Senior Accounting Manager

About Us:Elevate ENT Partners is a high-growth, private equity-backed Management Services Organization (MSO) supporting a rapidly expanding network of ENT practices nationwide. We partner with physicians to drive operational excellence, scalable growth, and strong financial performance across our platform.As we continue to grow through acquisitions and organic expansion, we are building a best-in-class finance organization to support increasing complexity and strategic decision-making.Position Overview:The Senior Accounting Manager will serve in a hybrid technical and operational leadership role, combining deep accounting expertise with ownership of financial performance across designated areas of the business.This individual will lead core accounting processes while also taking responsibility for P&L oversight, variance (flux) analysis, and business-facing financial insights. The role requires strong technical experience in areas such as leases, debt accounting, purchase accounting, and stock-based compensation, along with the ability to operate as a trusted business partner, including direct communication with physicians and non-financial stakeholders.Key Responsibilities:Technical Accounting & Complex Transactions:Lead accounting and analysis for debt arrangements, including interest, amortization, and related reportingSupport purchase accounting for acquisitions, including coordination with third-party valuations and integration into financialsOversee accounting for stock-based compensation, ensuring accuracy and compliance with GAAPManage accounting for a centralized real estate lease portfolio in accordance with ASC 842, including initial recognition, remeasurement, and disclosuresPartner with auditors and advisors on technical accounting matters and documentationMonitor and assess the impact of new accounting standardsP&L Ownership & Financial Analysis:Own and analyze P&Ls for assigned regions/geographies, ensuring accuracy and understanding of key business driversPerform detailed monthly flux (variance) analysis, identifying drivers and clearly communicating insightsPartner with operations and revenue cycle teams to explain performance and drive accountabilityTranslate financial data into clear, decision-ready insights for leadershipPhysician Compensation & Financial Communication:Calculate and analyze physician compensation models, ensuring accuracy and alignment with contractual termsPartner cross-functionally to validate inputs and resolve discrepanciesCommunicate compensation outcomes and key drivers to physicians and practice leadershipClearly explain financial performance, compensation mechanics, and variances to non-financial stakeholdersBuild strong relationships through clear, concise, and confident communicationFinancial Reporting & Close:Lead and continuously improve the month-end and year-end close processes across multiple entitiesPrepare and review GAAP-compliant financial statements (P&L, balance sheet, cash flow)Deliver timely and accurate management reporting packages, including variance commentaryCoordinate with external auditors and support annual auditsAccounting Operations & Controls:Oversee general ledger integrity and ensure accurate recording of transactionsReview and approve balance sheet reconciliationsStrengthen internal controls, policies, and procedures as the organization scalesPartner with AR/AP functions to ensure timely billing, collections, and paymentsTeam Leadership & Process Improvement:Manage, mentor, and develop accounting staffDrive process improvements and automation to enhance efficiency and scalabilityLead or support system implementations and integrations, including acquisitionsAd hoc Projects:Support special projects as needed, including system upgrades, financial process improvements, and integrations from acquisitions or new practice additions.Qualifications:Bachelor's degree in Accounting or Finance; CPA strongly preferred5-10 years of accounting experience, with at least 2-3 years in a supervisory role.Experience in multi-entity, private equity-backed, or high-growth environments strongly preferredStrong knowledge of GAAP and financial reporting standardsExperience working with complex financial modelsProficiency with accounting software (e.g., Sage Intacct) and advanced skills in Microsoft ExcelAbility to work under pressure and manage tight deadlines in a fast-paced, dynamic environmentStrong analytical skills and attention to detail, with the ability to identify issues and propose solutionsExcellent communication and interpersonal skills with the ability to translate complex financial information for non-financial audiences