Accounting Manager

Location: Hybrid
Employment Type: Full-Time; Non-Exempt
Reports To: CEO

About the Role

This highly capable, hands-on Accounting Manager takes ownership of the accounting function for a group of commonly controlled entities including healthcare companies and real estate entities.

You will oversee the accounting function from transaction through financial statement; managing the full accounting cycle, lead month-end close, oversee multiple entities, maintain QuickBooks, strengthen internal controls, coordinate with our outside CPA firm, support tax and compliance requirements, and provide financial information that leadership, lenders, auditors, and advisors can trust.

This self-directed accounting generalist is comfortable being the most knowledgeable accounting professional in the organization. You should be equally comfortable digging into a reconciliation, building a financial model, improving a process, explaining a variance to leadership, or preparing a year-end tax package for the CPA firm.

Full-Cycle Accounting & Financial Reporting

• Responsible for accurate accounting records across all entities, from original transaction through final financial statements.
• Record, review, and approve journal entries, including accruals, allocations, recurring entries, and adjustments.
• Manage general ledgers and charts of accounts across multiple entities.
• Oversee AP, AR, cash activity, payroll accounting, fixed assets, prepaid expenses, accruals, and debt.
• Lead timely monthly, quarterly, and annual closes.
• Reconcile every balance sheet account monthly—including bank accounts, credit cards, loans, intercompany accounts, and clearing accounts.
• Prepare entity-level and consolidated/combined financial statements and supporting schedules.
• Build workpapers that are organized, documented, and easy for a third party to follow.

Multi-Entity & Real Estate Accounting

• Maintain separate books and records for each legal entity and prevent improper commingling.
• Track and reconcile intercompany transactions, including shared expenses, rent, management fees, and advances.
• Account for real estate holdings, capital improvements, depreciation, mortgages, escrows, property taxes, insurance, and related costs.
• Manage intercompany lease arrangements between real estate and operating entities.
• Maintain fixed asset records for additions, transfers, disposals, retirements, and depreciation.
• Maintain equity, capital account, contribution, and distribution records by entity and owner.

Controls, Policies & Process Improvement

• Develop and maintain written accounting policies, procedures, and month-end close checklists.
• Establish practical internal controls around cash, vendors, approvals, disbursements, and segregation of duties.
• Create documentation and record-retention standards that support every material accounting entry.
• Identify weaknesses, errors, and inefficiencies—and fix them.
• Serve as the organization's go-to resource for accounting treatment and document significant accounting positions.

Accounting Systems & Data Integrity

• Responsible for the configuration and administration of the accounting system.
• Maintain user permissions, closing periods, audit trails, account structures, and system integrations.
• Review system output for reasonableness and investigate anomalies rather than passing problems downstream.
• Reconcile data between accounting, payroll, billing/revenue cycle, expense management, and banking systems.
• Clean up legacy balances and improve the accuracy, automation, and reliability of financial data.

Cash, Payroll & Compliance

• Monitor daily cash positions across entities and prepare cash forecasts.
• Oversee AP disbursement cycles and vendor relationships.
• Manage payroll processing and payroll accounting, including entity, department, and location coding.
• Reconcile payroll liabilities and verify payroll tax deposits and filings.
• Support employee benefit plan accounting, including retirement contributions and annual reporting.
• Provide financial information for insurance, licensing, accreditation, lender, and covenant reporting.

Tax & CPA Coordination

Our tax returns are prepared by an outside CPA firm. You won't be expected to prepare the returns but you will be responsible for the accounting records and information that make accurate tax filings possible.

You will:

• Serve as the primary accounting contact for the outside CPA firm.
• Be responsible for the annual tax preparation calendar and deliver complete information on schedule.
• Prepare year-end tax workpapers for each entity.
• Track book-to-tax differences and record CPA-provided tax adjustments.
• Support pass-through entity, S corporation, partnership, owner K-1, basis, capital account, and real estate tax matters.
• Coordinate recurring filings, including W-2s, 1099s, property tax, sales/use tax where applicable, business licenses, and annual reports.
• Respond to tax notices and information requests in coordination with management and the CPA firm.
• Proactively flag transactions with tax implications before they happen, including acquisitions, dispositions, refinancings, entity formations, ownership changes, and significant capital expenditures.

