Job Description

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.

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 reporting
  • Support purchase accounting for acquisitions, including coordination with third-party valuations and integration into financials
  • Oversee accounting for stock-based compensation, ensuring accuracy and compliance with GAAP
  • Manage accounting for a centralized real estate lease portfolio in accordance with ASC 842, including initial recognition, remeasurement, and disclosures
  • Partner with auditors and advisors on technical accounting matters and documentation
  • Monitor and assess the impact of new accounting standards

• P&L Ownership & Financial Analysis:
  • Own and analyze P&Ls for assigned regions/geographies, ensuring accuracy and understanding of key business drivers
  • Perform detailed monthly flux (variance) analysis, identifying drivers and clearly communicating insights
  • Partner with operations and revenue cycle teams to explain performance and drive accountability
  • Translate financial data into clear, decision-ready insights for leadership

• Physician Compensation & Financial Communication:
  • Calculate and analyze physician compensation models, ensuring accuracy and alignment with contractual terms
  • Partner cross-functionally to validate inputs and resolve discrepancies
  • Communicate compensation outcomes and key drivers to physicians and practice leadership
  • Clearly explain financial performance, compensation mechanics, and variances to non-financial stakeholders
  • Build strong relationships through clear, concise, and confident communication
• Financial Reporting & Close:
  • Lead and continuously improve the month-end and year-end close processes across multiple entities
  • Prepare and review GAAP-compliant financial statements (P&L, balance sheet, cash flow)
  • Deliver timely and accurate management reporting packages, including variance commentary
  • Coordinate with external auditors and support annual audits

• Accounting Operations & Controls:
  • Oversee general ledger integrity and ensure accurate recording of transactions
  • Review and approve balance sheet reconciliations
  • Strengthen internal controls, policies, and procedures as the organization scales
  • Partner with AR/AP functions to ensure timely billing, collections, and payments

• Team Leadership & Process Improvement:
  • Manage, mentor, and develop accounting staff
  • Drive process improvements and automation to enhance efficiency and scalability
  • Lead or support system implementations and integrations, including acquisitions

• Ad 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 preferred
• 5-10 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 preferred
• Strong knowledge of GAAP and financial reporting standards
• Experience working with complex financial models
• Proficiency with accounting software (e.g., Sage Intacct) and advanced skills in Microsoft Excel
• Ability to work under pressure and manage tight deadlines in a fast-paced, dynamic environment
• Strong analytical skills and attention to detail, with the ability to identify issues and propose solutions
• Excellent communication and interpersonal skills with the ability to translate complex financial information for non-financial audiences

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