Associate Vice President, Accounting

Associate Vice President Of Accounting

We are seeking an experienced Associate Vice President of Accounting to lead accounting operations for a growing, multi-site healthcare organization. This senior leadership role will oversee financial close, general ledger operations, financial reporting, technical accounting, audit, tax compliance, internal controls, and accounting systems.

The ideal candidate is a hands-on accounting executive who can establish scalable processes while remaining actively involved in day-to-day execution, process improvement, and the financial integration of future acquisitions.

• Lead monthly, quarterly, and annual financial close and consolidated financial reporting.
• Oversee corporate accounting operations and ensure compliance with GAAP, regulatory requirements, and internal policies.
• Maintain and improve multi-entity accounting structures, including the chart of accounts.
• Partner with operational and revenue cycle teams on revenue recognition, reserves, cash reconciliations, and cost allocation.
• Develop and maintain strong internal controls and financial reporting procedures.
• Lead external audits, tax compliance, and regulatory financial reporting.
• Oversee cash flow forecasting, working capital, reserves, lender reporting, and covenant compliance.
• Optimize accounting systems, reporting platforms, and processes to improve efficiency and shorten close cycles.
• Support accounting integration, opening balance sheets, and system onboarding related to acquisitions.
• Lead, develop, and hold accounting teams accountable for timely and accurate execution.

• Bachelor's degree in Accounting, Finance, Business, or a related field.
• 15+ years of progressive accounting and finance leadership experience, preferably within healthcare.
• Strong knowledge of GAAP, financial reporting, budgeting, cost controls, and regulatory requirements.
• Experience leading accounting teams within a multi-site or multi-entity organization.
• Experience with financial systems and automated accounting/reporting platforms.
• Strong leadership, communication, and process-improvement skills.

• CPA strongly preferred.
• MBA or Master's degree in Accounting preferred.
• Public accounting experience.
• Experience supporting acquisitions, accounting integrations, and opening balance sheet activities.
• Experience with in physician practices or other multi-site healthcare environments.