Senior Accounting Manager

About the Role

Anesthesia Dynamics is a national leader in anesthesia services, providing expert care through a team of anesthesiologists and certified registered nurse anesthetists. With operations spanning various clinical settings, our mission is to deliver exceptional and reliable anesthesia care. We are committed to clinical excellence, patient safety, and fostering a collaborative environment in the healthcare field.

This is not a review-only or oversight role. The Senior Accounting Manager will be directly responsible for journal entries, reconciliations, close execution, and process build-out, while partnering closely with the CFO to professionalize and scale the accounting function as the platform grows.

This role is expected to evolve into an Assistant Controller / Controller position as the organization matures.

• Own and personally execute the monthly, quarterly, and annual close process
• Prepare and review journal entries, accruals, and estimates
• Perform and maintain high-quality balance sheet reconciliations
• Oversee and actively participate in:
  • Accounts payable and expense accuracy
  • Accounts receivable and contract asset activity
  • Bank and cash reconciliations
  • Intercompany transactions and eliminations
• Ensure financial statements are accurate, timely, and in accordance with U.S. GAAP

• Build, document, and enforce standardized close procedures and accounting workflows
• Improve and automate recurring processes across the record-to-report cycle
• Serve as the day-to-day Net Suite owner, including account structure, mappings, and reporting integrity
• Identify breakdowns in process or data and fix them, not escalate them

• Lead accounting integration for acquired entities, including:
• Chart of accounts alignment
• Close calendar integration
• Cash-to-accrual conversions
• Standardization of accounting policies and practices
• Partner with the CFO during acquisitions to ensure clean handoff into ongoing operations
• Manage and develop accounting staff through hands-on training and review
• Assign work, review outputs, and ensure deadlines are consistently met
• Serve as the first line of problem solving for accounting questions and execution issues
• Reduce dependency on the CFO for day-to-day accounting decisions

• Support technical accounting areas such as ASC 606 revenue recognition
• Assist with audit preparation and auditor support
• Maintain clear documentation and support for key accounting judgments

• Bachelor’s degree in Accounting (CPA strongly preferred)
• 7–12+ years of progressive accounting experience
• Demonstrated hands-on ownership of the close process
• Experience in multi-entity, private equity–backed, or high-growth environments preferred
• Strong working knowledge of U.S. GAAP
• Net Suite experience strongly preferred
• Willing and able to execute before delegating