Senior Accounting Manager

Location: Remote or Hybrid - Morristown, TN

Reports To: VP of Administration, Indirectly to Fractional Controller

We are a growing healthcare organization comprising four operating entities: a specialty pharmacy, a compounding pharmacy, a network of seven ambulatory infusion centers, and a neurology practice. We are in the midst of a significant systems transformation, transitioning from Quick Books Online to Sage Intacct to support our continued growth and operational complexity.

We are seeking a Senior Accounting Manager to join our finance team and play a critical role in strengthening our accounting operations across all entities. This position offers a clear growth trajectory—working alongside our external fractional controller, you will develop the skills and institutional knowledge necessary to assume an internal Controller position within 18-24 months.

The ideal candidate is a hands‑on accounting professional with strong technical knowledge, multi‑entity experience, and the desire to grow into a leadership role. You will be instrumental in our ERP transition and in building scalable accounting processes for a dynamic healthcare organization.

• Lead the month‑end and year‑end close process across all five operating entities
• Prepare and review journal entries, account reconciliations, and supporting schedules
• Collaborate with the fractional controller on financial statement preparation and review
• Ensure accurate and timely consolidation of financial results

• Maintain the integrity of the general ledger across multiple entities
• Research and apply GAAP guidance to complex transactions, including revenue recognition, lease accounting, and intercompany eliminations
• Document accounting policies and procedures

• Serve as a key participant in our transition from Quick Books Online to Sage Intacct
• Help design and maintain the chart of accounts, reporting dimensions, and workflow configurations
• Develop and refine financial reports within Sage Intacct to support operational and executive decision‑making

• Work closely with the accounting analyst to review work product, provide guidance, and support professional development
• Partner with the external fractional controller to absorb knowledge and prepare for eventual transition to internal Controller
• Coordinate with operations leaders across all entities to understand business drivers and ensure accurate financial reflection

• Assist in designing and implementing internal controls appropriate for our size and complexity
• Support external audit and tax engagements by preparing schedules and responding to inquiries
  
  Ensure compliance with healthcare industry regulations as they pertain to financial reporting

• Bachelor's degree in Accounting or Finance
• 5-7 years of progressive accounting experience, including general ledger management and financial statement preparation
• Strong working knowledge of GAAP
• Experience with multi‑entity accounting and intercompany transactions
• Proficiency with ERP systems;
  Sage Intacct experience strongly preferred
• Advanced Excel skills

• CPA designation or CPA candidate
• Healthcare, pharmacy, or life sciences industry experience
• Experience with Sage Intacct implementations or migrations
• Public accounting background (audit or assurance)