Sr. Finance Manager - Integrations & Acquisitions

At Elevate ENT Partners, our commitment lies in delivering exceptional patient care while prioritizing the satisfaction of our team members. We strive to attract and retain the industry's finest talent—individuals who are passionate about their roles and driven to effect meaningful change in a dynamic healthcare landscape. Explore our career opportunities below and become part of our dedicated team!

An Equal Opportunity Employer and Drug Free Workplace

The Sr. Finance Manager – Integrations & Acquisitions serves as the primary finance and accounting lead for all aspects of acquisition activity within the management services organization (MSO) for Elevate ENT Partners. This role owns the end-to-end integration process for newly acquired physician practices, coordinating cross-functionally between finance and other departments such as revenue cycle, HR, operations, and IT to ensure each acquisition is seamlessly onboarded onto the MSO infrastructure.

The ideal candidate brings healthcare finance expertise, strong accounting fundamentals, and the ability to drive structured processes in a fast-paced environment.

Essential Job Functions

Serves as the primary point of contact and key finance lead responsible for pre-acquisition due diligence activity. Participates in management meetings and diligence calls to assess operational and financial risks inherent to each target practice. Directs and supports third-party diligence teams to ensure all pertinent financial information is captured, challenged, and properly evaluated. Reviews Quality of Earnings (QoE) to identify and mitigate liabilities or risks that could be transferred to the MSO post-acquisition.

Partners with cross functional team leads to understand their findings and the post-acquisition impact on the accounting and finance function.

• Operational Integration Management

Owns the end-to-end financial integration of acquired practices across all major work streams within the defined integration timeline, including:

• Onboarding:
  Leads the acquisition kickoff meetings and onsite visit with the acquired practice team, conducts comprehensive walkthroughs to identify potential internal control gaps, identifies optimization opportunities, financial risks, and any operational considerations critical to a successful integration.
• Banking & Cash:
  Manages acquired bank accounts and credit cards, cash sweep structures, merchant systems, and payment platforms until the acquired accounts are closed. Serves as the lead in transitioning all bank workflows to the standard process under the MSO.
• Purchasing & Payables:
  Serves as the central point of coordination for the setup of Concur and P-card programs, vendor transitions and notifications, cancellation of legacy ACH/autopay arrangements, alignment of inventory, purchasing and refund procedures.
• Payroll & HR:
  Collaborates with HR to understand the payroll transition plan. Identifies necessary accruals and any financial impacts for the acquired practice. Analyzes compensation structure harmonization including partner draws, quarterly payouts, bonus plans, and commission models and advise leadership or communicate changes to affected employees, as necessary.
• Accounting & Close:
  Creates the necessary transaction level reports for revenue recognition within the acquired practice EMR/PM system, configures Intacct for the new acquisition, completes a mapping of pre-acquisition financial data to the new accounting system, establishes the standard month-end close process for each acquisition, records the Opening Balance Sheet (OBS), reconciles and monitors pre-acquisition period transactions, finalizes the closing statement, and transitions accounting ownership to operational accounting team.
  
  Works with management to understand and explain significant deviations or trends in the financial results post-acquisition.
• Financial Reporting, Analysis & Strategic Support

Supports Data Analytics team with development of data reporting from the acquired practice EMR/PM systems and deliver actionable insights to support strategic decisions. Partners with external consultants on ad hoc…