Demo

Sr Accountant M&A

AMSURG
Nashville, TN Full Time
POSTED ON 6/6/2026
AVAILABLE BEFORE 7/20/2026
Sr Accountant (M&A)

Nashville, TN (Remote Hybrid)

Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

Position Summary

Remote-Centric Hybrid: Teammates primarily work from home but go to the office 1-2 times a month. The Senior Accountant of M&A Accounting is responsible for preparing and managing accounting workstreams related to entity acquisitions, divestitures, mergers, and joint venture contributions. This role ensures accurate and timely accounting in compliance with GAAP and supports the successful onboarding and offboarding of entities. Reporting to the M&A Lead, the position requires technical expertise in purchase and transaction accounting, along with the ability to interpret deal structures and their accounting implications. The Sr Accountant must effectively manage multiple concurrent transactions, ensuring timely and accurate ledger entries. Additionally, this role offers opportunities to contribute to process improvements, financial analysis, and other strategic initiatives.

Work Schedule: Full-Time Monday-Friday

Essential Responsibilities

  • Primary resource for entity transactions
  • Prepare general ledger journal entries
  • Ability to onboard and offboard entities, including:
    • Accounting due diligence – obtain and review seller financials and billing reports to identify concerns or risk
    • Interpret legal agreements to ensure accurate accounting treatment
    • Integration of new entities onto AMSURG platforms and processes
    • Timely and accurate completion of post close adjustments
    • Monitor status of any transition service agreements
    • Complete deconsolidation entries and cash analyses
    • Manage entity cash and complete net working capital calculations
    • Attend pre and post transaction calls
  • Identify and recommend improvements to process or control issues for newly acquired entities
  • Conduct income statement trend analysis for entities and prepare commentary for review of center’s financial reports
  • Investigate and resolve discrepancies identified through monthly reconciliations
  • Coordinate successful transition of newly acquired entities to center accounting team
  • Train center business office staff on policies and procedures related to accounts receivable and accounts payable
  • Collaborate and work effectively with other departments including Finance, Operations, Legal and leadership
  • Ability to track multiple complex transactions on different timelines
  • Analyze, explain, and report significant fluctuations in new entity activity
  • Participate in monthly management meetings discussing departments policies and procedures
  • Actively engage in process improvement initiatives within the Center of Excellence (COE)
  • Support special projects and ad hoc requests as needed
Qualifications

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required.

  • Experience applying the provisions of Generally Accepted Accounting Principles (GAAP)
  • Ability to maintain project tracking timely
  • Advanced knowledge and ability to use window office suite programs (Word, Excel, PowerPoint, etc.); as well as ability to learn various Accounting and reporting software.
  • Smartsheet & IBM Planning & Analytics experience is a plus but not required

Education/Experience: A bachelor’s degree in accounting from an accredited college or university is required. Minimum of 3 years of accounting experience, and at least 1 year of accounting revenue recognition experience. Active CPA license required.

Mathematical Skills: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages.

Language Skills: Ability to understand, read, write, and speak English. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to successfully write business correspondence. Ability to effectively present information, respond to questions and professionally interact with managers, employees, clients, vendors, and the general public.

Reasoning Ability: Ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. Ability to understand and interpret basic financial data. Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables.

Employment at AMSURG: Living Our Values Every Day At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care. These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

  • Care Deeply for those around us.
  • Cultivate Integrity to build trust.
  • Champion Excellence for continuous improvement
  • Celebrate Teamwork every step to the way.

Benefits

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement

AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.

Salary.com Estimation for Sr Accountant M&A in Nashville, TN
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