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Accounting Manager/Assistant Controller Healthcare Services Cleveland, OH 44128 | Full-time, on-site
About the Role: A healthcare services company is seeking a hands on Accounting Manager/Assistant Controller. Reporting directly to the CFO, this role owns the accounting function end to end and leads a team of accountants and billers. This is a strong fit for someone who wants ownership beyond a traditional accounting seat — the company is actively migrating from Sage 50 to Sage Intacct, and this role will help drive that transition alongside broader process improvement work.
What You'll Do:
  • Own the monthly close and prepare monthly, quarterly, and annual financial statements in accordance with U.S. GAAP and healthcare reporting standards
  • Lead and develop the accounting team — accountants and billers
  • Oversee day-to-day accounting operations: AR, AP, payroll, treasury, lease accounting, and fixed assets
  • Partner with operations and data teams on trip-level revenue recognition — reviewing billing data, invoicing, tracking collections, and reconciling revenue to payor and internal reports
  • Support the Sage 50 to Sage Intacct migration, including data integrity, chart of accounts design, and process redesign
  • Serve as the primary contact for external auditors and tax advisors, leading PBC preparation, walkthroughs, and inquiry responses
  • Strengthen internal controls and improve finance operations, particularly following acquisitions
  • Develop and report on financial KPIs; support budgeting, forecasting, variance analysis, lender reporting, and cash flow planning
  • What You'll Bring
  • Bachelor's degree in accounting, finance, or a related field; CPA preferred 7+ years of public and/or private accounting experience
  • Healthcare services industry experience required; NEMT, provider billing, or payor-facing revenue experience strongly preferred
  • Advanced Excel (complex formulas, pivot tables, INDEX-MATCH/lookups, SUMIFS, dynamic schedules and reports)
  • Strong technical knowledge of U.S. GAAP, financial reporting, and consolidations
  • Hands-on experience with Sage 50, Sage Intacct, or QuickBooks Online; ERP implementation or migration experience a plus
  • Demonstrated success improving processes and implementing internal controls
  • Experience supervising and developing accounting staff
  • Self-motivated and intellectually curious, comfortable in a fast-paced entrepreneurial environment with shifting priorities

Also on the board Same function, level within a rung

Level

Lead

Location

East Cleveland, OH

Occupation

Accountants and Auditors

Industry

Other Accounting Services

Posted

yesterday

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