Accounting Manager

About Focus Practice Management

Focus Practice Management is a business services company headquartered in Webster, New York. We provide accounting, payroll, operational support, credentialing, technology, and practice management services to healthcare organizations and professional service firms throughout the region.

Guided by the philosophy "We Focus on You," our team helps clients focus on serving their patients and customers while we manage the administrative and financial operations that support their success.

Accounting & Financial Operations Manager

Location: Webster, NY

Salary: $65,000 - $75,000 annually, based on experience and qualifications

Benefits: Health, dental, retirement plan, PTO, paid holidays, and professional development opportunities

Schedule: Full-Time, Monday-Friday

Why You'll Love This Opportunity

• Work directly with the CFO and senior leadership team
• Take ownership of accounting operations across multiple affiliated entities
• Help drive process improvements and operational growth
• Enjoy a collaborative, team-oriented culture
• Make a meaningful impact in a growing organization

Position Overview 

Focus Practice Management is seeking an experienced Accounting & Financial Operations Manager to oversee day-to-day accounting operations for multiple affiliated entities while maintaining strong financial controls, accurate reporting, and efficient workflows.

This hands-on leadership role combines accounting operations, financial reporting, payroll oversight, cash management, and process improvement. Working closely with the CFO and senior leadership team, the successful candidate will help ensure the accuracy of financial information, strengthen internal controls, support strategic initiatives, and contribute to the continued growth of the organization.

While the position includes limited backup support for payroll and employee-related administrative processes, its primary focus is accounting and financial operations. This is an excellent opportunity for an experienced accounting professional who enjoys taking ownership, solving problems, improving systems, and making a meaningful impact within a collaborative and growing organization.

Key Responsibilities:

Accounting & Financial Operations

• Oversee daily accounting operations for multiple affiliated entities
• Maintain general ledger accuracy and prepare monthly financial statements
• Perform and review bank, balance sheet, and credit card reconciliations
• Manage accounts payable, vendor payments, and expense tracking
• Monitor accounts receivable and support collection activities
• Prepare management reporting packages and financial analyses
• Support budgeting, forecasting, and cash management initiatives
• Coordinate annual audits and work with external accountants and advisors
• Identify and implement process improvements to strengthen controls and increase efficiency

Payroll & Administrative Support

• Review payroll reports, reconciliations, tax filings, and related journal entries
• Serve as backup payroll processor using Gusto as needed
• Support retirement plan administration and payroll compliance initiatives
• Maintain familiarity with onboarding, benefits, and employee-related processes to provide operational continuity when needed

Qualifications:

Required

• Associate's or Bachelor's degree in Accounting, Finance, Business Administration, or related field (or equivalent experience)
• 5+ years of accounting, bookkeeping, or financial operations experience
• Strong QuickBooks Online experience
• Advanced Microsoft Excel proficiency
• Experience preparing financial statements and account reconciliations
• Strong attention to detail and organizational skills

Preferred

• Experience in healthcare, legal, professional services, or practice management environments
• Experience with Gusto payroll
• Familiarity with trust accounting or professional services accounting
• CPA, CMA, or similar certification

Why Join Focus Practice Management?

At Focus Practice Management, you'll have the opportunity to work directly with senior leadership, influence key financial processes, and support the continued growth of multiple affiliated organizations. This is a high-impact role that offers meaningful responsibility, professional growth opportunities, and the ability to make a lasting contribution to the organization.

The ideal candidate is someone who enjoys taking ownership of accounting processes, solving problems, improving systems, supporting organizational growth, and serving as a trusted financial resource within a collaborative and team-oriented environment. 

If you're an experienced accounting professional who enjoys taking ownership, improving processes, and partnering with leadership to support organizational growth, we'd love to hear from you.

Apply today to join the Focus Practice Management team.