Management Reporting & Decision Support

• Deliver a reliable monthly management reporting package.
• Prepare entity-level and consolidated financial statements, budget-to-actual reporting, key metrics, and variance explanations.
• Coordinate annual budgeting and maintain budgets and forecasts.
• Develop analyses and models for management decisions, including profitability, cost analysis, capital expenditures, and financing.
• Support audits, reviews, agreed-upon procedures, and other third-party financial engagements.
• Translate financial information into clear, actionable insights for owners, executives, and clinical leaders.

What Success Looks Like

You’ll know you’re succeeding when:

• The books close on time and they're right.
• Every balance sheet account is reconciled and supported.
• Management can trust the financial statements without rework.
• Year-end CPA requests become increasingly routine and predictable.
• Policies, procedures, and close checklists are documented and actually followed.
• Tax and compliance deadlines are consistently met.
• Problems are identified and resolved before they become bigger problems.
• The accounting function becomes more efficient, automated, organized, and dependable every year.

Qualifications

• Bachelor’s degree in accounting or finance
• 5+ years of progressive accounting experience with full-cycle responsibility and ownership of month-end close.
• Demonstrated experience accounting for multiple related entities, including intercompany transactions and consolidated or combined reporting.
• Ability to independently prepare financial statements and stand behind their accuracy.
• Experience working directly with an outside CPA firm and preparing year-end workpapers.
• Strong knowledge of GAAP and accrual accounting.
• Working knowledge of tax concepts, including pass-through entities, depreciation, book-to-tax differences, and payroll taxes.
• Strong fixed asset, depreciation, debt amortization, and reconciliation skills.
• Ability to resolve legacy, messy, or unexplained account balances.
• Advanced proficiency in QuickBooks required. You should be comfortable with multi-company/multi-entity environments, chart of accounts and class/location structures, memorized transactions, custom reporting, user permissions, period closing, and data cleanup. QuickBooks Online and Desktop/Enterprise experience is preferred.
• Excel, advanced proficiency required. You should be comfortable with complex formulas, lookup/reference functions, pivot tables, data validation, linked workbooks, large datasets, and building reusable reconciliation and reporting schedules.
• You should also be proficient with Word, PowerPoint, Outlook, online banking, payroll platforms, cloud/document management tools, PDF software, and web-based applications and able to learn new systems independently.
• Real estate accounting, holding companies, leases, and property-level reporting, healthcare revenue cycles, insurance billing, contractual allowances, or patient AR, CARF or other licensing/accreditation reporting, benefits and retirement plan accounting, accounting system implementations, conversions, or data cleanups, and supervision of and development of accounting staff preferred.

Approach to responsibility:

• Takes ownership. You don't wait to be told that something needs attention.
• Has unquestioned integrity. You understand that financial accuracy and confidentiality are non-negotiable.
• Sees the details and the big picture. You can find a $500 reconciliation issue and understand what it means for the broader financial statements.
• Builds systems, not workarounds. You document processes so the organization isn't dependent on someone's memory.
• Likes to dig in. You're comfortable doing transactional accounting one moment and strategic analysis the next.
• Communicates clearly. You can explain accounting issues to owners, executives, vendors, auditors, and non-financial leaders.
• Works independently. You are comfortable being the organization's primary accounting authority without daily supervision.

Why This Role Matters

Your work will directly influence how confidently leadership makes decisions, how effectively the organization manages its resources, and how well the organization serves the people who depend on it.

Working Conditions

This is primarily a standard office/computer-based position. Some extended hours may be necessary during month-end and year-end close, budgeting, and tax preparation periods. Occasional travel between entity locations and properties may be required.

This job description describes the general nature and level of work being performed and is not intended to be an exhaustive list of duties, responsibilities, or qualifications. Duties may be modified as organizational needs change.