accounts or trust accounting in regulated or fiduciary environments.
• Experience implementing or integrating accounting systems during M&A or ERP migration projects.
• Familiarity with Salesforce, QuickBooks, Enrollment 123, or merchant processing systems in a financial context.
• Prior management experience leading an accounting team with two or more direct reports.

Compensation & Benefits

• Competitive salary and benefits package.
• Opportunities for professional growth and development.
• Flexible remote work arrangement.

Location

Remote position; candidates located in Texas are preferred.