Sr. Manager, Accounting

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Posted May 3, 2026

Remote · US · ask about Worldwide Full Time

Overview

This role involves leading the operational accounting function for a healthcare practice entity within the oncology sector. The Senior Manager, Practice Accounting, reports to the Senior Director of Practice Accounting and is responsible for overseeing a team to deliver timely, accurate, and compliant accrual-based accounting under US GAAP. The position requires collaboration with various finance and operations teams and regular interaction with senior executives.

Responsibilities

  • Provide strategic leadership and direction to the Practice Accounting team, promoting accountability, accuracy, and continuous improvement.
  • Oversee monthly close activities including journal entries, balance sheet reconciliations, consolidations, and financial reporting.
  • Ensure timely and accurate income statement and balance sheet reporting in accordance with US GAAP.
  • Lead hiring, training, career development, performance management, and succession planning for managers, seniors, and staff.
  • Partner with Practice Accounting & Analysis and FP&A teams to coordinate monthly financial reviews and provide insights.
  • Build and maintain collaborative relationships with leadership to ensure accounting processes and financial reporting meet business needs.
  • Collaborate with Corporate Accounting on annual audits and implementation of new accounting standards, policies, and processes.
  • Lead accounting integration for new physicians, tuck-ins, and service lines, including establishing opening balance sheets and converting practices from cash to accrual basis.
  • Identify and implement process improvements to enhance efficiency and accuracy.
  • Perform other duties as assigned to support the mission of improving patient care.

Key Competencies

  • Strong leadership skills with the ability to motivate and develop high-performing teams.
  • Excellent communication skills, capable of influencing and presenting to both financial and non-financial audiences.
  • Detail-oriented with a strong commitment to accuracy and accountability.
  • Solid technical accounting knowledge including revenue recognition, lease accounting, and liability recognition.
  • Proactive and adaptable, thriving in a fast-paced, growth-oriented environment.
  • Ability to work independently and lead cross-functional initiatives across geographically dispersed teams.

Qualifications

  • Bachelor’s degree in Accounting required; Master’s degree preferred.
  • Minimum of 6 years of accounting experience, preferably in healthcare.
  • Prior supervisory experience managing accounting personnel.
  • Proven ability to build, manage, and motivate teams.
  • Strong knowledge of internal controls and accounting best practices.
  • Proficiency in Excel and experience with ERP systems (Workday preferred).
  • Active CPA license strongly preferred.
  • Ability to travel as needed to partner practices.

Location

This position may require travel to partner practices as necessary.

Compensation & Benefits

Details regarding compensation and benefits are not specified in this description.