Senior Manager, Revenue Accounting & Integrations

Overview

This is a full-time remote position based in Mountain, Central, or Eastern Time zones with up to 15% travel required. The role reports to the Vice President of Finance and Accounting within the HQ Finance and Accounting department.

The organization is seeking a Senior Manager, Revenue Accounting & Integrations to lead the revenue accounting function in a rapidly scaling, private-equity-backed healthcare platform. This role involves ownership of the full revenue cycle—from provider commissions and labor cost accounting to order-to-cash reconciliation—while driving automation, building scalable processes, and ensuring ASC 606 compliance across a growing multi-site portfolio.

Responsibilities

Revenue Accounting & Compliance

• Own end-to-end revenue accounting, ensuring compliance with ASC 606 across all service lines and locations.
• Oversee provider commission calculations and labor cost accounting, ensuring accuracy and timeliness.
• Implement and maintain best practices in order-to-cash processes to reconcile purchases to cash receipts across payment processors and POS systems.
• Build new processes and controls for cash handling within the order-to-cash cycle, ensuring completeness and accuracy from point of sale through bank settlement.
• Develop and enforce revenue recognition policies, internal controls, and documentation standards.
• Monitor and reconcile payment processor transactions, chargebacks, and settlement activity.

Integration & M&A Support

• Lead accounting integration efforts for newly acquired practices, establishing revenue accounting processes and controls from close through stabilization.
• Assist with deal diligence by evaluating revenue recognition practices, commission structures, and cash handling procedures of target acquisitions.
• Partner on ERP/CRM implementations and system migrations, ensuring accounting and compliance requirements are incorporated from the outset.

Automation & Process Improvement

• Champion automation across the revenue accounting function by identifying and implementing technology solutions to eliminate manual processes and improve accuracy.
• Continuously improve reconciliation workflows, reporting cadences, and close processes to build for scale.
• Work with large data sets to develop automated reporting and analytics that enhance operational visibility.

Audit, Controls & Reporting

• Serve as the lead contact for external auditors on revenue-related matters, managing walkthroughs, testing support, and timely resolution of issues.
• Design and maintain internal controls over revenue recognition, cash handling, and provider compensation.
• Partner with FP&A and senior leadership to deliver accurate revenue reporting and actionable insights.

Team Leadership

• Lead, mentor, and develop a high-performing accounting team, fostering a culture of continuous improvement.
• Set clear goals and performance standards, building bench strength and operational resilience as the organization scales.
• Collaborate closely with the VP of Finance and Accounting to build a best-in-class finance organization.

Requirements

• Active CPA license required.
• 8–10 years of progressive accounting experience with deep expertise in revenue accounting.
• Strong command of ASC 606 revenue recognition standards.
• Experience working with 4-wall businesses such as retail, healthcare, hospitality, or multi-site service environments.
• Demonstrated experience with payment processors, POS systems, and order-to-cash reconciliation.
• Proven track record as lead contact for external auditors, including walkthroughs, testing, and resolution of audit issues.
• Experience partnering on ERP/CRM implementations ensuring accounting and compliance requirements are embedded in system design.
• Advanced Excel skills; comfortable working with large data sets and building automated reporting tools.
• Ability to lead teams and manage multiple workstreams in a fast-paced, high-growth environment.
• Strong communication skills with the ability to produce polished, executive-facing materials and collaborate across functions.

Preferred Qualifications

• Master of Accounting or equivalent advanced degree.
• Previous healthcare accounting experience, particularly in multi-site or practice-based settings.
• Experience in private-equity-backed environments with exposure to acquisition-driven growth.
• Background in designing and implementing automation solutions within accounting functions.
• SQL or business intelligence tool experience is a plus.

Compensation & Benefits

• Salary range: $150,000 to $170,000 annually.
• Medical, dental, and vision insurance.
• Paid time off and holidays.
• 401(k) plan with profit sharing.
• Company-paid life insurance.
• Employee assistance program.
• Employee discounts.
• Professional development assistance.

Location

Remote position requiring residence in Mountain, Central, or Eastern Time zones with ability to travel up to 15%.

This job description does not constitute an employment contract and does not alter the at-will employment relationship. Employment may be terminated at any time, with or without notice, by either party. Duties and responsibilities may evolve based on business needs.

The organization is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. Qualified applicants will receive consideration without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, protected veteran status, or any other characteristic protected by applicable law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.