Accounting Manager (Remote)

Accounting Manager (Remote)

Remote

Get To Know Rivia Mind

At Rivia Mind, we believe great mental health care begins with a human connection.

Where we are: We are a psychiatrist-owned mental health practice rooted in New York City, serving individuals across New York, New Jersey, Connecticut, Florida, and Massachusetts through both virtual and hybrid appointments.

How we support: With a whole-person lens, we provide compassionate, science-based care that honors the full complexity of a person's biology, psychology, and life circumstances. We go beyond symptom management with an interdisciplinary care model grounded in collaboration, personalization, and delivered with warmth, respect, and clinical integrity. We bring a high-touch, human-centered approach to every aspect of care, from clinical treatment to operational coordination.

Thrive Together: Our shared north star unites us to provide the best patient experience.

At Rivia Mind, we cultivate a collegial culture rooted in:

• A foundation of shared values and reciprocal support
• A mindset of curiosity, learning, and growth
• A spirit of warmth, openness, and authentic connection

Together, we turn challenges into opportunities, and every team member helps shape the future of care at Rivia Mind.

Job Summary

The accounting manager will lead Rivia Mind's day-to-day accounting operations and financial reporting as we continue scaling our multi-state mental health practice. Reporting directly to executive leadership and supervising an accounting coordinator, you will oversee all core accounting functions—including general ledger management, a timely month-end close, AP/AR, revenue cycle reconciliations, provider payouts, and tax compliance. Beyond operational accounting, you will play a key analytical role by driving monthly departmental budget-vs-actual variance reporting and leading the annual budgeting process in partnership with the CEO and executive leadership. The ideal candidate blends rock-solid GAAP accounting and healthcare/RCM literacy with a tech-forward mindset focused on process automation, data integrity, and cross-functional leadership in a fast-paced, remote environment. Application window: until August 17th, 2026. Anticipated start date: end of September to early October 2026. # of openings: 1

Job Responsibilities & Qualifications

Responsibilities

Core Accounting & Month-End Close

• Manage cash flow & banking activity: Monitor organizational cash flow, banking activity, expected deposits, vendor payments, payroll funding, and other cash requirements to support sound financial decision-making.
• Manage month-end close & GL: Oversee the month-end, quarterly, and annual accounting close processes in accordance with US GAAP, ensuring accurate general ledger management, bank reconciliations, and timely posting of financial data.
• Oversight of AP, payroll & payouts: Supervise day-to-day accounts payable, corporate credit card programs, and expense management; collaborate with people ops to ensure seamless payroll posting and provider payout accuracy.
• Vendor tax reporting: Oversee vendor tax compliance by maintaining W-9 documentation, validating vendor tax information, preparing and issuing annual forms 1099, and coordinating any required tax reporting with external partners.
• Compliance & tax support: Maintain accounting policies and internal controls; coordinate with external CPA/tax partners for annual filings, tax documentation, and regulatory compliance.

Financial Planning & Budget Support

• Departmental budgeting & variance analysis: Partner with executive leadership to facilitate the annual budgeting process; own the monthly budget vs. actuals reporting to help department heads track spending and manage variances.
• Reporting & KPI dashboards: Develop and maintain meaningful financial reporting dashboards (using QuickBooks integrations or reporting software) to provide leadership with clear visibility into cost structures and financial performance.
• Financial modeling: Build financial models for new models, services, or hires, as needed, and include appropriate forecasting and reforecasting of costs associated with projects.

Healthcare Operations & Systems Optimization

• Maintain accounting for provider compensation: Ensure accurate accounting for provider compensation, productivity-based payments/reimbursements, and related accruals in accordance with company policies.
• Revenue cycle financial reconciliation: Review revenue cycle activity and reconcile insurance reimbursements, clearinghouse deposits, merchant fees, and related revenue transactions to the general ledger.
• Process & tech optimization: Continuously evaluate financial workflows and technology stack to automate manual processes, eliminate unnecessary spreadsheet reliance, mitigate risk, and reduce month-end close timelines.

Team Leadership & Collaboration

• Manage & mentor accounting coordinator: Directly manage, support, and evaluate the accounting coordinator, providing coaching, goal development, and performance feedback to foster professional growth.
• Cross-functional partner: Serve as a collaborative finance partner to leaders across clinical, people operations, and administrative departments to support business expansion and operational planning.

Qualifications

Education & Certification

• Education: Bachelor's degree in accounting, finance, or a related business field (required).
• Certifications: CPA, CMA, or active pursuit of certification is preferred, but not required.

Experience & Background

• 5+ years of accounting experience: Proven track record in progressive operational accounting, general ledger management, and month-end close procedures within a fast-paced environment.
• Accounting & financial stewardship: Expertise in applying US GAAP and accrual accounting principles to maintain financial integrity through accurate financial reporting, reconciliations, internal controls, and compliance.
• Healthcare industry knowledge: Experience in healthcare, behavioral health, or multi-site clinical operations is strongly preferred (understanding of medical billing, insurance reimbursement cycles, clearinghouses, and EHR integration).
• Remote & high-growth operations: Demonstrated success working autonomously and cross-functionally in a distributed/remote team environment.
• (a plus) leadership experience: Experience supervising, mentoring, or developing accounting professionals while effectively prioritizing work and managing competing deadlines.

Technical & Analytical Skills

• QuickBooks proficiency: Advanced proficiency in QuickBooks online and its ecosystem of bank/credit card feed integrations.
• Advanced data & spreadsheet skills: High proficiency in Google Sheets/Excel (pivot tables, xlookup/index match, data mapping, and financial modeling) with a drive to automate manual reporting where possible.
• FP&A & budgeting literacy: Experience assisting with annual organizational budgets, tracking departmental spending, and preparing budget vs. actual variance reports for leadership.
• Tech-forward aptitude: Comfort navigating modern business platforms (e.g., Google Workspace, project management software like Monday.com, and EHR platforms).

Key Attributes & Mindset

• Analytical & detail-oriented: Exceptional accuracy in reconciliations and record-keeping with a proactive approach to identifying data discrepancies.
• Process improver: Continuously seeks ways to optimize month-end workflows, shorten close timelines, and strengthen internal controls.
• Financial communication: Ability to translate complex financial information into clear, actionable insights for non-finance stakeholders while maintaining confidentiality.

Benefits

Benefits that support you, personally and professionally

At Rivia Mind, we know that providing exceptional care starts with caring for our team. That's why we offer a comprehensive, thoughtfully designed benefits package that supports your health, financial wellness, growth, and overall well-being—so you can thrive in work and life.

Learn more here.

• 3 weeks of front-loaded PTO + 9 paid holidays
• Annual office closure (Dec 25–Jan 1)
• Annual impact days for volunteering or professional development
• 401(k) with employer match
• Referral bonus potential
• Annual continuing education (CE) stipend + flexible benefit reimbursement
• Medical, dental, and vision insurance — with EAP and additional wellness programs
• Voluntary benefits, HSA, DCA, FSA (based on plan), transit & parking options
• Bereavement leave (including pet bereavement)

We're a community of clinicians and care-minded professionals who believe in sustainable practice, personal growth, and compassionate support. Come thrive with us.