Sr. Technical Accountant

TriasMD is seeking a highly skilled Senior Technical Accountant / Consolidations Manager to own and enhance the integrity of the company’s consolidated financial reporting across a rapidly growing, multi-entity healthcare platform.

This role will be responsible for consolidation accounting, intercompany accounting, and equity accounting, while building scalable processes to support audit readiness, lender reporting, and continued growth. The ideal candidate is technically strong, detail-oriented, and experienced in complex, multi-entity environments.

Key Responsibilities

Consolidations & Financial Reporting

• Own the monthly consolidation process across all legal entities
• Prepare and review consolidated financial statements in accordance with GAAP
• Design, implement, and maintain consolidation and elimination entries, including:
  • Investment in subsidiary vs. equity eliminations
  • Intercompany eliminations
• Resolve consolidation imbalances and ensure accuracy and completeness of financial reporting
• Maintain consolidation mappings and system integrity within the ERP (Sage Intacct or similar)

Intercompany Accounting

• Build and maintain a comprehensive intercompany subledger
• Reconcile all intercompany balances on a monthly basis, including:
  • Loans
  • Equity contributions
  • Shared services and expense allocations
• Ensure proper classification and documentation of intercompany activity
• Establish and enforce intercompany accounting policies and procedures

Equity & Investment Accounting

• Maintain rollforwards of parent investment in subsidiaries and subsidiary equity balances
• Ensure alignment between parent investment accounts and underlying entity equity
• Support accounting for capital contributions, distributions, and internal restructurings
• Provide technical guidance on equity vs. debt classification

Technical Accounting & Policy

• Research and apply GAAP guidance related to consolidations and intercompany accounting (ASC 810 and related topics)
• Prepare technical accounting memos and documentation to support accounting positions
• Develop and maintain accounting policies and procedures in support of a scalable finance organization

Audit & Compliance

• Serve as a key point of contact for external auditors for areas including consolidations, intercompany, and equity
• Prepare and maintain audit-ready workpapers and supporting schedules
• Support lender reporting requirements and ensure consistency with credit agreement definitions

Process Improvement & Controls

• Build and standardize consolidation and intercompany processes
• Improve close timelines, accuracy, and transparency
• Implement controls to ensure proper documentation and approval of intercompany transactions
• Partner cross-functionally to ensure financial data integrity across entities

Qualifications

• Bachelor’s degree in Accounting or Finance (CPA strongly preferred)
• 6–10 years of relevant accounting experience
• Strong technical expertise in:
  • Consolidations
  • Intercompany accounting
  • Multi-entity financial reporting
• Deep knowledge of U.S. GAAP, particularly consolidation guidance (ASC 810)
• Experience in a multi-entity, high-growth, or private equity-backed environment preferred
• Experience with Sage Intacct or similar ERP systems
• Advanced Excel skills required

Preferred Experience

• Healthcare services, ASC, MSO, or multi-site operating models
• Experience resolving complex consolidation or intercompany accounting issues
• Experience working in an environment with audit and lender reporting requirements

Key Competencies

• Strong analytical and problem-solving skills
• High attention to detail and commitment to accuracy
• Ability to operate in a fast-paced, evolving environment
• Strong communication skills and ability to interface with auditors and leadership
• Ownership mindset with the ability to build and improve processes

What Success Looks Like

• Clean, accurate, and audit-ready consolidated financials
• Fully reconciled and documented intercompany balances
• Clear and consistent classification of equity vs. debt across entities
• Scalable processes supporting continued growth and complexity

About TriasMD

TriasMD is a rapidly growing healthcare platform focused on delivering high-quality musculoskeletal care through a network of ambulatory surgery centers and physician partnerships. The company is backed by institutional capital and is building a scalable, disciplined financial infrastructure to support continued expansion.

Salary : $130,000 - $150,000