Director of Accounting
1 day ago
Melville
Director of Accounting (Healthcare Required) – Mostly Remote Position Summary The Director of Accounting is a senior accounting leader responsible for ensuring the integrity of the Company's financial records, overseeing the month-end close process, financial reporting, technical accounting compliance, and internal control environment across a multi-entity healthcare organization. This role provides both strategic and operational leadership to the accounting function and serves as a key partner to the Controller in driving scalable processes, financial discipline, and organizational growth. Healthcare industry experience is required for this position. Candidates must possess significant accounting leadership experience within healthcare organizations, including physician practices, MSOs, provider-based organizations, healthcare services, or similar healthcare environments. This is a mostly remote position, with occasional travel or in-person attendance required for leadership meetings, strategic planning sessions, audits, integrations, acquisitions, or other business-critical activities. The Director of Accounting oversees all aspects of the accounting close process, financial statement preparation, account reconciliations, technical accounting research, and audit readiness while ensuring compliance with U.S. GAAP and company accounting policies. The ideal candidate will have deep expertise in healthcare accounting, ASC 606 revenue recognition, multi-entity consolidations, physician compensation models, healthcare regulatory considerations, and financial operations commonly found within MSO and provider organizations. This position will lead and develop a team of Senior Accountants, drive process improvement initiatives, support system implementations and integrations, and partner with executive leadership to provide meaningful financial insights that support operational and strategic decision-making. This position reports directly to the Controller. Essential Duties and Responsibilities Accounting Leadership & Team Management • Provide strategic leadership, mentorship, and performance management for Senior Accountants and other accounting personnel., • Develop a high-performing accounting organization through clear expectations, accountability, succession planning, and professional development initiatives., • Evaluate organizational structure and resource allocation to support growth, acquisitions, and evolving business needs., • Foster a culture of continuous improvement, operational excellence, and strong financial stewardship., • Partner with the Controller to establish departmental goals, KPIs, and long-term accounting strategies., • Serve as the primary escalation point for complex accounting, operational, and reporting matters. Financial Reporting & Technical Accounting • Oversee the preparation and review of monthly, quarterly, and annual financial statements and supporting disclosures., • Ensure compliance with U.S. GAAP, including the evaluation and application of complex accounting standards and technical accounting matters., • Lead technical accounting assessments related to ASC 606 revenue recognition, business combinations, accrual methodologies, physician compensation arrangements, and other significant transactions., • Research, document, and communicate accounting conclusions and policy positions to executive leadership and external auditors., • Maintain and enhance company-wide accounting policies, procedures, and reporting standards., • Support lender, investor, board, and executive reporting requirements as applicable. Month-End Close & Accounting Operations • Own and oversee the end-to-end month-end, quarter-end, and year-end close processes across multiple legal entities and business units., • Ensure timely and accurate recording of financial transactions and preparation of journal entries, reconciliations, and supporting schedules., • Review balance sheet reconciliations and ensure prompt resolution of aged or unusual reconciling items., • Lead detailed balance sheet and P&L reviews to ensure accuracy, completeness, and consistency of financial reporting., • Identify opportunities to streamline processes, automate workflows, and improve close efficiency. Internal Controls, Compliance & Audit • Strengthen and maintain internal controls across the organization., • Ensure compliance with company accounting policies, regulatory requirements, and healthcare-specific financial reporting considerations., • Lead audit readiness activities and serve as a primary liaison with external auditors., • Coordinate annual financial statement audits, tax support requests, and other compliance-related engagements., • Monitor emerging accounting standards and healthcare industry developments that may impact financial reporting. Strategic Initiatives & Business Partnership • Partner with executive leadership to provide financial insights that support operational and strategic decision-making., • Support mergers, acquisitions, integrations, and other corporate growth initiatives., • Assist with accounting system implementations, ERP enhancements, and process transformation projects., • Collaborate with cross-functional leaders to improve financial visibility, reporting accuracy, and organizational performance., • Drive continuous improvement initiatives that enhance scalability and support long-term growth objectives. Required Qualifications • Bachelor's degree in Accounting, Finance, or related field., • CPA required., • Minimum 10+ years of progressive accounting experience, including leadership responsibility., • Minimum 5+ years of accounting leadership experience within a healthcare organization., • Healthcare accounting experience is mandatory and candidates without healthcare industry experience will not be considered., • Strong knowledge of U.S. GAAP and technical accounting requirements., • Demonstrated expertise with ASC 606 revenue recognition., • Experience with multi-entity consolidations and complex organizational structures., • Experience supporting audits and managing external auditor relationships., • Strong leadership, communication, and team development skills., • Advanced proficiency in accounting systems, ERP platforms, and Microsoft Excel. Preferred Qualifications • Experience within MSOs, physician practice management organizations, provider-based healthcare organizations, or multi-site healthcare services companies., • Experience supporting private equity-backed healthcare organizations., • Experience with acquisitions, integrations, and rapid-growth environments., • Strong background in physician compensation accounting and healthcare operational finance. Work Location This position is primarily remote, allowing candidates to work from home for the majority of their schedule. Periodic travel and occasional onsite attendance may be required based on business needs, leadership meetings, acquisitions, audit activities, or company events.