Accounting Manager

Accounting Manager/Assistant Controller Healthcare Services Cleveland, OH 44128 | Full-time, on-site About the Role A 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 Do Own the monthly close and prepare monthly, quarterly, and annual financial statements in accordance with U.S. GAAP and healthcare reporting standards Lead and develop the accounting team — accountants and billers Oversee day-to-day accounting operations: AR, AP, payroll, treasury, lease accounting, and fixed assets Partner with operations and data teams on trip-level revenue recognition — reviewing billing data, invoicing, tracking collections, and reconciling revenue to payor and internal reports Support the Sage 50 to Sage Intacct migration, including data integrity, chart of accounts design, and process redesign Serve as the primary contact for external auditors and tax advisors, leading PBC preparation, walkthroughs, and inquiry responses Strengthen internal controls and improve finance operations, particularly following acquisitions Develop and report on financial KPIs; support budgeting, forecasting, variance analysis, lender reporting, and cash flow planning What You'll Bring Bachelor's degree in accounting, finance, or a related field; CPA preferred 7+ years of public and/or private accounting experience Healthcare services industry experience required; NEMT, provider billing, or payor-facing revenue experience strongly preferred Advanced Excel (complex formulas, pivot tables, INDEX-MATCH/lookups, SUMIFS, dynamic schedules and reports) Strong technical knowledge of U.S. GAAP, financial reporting, and consolidations Hands-on experience with Sage 50, Sage Intacct, or QuickBooks Online; ERP implementation or migration experience a plus Demonstrated success improving processes and implementing internal controls Experience supervising and developing accounting staff Self-motivated and intellectually curious, comfortable in a fast-paced entrepreneurial environment with shifting priorities