ReFocus Management Services Inc. is seeking a detail-oriented, hands-on Accounting Manager to assist with the day-to-day accounting operations of the organization. Reporting to the VP of Accounting and Finance, this role oversees the month-end close, general ledger integrity, account reconciliations, and financial reporting across multiple entities. The ideal candidate combines strong technical accounting knowledge with the leadership skills to develop a team, strengthen internal controls, and continuously improve processes.

Key Responsibilities

Month-End Close & General Ledger

· Manage and execute the monthly, quarterly, and year-end close process, ensuring accurate and timely completion against the close calendar.

· Review and approve journal entries, accruals, prepaids, and adjusting entries prepared by staff.

· Maintain the integrity of the general ledger and chart of accounts across all entities, including intercompany activity and eliminations.

· Revenue Recognition including ASC 606 compliance

· Purchase Accounting for acquisitions including ASC 805 compliance

· Oversee balance sheet account reconciliations and ensure reconciling items are investigated and resolved promptly.

Financial Reporting & Analysis

· Prepare and review monthly financial statements and management reporting packages in accordance with U.S. GAAP.

· Perform flux and variance analysis, explaining significant fluctuations to senior leadership.

· Support the annual budget and periodic forecasts with historical data and account-level insights.

· Develop and maintain reporting schedules and KPIs that support operational decision-making.

Internal Controls, Audit & Compliance

· Design, document, and maintain internal controls over financial reporting and key accounting processes.

· Serve as the primary point of contact for the annual external audit, preparing schedules and coordinating requests.

· Coordinate with tax advisors on income tax provision support, sales and use tax, property tax, and 1099 reporting.

Process Improvement & Systems

· Identify opportunities to streamline and automate accounting workflows to shorten the close and improve accuracy.

· Partner with operations, revenue cycle, payroll, and FP&A teams to resolve issues and improve data flow.

· Support ERP system enhancements, integrations, and new entity or acquisition onboarding as needed.

· Maintain clear, up-to-date process documentation and desk procedures.

Qualifications

Required

· Bachelor's degree in Accounting, Finance, or a related field.

· 5–7+ years of progressive accounting experience. 

· Strong working knowledge of U.S. GAAP and full-cycle accounting.

· Hands-on experience leading the month-end close and preparing financial statements.

· Experience with multi-entity consolidations and intercompany accounting.

· Advanced Excel skills (lookups, pivot tables, complex formulas) and proficiency with a cloud-based ERP system.

Preferred

· CPA license or progress toward CPA.

· Public accounting experience, ideally combined with industry experience.

· Experience in healthcare, multi-site, or private equity-backed organizations.

· Experience with Sage Intacct, NetSuite, or a comparable ERP, plus reporting or BI tools.

· Exposure to acquisition integration and process automation.

Core Competencies

· Accuracy and attention to detail: Produces reliable, well-supported work and holds the team to a high standard.

· Analytical thinking: Connects the numbers to business drivers and communicates the story clearly.

· Leadership: Coaches others, delegates effectively, and builds team capability.

· Communication: Explains complex accounting matters to non-financial stakeholders.

· Ownership and adaptability: Manages competing deadlines in a fast-paced, growing environment.

Work Environment

This is a primarily office-based or hybrid role requiring extended periods of computer work. Additional hours may be required during month-end, quarter-end, year-end, and audit periods.