Accounting Manager

Accounting Manager/Assistant ControllerHealthcare ServicesCleveland, OH 44128 | Full-time, on-siteAbout the RoleA healthcare services company is seeking a hands on Accounting Manager/Assistant Controller. Reporting directly to the CFO, this role owns the accounting function end to end and leads a team of accountants and billers.This is a strong fit for someone who wants ownership beyond a traditional accounting seat — the company is actively migrating from Sage 50 to Sage Intacct, and this role will help drive that transition alongside broader process improvement work.What You'll DoOwn the monthly close and prepare monthly, quarterly, and annual financial statements in accordance with U.S. GAAP and healthcare reporting standardsLead and develop the accounting team — accountants and billersOversee day-to-day accounting operations: AR, AP, payroll, treasury, lease accounting, and fixed assetsPartner with operations and data teams on trip-level revenue recognition — reviewing billing data, invoicing, tracking collections, and reconciling revenue to payor and internal reportsSupport the Sage 50 to Sage Intacct migration, including data integrity, chart of accounts design, and process redesignServe as the primary contact for external auditors and tax advisors, leading PBC preparation, walkthroughs, and inquiry responsesStrengthen internal controls and improve finance operations, particularly following acquisitionsDevelop and report on financial KPIs; support budgeting, forecasting, variance analysis, lender reporting, and cash flow planningWhat You'll BringBachelor's degree in accounting, finance, or a related field; CPA preferred7+ years of public and/or private accounting experienceHealthcare services industry experience required; NEMT, provider billing, or payor-facing revenue experience strongly preferredAdvanced Excel (complex formulas, pivot tables, INDEX-MATCH/lookups, SUMIFS, dynamic schedules and reports)Strong technical knowledge of U.S. GAAP, financial reporting, and consolidationsHands-on experience with Sage 50, Sage Intacct, or QuickBooks Online; ERP implementation or migration experience a plusDemonstrated success improving processes and implementing internal controlsExperience supervising and developing accounting staffSelf-motivated and intellectually curious, comfortable in a fast-paced entrepreneurial environment with shifting priorities