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Sr Accountant M&A

AMSURG, Nashville, TN, United States


Nashville, TN (Remote Hybrid)

Position
Sr Accountant (M&A)

– Nashville, TN (Remote Hybrid). Remote-Centric Hybrid: Teammates primarily work from home but go to the office 1-2 times a month.

Company Overview
AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

Position Summary
The Senior Accountant of M&A Accounting is responsible for preparing and managing accounting workstreams related to entity acquisitions, divestitures, mergers, and joint venture contributions. This role ensures accurate and timely accounting in compliance with GAAP and supports onboarding and offboarding of entities. Reporting to the M&A Lead, the position requires technical expertise in purchase and transaction accounting, and the ability to interpret deal structures and their accounting implications. The Senior Accountant must effectively manage multiple concurrent transactions, ensuring timely and accurate ledger entries. This role offers opportunities to contribute to process improvements, financial analysis, and other strategic initiatives.

Work Schedule
Full-Time Monday-Friday

Essential Responsibilities

Primary resource for entity transactions

Prepare general ledger journal entries

Onboard and offboard entities, including:

Accounting due diligence – obtain and review seller financials and billing reports to identify concerns or risk

Interpret legal agreements to ensure accurate accounting treatment

Integration of new entities onto AMSURG platforms and processes

Timely and accurate completion of post close adjustments

Monitor status of any transition service agreements

Complete deconsolidation entries and cash analyses

Manage entity cash and complete net working capital calculations

Attend pre and post transaction calls

Identify and recommend improvements to process or control issues for newly acquired entities

Conduct income statement trend analysis for entities and prepare commentary for review of center’s financial reports

Investigate and resolve discrepancies identified through monthly reconciliations

Coordinate successful transition of newly acquired entities to center accounting team

Train center business office staff on policies and procedures related to accounts receivable and accounts payable

Collaborate and work effectively with other departments including Finance, Operations, Legal and leadership

Ability to track multiple complex transactions on different timelines

Analyze, explain, and report significant fluctuations in new entity activity

Participate in monthly management meetings discussing departments policies and procedures

Actively engage in process improvement initiatives within the Center of Excellence (COE)

Support special projects and ad hoc requests as needed

Qualifications

Experience applying the provisions of Generally Accepted Accounting Principles (GAAP)

Ability to maintain project tracking timely

Advanced knowledge and ability to use Windows Office suite programs (Word, Excel, PowerPoint, etc.) and ability to learn various accounting and reporting software

Smartsheet & IBM Planning & Analytics experience is a plus but not required

Education/Experience
A bachelor’s degree in accounting from an accredited college or university is required. Minimum of 3 years of accounting experience, and at least 1 year of accounting revenue recognition experience. Active CPA license required.

Skills
Mathematical Skills:

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, fractions, decimals, and percentages.

Language Skills:

Ability to understand, read, write, and speak English. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write business correspondence and present information effectively.

Reasoning Ability:

Ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. Ability to interpret basic financial data and a variety of instructions in multiple forms.

Employment at AMSURG
Living Our Values Every Day. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care. Values: Care Deeply, Integrity, Excellence, and Teamwork.

Benefits
AMSURG provides a comprehensive benefits package including Paid Time Off, Medical, Dental, Vision, Life, Disability, FSAs, HSAs, and a 401(k) plan with company match. PTO accrues based on position with 20–25 days per year; 9 observed holidays and paid family leave are also offered. This is an Equal Opportunity Employer (EOE). Accommodation requests may be submitted to careers@amsurg.com.

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