Sr. Manager, Practice Accounting

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description:

The Sr. Manager, Practice Accounting, reports to the Sr. Director of Practice Accounting and leads the operational accounting function for a 100 site practice entity. This role oversees a team of managers and staff to deliver timely, accurate, and compliant accrual-based accounting under US GAAP. The Sr. Manager drives excellence in month-end close, reconciliations, and financial reporting, while building a culture of accountability and continuous improvement. This leader collaborates closely with Practice Accounting & Analysis, FP&A, Corporate Accounting, and Operations leadership, with regular exposure to senior executives including the Divisional CFO and Regional VPs.

Responsibilities

• Provide strategic leadership and direction to the Practice Accounting team, fostering accountability, accuracy, and continuous improvement.

• Oversee and drive excellence in monthly close activities, including journal entries, balance sheet reconciliations, consolidations, and financial reporting.

• Ensure timely and accurate reporting of income statement and balance sheet results in accordance with US GAAP that ensures financial integrity and supports decision-making across the practice.

• Lead hiring, training, and career development of managers, seniors, and staff, including performance management and succession planning.

• Partner with Practice Accounting & Analysis and FP&A to coordinate monthly financial reviews and provide insights into results.

• Build and maintain collaborative relationships with OneOncology leadership, ensuring accounting processes and financial reporting meet various business needs.

• Partner with Corporate Accounting on the annual audit and implementation of new accounting standards, policies, and processes.

• Lead the accounting integration of new physicians, tuck-ins, and service lines, including establishing opening balance sheets, converting practices from cash to accrual basis, and ensuring alignment with OneOncology accounting policies.

• Identify and implement process improvements to increase efficiency and accuracy.

• Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

Key Competencies

• Strong leadership skills with the ability to motivate and develop high-performing teams.

• Excellent communication skills, with the ability to influence and effectively present information to both financial and non-financial audiences.

• Detail-oriented with a commitment to accuracy and accountability.

• Strong technical accounting knowledge (revenue recognition, lease accounting, liability recognition, etc.) and ability to perform technical research.

• Proactive and adaptable leader who thrives in a fast-paced, growth-oriented environment.

• Ability to work independently and lead cross-functional initiatives across geographically dispersed teams.

Qualifications

• Bachelor’s degree in Accounting required (Master’s degree preferred).

• 6 years of accounting experience, preferably in healthcare.

• Prior supervisory experience managing accounting personnel.

• Proven ability to build, manage, and motivate teams.

• Strong knowledge of internal controls and accounting best practices.

• Strong proficiency in Excel; ERP system experience (Workday preferred).

• Active CPA license strongly preferred.

• Ability to travel as needed to partner practices.

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