Director of Accounting

The Director of Accounting will lead the day-to-day accounting operations for a rapidly growing, private equity–backed, multi-site healthcare organization. This role is responsible for ensuring accurate, timely, and GAAP-compliant financial reporting across complex legal structures, including Variable Interest Entities (VIEs) and Joint Ventures. The ideal candidate brings deep technical accounting expertise, hands-on leadership, and experience operating in a fast-paced, acquisition-driven healthcare environment. Key Responsibilities Accounting Operations & Financial Close Oversee monthly, quarterly, and annual close processes across multiple legal entities and locations Ensure timely and accurate preparation of financial statements in accordance with U.S. GAAP Review journal entries, account reconciliations, and financial analyses Manage consolidation of VIEs and JV entities, including eliminations and equity method accounting Technical Accounting & Complex Structures Lead accounting for VIEs, including consolidation assessments, ongoing reassessments, and disclosures Oversee Joint Venture accounting, including equity method accounting, partner allocations, and distributions Research and implement accounting guidance related to healthcare operations, transactions, and PE ownership structures Prepare and review technical accounting memos for significant transactions Private Equity & Growth Support Partner with FP&A, finance leadership, and PE sponsors on reporting requirements and ad hoc analyses Support M&A activity, including accounting diligence, opening balance sheets, and post-acquisition integration Assist with debt compliance, lender reporting, and covenant calculations Support exit-readiness initiatives, quality of earnings efforts, and audit preparedness Team Leadership & Process Improvement Lead, mentor, and develop the accounting team Establish scalable accounting policies, procedures, and internal controls Identify opportunities for automation, standardization, and system/process improvements Collaborate cross-functionally with operations, revenue cycle, legal, and IT Audit & Compliance Serve as primary point of contact for external auditors Manage annual financial statement audits and other third-party audits Ensure compliance with regulatory and reporting requirements Qualifications Required Bachelor’s degree in accounting CPA required 10+ years of progressive accounting experience Experience with multi-site healthcare structure Demonstrated experience with VIE and Joint Venture accounting Strong knowledge of U.S. GAAP and financial reporting Experience in private equity–backed organizations Preferred MSO experience Public accounting background (Big 4 or national/regional firm) Prior experience supporting acquisitions, integrations, or platform buildouts NetSuite experience Key Competencies Strong technical accounting and analytical skills Proven ability to operate in a fast-paced, evolving environment Hands-on leader with the ability to scale teams and processes Excellent communication skills with executives, investors, and external partners