We are a growing, multi-location healthcare organization seeking a Manager, Accounting Operations to oversee key transactional accounting functions, including daily cash management, accounts payable, and the month-end financial close process. This role ensures cash is accurately positioned and reported, vendors are paid correctly and on time in accordance with approved priorities, and financial records are closed accurately, on schedule, and in compliance with U.S. Generally Accepted Accounting Principles (GAAP) and internal controls. The Manager will partner closely with executive finance leadership, financial planning and analysis, revenue cycle management, and operational teams. This is a hands-on leadership position focused on building disciplined, efficient, and scalable accounting processes in a dynamic, multi-location environment. This opportunity can be hybrid with some onsite requirements. Due to the importance of this role, we are keeping this hiring confidential. Responsibilities Daily Cash Management
- Own the daily cash position process, including reconciling bank balances, reviewing incoming collections and outgoing disbursements, and preparing daily cash reports for finance leadership.
- Support the weekly 13-week cash flow forecast by providing accurate actuals, disbursement schedules, and variance explanations.
- Coordinate with revenue cycle management and collections teams to identify, apply, and reconcile cash receipts, lockbox deposits, electronic funds transfers (EFTs), electronic remittance advice (ERA) payments, and payer payments to the general ledger.
- Manage payment run approvals and releases in alignment with available liquidity and leadership-approved vendor payment priorities.
- Perform and review timely bank reconciliations across operating, collection, and disbursement accounts; investigate and resolve reconciling items.
- Monitor bank activity for unusual transactions, maintain positive pay and bank access controls, and coordinate with treasury and lending partners on cash reporting requirements. Accounts Payable
- Oversee the full procure-to-pay cycle, including invoice intake, coding, three-way matching where applicable, approval routing, payment processing, and vendor inquiries.
- Manage weekly payment runs, including ACH, checks, wires, and virtual cards, ensuring accuracy, appropriate authorization, and segregation of duties.
- Maintain accounts payable subledger integrity, reconcile AP aging to the general ledger monthly, and ensure appropriate accruals for unrecorded liabilities.
- Administer vendor master data controls, W-9 and 1099 compliance, and annual 1099 reporting. Qualifications Required
- Bachelor's degree in Accounting, Finance, or a related field.
- Minimum of 6 years of progressive accounting experience, including at least 3 years in a supervisory or management role required
- Hands-on experience managing accounts payable, cash management, bank reconciliations, and a full month-end close in a multi-location environment.
- Strong working knowledge of U.S. GAAP, accrual accounting, and balance sheet reconciliation practices.
- Proficiency with a cloud-based ERP system; NetSuite experience preferred.
- Advanced Excel skills, including pivot tables, lookups, and reconciliation models.
- Demonstrated ability to meet tight deadlines, prioritize competing demands, and communicate effectively with executive leadership and non-finance stakeholders. Preferred
- CPA license or active progress toward CPA certification; MBA or other master's degree a plus.
- Experience in healthcare, physician practice management, or workers' compensation billing environments.
- Experience with private equity-backed organizations, lender covenant reporting, liquidity management, or 13-week cash flow forecasting.
- Familiarity with healthcare revenue cycle cash application, EFT/ERA processing, and lien-based collections.
- Experience with spend management and accounts payable automation platforms, such as Ramp, and related process automation initiatives.
- Experience supporting external audits and coordinating with outside financial advisors.
Pay:
$120,000.00
00 per year
Benefits:
401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid sick time Paid time off Professional development assistance Referral program Tuition reimbursement Vision insurance Work from home
Work Location:
Hybrid remote in Walnut Creek, CA 94598