Director of Accounting

Our client is a fast-growing healthcare organization seeking a dynamic Director of Accounting to lead and scale its accounting operations. This individual will play a critical role in shaping the company’s financial infrastructure, supporting strategic initiatives, and ensuring strong internal controls during a period of rapid growth. This position reports directly to the Chief Financial Officer.

Key Duties and Responsibilities

Accounting & Financial Leadership

• Lead the development and enforcement of accounting policies, internal controls, and reporting frameworks to drive financial performance.
• Manage the month-end and year-end close processes, including the consolidation of approximately 50 legal entities.
• Deliver timely, accurate financial statements and executive-level reporting.
• Prepare for external audits and ensure an annual clean audit with no material weaknesses.
• Research complex accounting issues and implement best practices.
• Ensure compliance with federal, state, and local regulations; stay current on relevant legislation and advise leadership on necessary actions.
• Maintain confidentiality of financial information and strategic plans.

Operational Oversight

• Oversee all accounting operations including billing, A/R, A/P, payroll, and general ledger.
• Drive continuous improvement and automation of accounting processes and systems (ERP/EMR – NetSuite).
• Manage treasury functions, including daily oversight of bank balances and investment strategy.
• Develop and document robust business processes and accounting policies to reinforce internal controls.

Team Leadership

• Build, mentor, and lead a high-performing accounting team.
• Oversee all aspects of team performance: recruiting, training, coaching, and professional development.
• Foster a collaborative, results-oriented team culture.

Planning & Analysis

• Partner with the CFO and Director of Finance on budgeting and financial forecasting.
• Monitor budget performance, analyze variances, and initiate corrective actions.
• Prepare ad hoc financial reports and trend analyses to support executive decision-making.

Business Partnership

• Collaborate cross-functionally with Operations, Sales, Human Resources, and other departments.
• Support company-wide initiatives related to growth, integration, and scalability.
• Represent the accounting function with professionalism and strategic insight.
• Perform additional responsibilities as needed to support the evolving needs of a high-growth organization.

Required Qualifications

• Bachelor’s degree in Accounting.
• Active CPA designation.
• 5–10 years of progressive accounting/finance experience.
• Strong background in preparing financial statements and meeting financial reporting requirements.
• Hands-on experience with month-end and year-end close processes.
• Experience managing multiple legal entities under different ownership structures.
• Proficiency in NetSuite and Microsoft Office Suite.
• Experience leading ERP implementations or automation projects.
• Healthcare industry experience, particularly in medical or dental practices, is highly desirable.
• Familiarity with Management Service Organizations (MSOs) and their legal/tax implications is a plus.
• Strong knowledge of revenue recognition for patient services or medical practices is highly preferred.
• Exceptional organizational skills with the ability to maintain accurate work papers and perform detailed financial analysis using advanced Excel skills.

Essential Skills and Abilities

• Self-starter with strong initiative who thrives in both independent and collaborative environments.
• Expertise in NetSuite and ADP systems.
• Thorough understanding of accounting principles and procedures.
• Strong written and verbal communication skills.
• Proven ability to collaborate effectively with cross-functional teams such as Operations, Sales, and HR.
• Strong leadership, coaching, and team development skills.
• High attention to detail with a proactive and problem-solving mindset.
• Comfortable working in fast-paced, startup-like environments.
• Ability to manage confidential information with discretion and sound judgment.
• Efficient multitasker capable of managing priorities across different time zones and locations.

Core Competencies

• Instills Trust
• Customer Focus
• Manages Ambiguity
• Collaborates
• Drives Results