Accounting Manager

About the Role

Anesthesia Dynamics is hiring a hands-on Accounting Manager to support a rapidly growing, private-equity-backed, multi-entity healthcare services organization.

This role is designed for an experienced accounting professional who executes before delegating, takes personal ownership of the close process, and enjoys being close to the numbers. The Accounting Manager will personally perform core accounting activities, lead the monthly close end-to-end, and supervise a small accounting team, while helping build scalable processes as the organization continues to grow.

This is not a review-only, advisory, or purely supervisory role. The Accounting Manager is the primary owner of the close, with direct responsibility for journal entries, accruals, reconciliations, accounting estimates, and process build-out. The role reports directly to the CFO and serves as a critical leader within the accounting function, with opportunity for expanded scope as the business scales.

• Personally own and execute the monthly, quarterly, and annual close processes across multiple legal entities
• Prepare and review journal entries, accruals, reconciliations, and accounting estimates
• Ensure accurate, timely financial reporting in accordance with U.S. GAAP
• Manage intercompany accounting, eliminations, and consolidations
• Oversee and actively participate in:
• Accounts payable and expense accuracy
• Accounts receivable and contract asset activity
• Bank and cash reconciliations
• Support audits, tax filings, and private equity reporting requests
• Partner closely with the CFO on accounting policy, close execution, and system optimization
• Drive standardization, accuracy, and internal control improvements as the company scales

• 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 process breakdowns or data issues and resolve them directly

• 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 onshore and offshore accounting staff through hands-on training, review, and coaching
• Assign work, review outputs, and ensure deadlines and quality standards are consistently met
• Serve as the first line of problem-solving for accounting execution issues
• Reduce dependency on the CFO for day-to-day accounting decisions through strong ownership and judgment

• Support technical accounting matters, including revenue recognition under ASC 606
• Assist with audit preparation and auditor support
• Maintain clear documentation supporting key accounting judgments and conclusions

• Bachelor’s degree in Accounting (Master’s degree and/or CPA strongly preferred)
• 6+ years of progressive accounting experience, including people management
• Strong hands-on close experience in a lean or fast-growing environment
• Experience in multi-entity, private equity–backed, or high-growth organizations preferred
• Demonstrated working knowledge of U.S. GAAP with practical, day-to-day application
• Significant Net Suite experience strongly preferred
• Comfortable operating as a hands-on Accounting Manager who personally owns deliverables while effectively delegating and reviewing work

• Anesthesia Dynamics is an Equal Opportunity Employer. Employment offers are contingent upon successful completion of a background check and verification of employment eligibility (E-Verify). No third-party recruiters or unsolicited resumes will be accepted.