Accounting Manager

Accounting Manager Remote | 1099 to full time I9  At BB Imaging, we’re more than just a diagnostic imaging company—we’re a purpose-driven team on a mission to make high-quality ultrasound care accessible to all. Guided by our collaborative approach and sonographer-led culture, we partner with healthcare systems to elevate maternal-fetal care while empowering our team to thrive—both professionally and personally.  We’re currently inviting an experienced Accounting Manager to join our finance and accounting operations. The Accounting Manager is responsible for overseeing financial reporting, general ledger, and accounting operations. This role supports financial decision-making and maintains accurate financial records in accordance with GAAP. You’ll be a trusted advisor to executive leadership while ensuring accurate reporting, effective controls, and financial strength to support our mission.  You’ll Enjoy: The opportunity to join the team an I9-team member which includes: Competitive pay commensurate with experience Medical, dental, and vision coverage 14+ days paid time off (PTO) 8 paid holidays + birthdays off 401(K) Short and long-term disability $140 monthly wellness stipend (massage, gym, childcare, etc) Tuition and exam reimbursements Parental and bereavement leave Access to counseling services and resources for financial wellbeing  What You’ll Do:  Lead Accounting Operations: Oversee daily accounting functions including general ledger, accounts payable/receivable, payroll, and financial reporting.  Financial Close & Reporting: Manage month-end and year-end close, prepare consolidated reports, and deliver timely insights to leadership.  Corporate Filings & Licensure: Manage state filings, business license requirements, and corporate registrations, ensuring timely renewals, regulatory compliance across jurisdictions, and accurate recordkeeping. Compliance & Tax: Ensure GAAP compliance and oversee multi-state payroll tax filings as needed. Accounts Payable: Own the end-to-end accounts payable process, including invoice intake, coding, approvals, payments, and vendor reconciliation.  Payroll: Oversee and manage all payroll functions, including accurate and timely processing, compliance with federal/state regulations, payroll tax filings, reconciliations, reporting, and continuous process improvement. Cash Management: Prepare weekly cash flow reports to ensure liquidity and address issues proactively.  Internal Controls: Maintain and enhance internal controls, policies, and financial systems.  Cross-Functional Partnership: Collaborate with finance, billing, and clinical teams to ensure accurate financial processes and alignment with organizational goals. Process Improvement: Identify efficiencies, implement new tools, and enhance workflows to scale with company growth.   What We’re Looking For: Bachelor's degree in Accounting, Finance, or related field  5+years of progressive experience in accounting/finance, with at least 2 years in a supervisory capacity  Strong technical accounting expertise and knowledge of GAAP and multi-state compliance requirements  Experience in healthcare, professional services, or growth-oriented companies a plus  Excellent written, verbal, and executive communication skills  Proven ability to collaborate across teams, implement process improvements, and manage cross-functional relationships Experience with QBO and Ramp a plus++