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Director of Accounting

Synergy Search, Nashville, TN, United States


We are seeking a highly driven and detail-oriented Director of Accounting to lead our accounting operations within a fast-growing, private equity-backed healthcare organization. This role will oversee all aspects of financial reporting, technical accounting, and internal controls, while partnering closely with executive leadership and private equity sponsors to support strategic growth initiatives.

The ideal candidate thrives in a dynamic, high-growth environment and brings a strong foundation in healthcare accounting, process improvement, and team leadership.

Key Responsibilities

Lead the monthly, quarterly, and annual close processes, ensuring accuracy and timeliness

Oversee preparation of GAAP-compliant financial statements and supporting schedules

Ensure compliance with private equity reporting requirements, including lender and investor reporting packages

Technical Accounting & Compliance

Research and implement technical accounting guidance (ASC 606, leases, revenue recognition, etc.)

Maintain and enhance accounting policies and procedures

Coordinate with external auditors and manage annual audit process

Internal Controls & Process Improvement

Establish and maintain strong internal controls and SOX readiness (if applicable)

Identify opportunities to streamline processes and improve efficiency through automation and system enhancements

Drive standardization across multiple locations or entities

Build, mentor, and manage a high-performing accounting team

Foster a culture of accountability, collaboration, and continuous improvement

Provide coaching and development opportunities for staff

Private Equity & Strategic Support

Partner with CFO and PE sponsors on financial insights and performance metrics

Support M&A activity, including due diligence, integration, and purchase accounting

Assist with cash flow forecasting and operational performance tracking

Systems & Infrastructure

Oversee ERP and financial systems optimization (NetSuite, Sage Intacct, or similar)

Ensure data integrity across billing, revenue cycle, and accounting systems

Qualifications

Bachelor’s degree in Accounting or Finance

CPA (Required)

8–12+ years of progressive accounting experience, including leadership roles

Experience in private equity-backed or high-growth environments required

Healthcare industry experience strongly preferred (multi-site, physician groups, MSOs, etc.)

Strong knowledge of US GAAP and financial reporting requirements

Proven experience managing audits and working with external auditors

Experience with ERP systems and process automation tools

Strong leadership and team development skills

Ability to operate in a fast-paced, evolving environment

High attention to detail with a strategic mindset

Excellent communication skills with ability to interface with executives and investors

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