Regional Director of Accounting

Role Description

We are seeking an experienced and results-driven Regional Director of Accounting to lead accounting and financial operations for a growing healthcare organization. In this highly visible leadership role, you will oversee:

• Financial reporting
• Budgeting and forecasting
• Cash flow management
• Lender compliance
• Internal controls

You will partner with executive and operational leaders to drive financial performance and strategic growth. The successful candidate will bring strong technical accounting expertise, experience in private equity-backed environments, and a demonstrated ability to manage complex financial structures and stakeholder relationships.

This role offers the opportunity to influence organizational strategy, support growth initiatives and acquisitions, and lead a talented team within a fast-paced, performance-focused environment.

If you are a collaborative finance leader who thrives on solving complex business challenges, improving processes, and delivering meaningful financial insights, we encourage you to apply.

Qualifications

• Bachelor's degree in Accounting, Finance, or related field; CPA or CMA strongly preferred.
• 10+ years of progressive experience in accounting/finance/pharma/healthcare experience, including leadership roles.

Requirements

• Strong knowledge of GAAP/IFRS and financial reporting standards.
• Proficiency in ERP systems (e.g., NetSuite, SAP, Oracle) and advanced Excel skills.
• Excellent analytical, communication, and stakeholder management skills.

Benefits

• Comprehensive Medical, Dental and Vision Insurance
• Paid Time Off
• Free Virtual Care - Telemedicine
• 401k with company match
• Referral Bonuses
• Life Insurance

Make a difference in the lives of others! We are growing and that means more opportunities.

Key Responsibilities

• Financial Reporting & Analysis
  • Oversee daily accounting operations for the business unit.
  • Lead preparation of internal and external financial reports, including monthly results and performance insights for senior leadership.
  • Ensure timely and accurate close cycles (monthly, quarterly, year-end).
  • Conduct variance analysis against budgets and forecasts, providing actionable recommendations.
  • Stay ahead of emerging accounting issues and prepare technical memos on new pronouncements.
• Budgeting & Forecasting
  • Drive annual budgeting and rolling forecasts in partnership with FP&A.
  • Collaborate with operations leaders to evaluate initiatives and quantify financial impacts aligned with strategic goals.
• Cash Flow & Treasury
  • Own the enterprise-wide cash flow forecasting process, including short-term liquidity forecasts and rolling 13-week/annual projections.
  • Prepare and manage daily cash reporting, providing leadership with real-time visibility into cash positions, disbursements, and liquidity across all entities/bank accounts.
  • Partner with operations and revenue cycle teams to improve forecast accuracy and identify working capital drivers.
  • Monitor cash positions across multiple entities/bank accounts and optimize liquidity structure (e.g., sweep accounts, intercompany funding).
• Lender & Stakeholder Reporting
  • Prepare and manage monthly/quarterly lender reporting packages, including financial statements, KPI dashboards, and compliance certificates.
  • Serve as primary finance point of contact for lenders, private equity sponsors, and other external stakeholders on reporting requests.
  • Ensure timely, accurate delivery of reporting deliverables per credit agreement requirements.
• Debt Structure & Covenant Compliance
  • Monitor and calculate financial covenants (leverage ratios, fixed charge coverage, EBITDA add-backs, etc.) on an ongoing basis across multiple tranches of debt.
  • Demonstrate working knowledge of complex, multi-layered debt structures, including senior debt, subordinated debt, and mezzanine debt, and their respective reporting/compliance requirements.
  • Proactively flag potential covenant issues to leadership and support remediation or waiver discussions with lenders.
  • Maintain covenant compliance calculations and supporting schedules audit-ready at all times.
• Industry & Ownership Background
  • Prior experience in pharmacy, specialty pharmacy, or related healthcare services sector strongly preferred.
  • Experience operating within a private equity-owned or sponsor-backed environment, including familiarity with add-back calculations, quality of earnings processes, and board/sponsor reporting expectations.
  • Comfortable operating in a fast-paced, growth-oriented environment with frequent M&A activity, integrations, or add-on acquisitions.
• Internal Controls & Compliance
  • Maintain and strengthen internal control frameworks to safeguard assets.
  • Ensure compliance with GAAP, IFRS, regulatory requirements, and corporate policies.
  • Oversee audit readiness and maintain accurate documentation of financial processes.
• Team Leadership
  • Manage and mentor a high-performing team of accountants and analysts.
  • Provide financial coaching to operations managers to enhance accountability and literacy.
  • Foster a culture of collaboration, continuous improvement, and excellence.
• Strategic Initiatives
  • Partner with senior leadership on financial planning and decision-making.
  • Champion process automation and efficiency improvements across financial operations.

The ability to adhere to Company's Code of Conduct, follow Company's Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer.