Sr Accountant M&A

Sr Accountant (M&A)

Nashville, TN (Remote Hybrid)

AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit

Remote-Centric Hybrid:
Teammates primarily work from home but go to the office 1-2 times a month. The Senior Accountant of M&A Accounting is responsible for preparing and managing accounting work streams related to entity acquisitions, divestitures, mergers, and joint venture contributions. This role ensures accurate and timely accounting in compliance with GAAP and supports the successful onboarding and offboarding of entities. Reporting to the M&A Lead, the position requires technical expertise in purchase and transaction accounting, along with the ability to interpret deal structures and their accounting implications.

The Sr Accountant must effectively manage multiple concurrent transactions, ensuring timely and accurate ledger entries. Additionally, this role offers opportunities to contribute to process improvements, financial analysis, and other strategic initiatives.

Full-Time Monday-Friday

• Primary resource for entity transactions
• Prepare general ledger journal entries
• Ability to onboard and offboard entities, including:
  • Accounting due diligence – obtain and review seller financials and billing reports to identify concerns or risk
  • Interpret legal agreements to ensure accurate accounting treatment
  • Integration of new entities onto AMSURG platforms and processes
  • Timely and accurate completion of post close adjustments
  • Monitor status of any transition service agreements
  • Complete deconsolidation entries and cash analyses
  • Manage entity cash and complete net working capital calculations
  • Attend pre and post transaction calls
• Identify and recommend improvements to process or control issues for newly acquired entities
• Conduct income statement trend analysis for entities and prepare commentary for review of center’s financial reports
• Investigate and resolve discrepancies identified through monthly reconciliations
• Coordinate successful transition of newly acquired entities to center accounting team
• Train center business office staff on policies and procedures related to accounts receivable and accounts payable
• Collaborate and work effectively with other departments including Finance, Operations, Legal and leadership
• Ability to track multiple complex transactions on different timelines
• Analyze, explain, and report significant fluctuations in new entity activity
• Participate in monthly management meetings discussing departments policies and procedures
• Actively engage in process improvement initiatives within the Center of Excellence (COE)
• Support special projects and ad hoc requests as needed

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required.

• Experience applying the provisions of Generally Accepted Accounting Principles (GAAP)
• Ability to maintain project tracking timely
• Advanced knowledge and ability to use window office suite programs (Word, Excel, PowerPoint, etc.); as well as ability to learn various Accounting and reporting software.
• Smartsheet & IBM Planning & Analytics experience is a plus but not required

A bachelor’s degree in accounting from an accredited college or university is required. Minimum of 3 years of accounting experience, and at least 1 year of accounting revenue recognition experience. Active CPA license required.

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages.

Ability to understand, read, write, and speak English. Ability to read, analyze and interpret general business periodicals,…