Accounting Manager
Synthesis Health ‚Ä¢ Huntington, Virginia ‚Ä¢ Full Time ‚Ä¢ $90,000–$120,000 / year
Posted on Tue, Aug 11, 2026
Who We Are
We’re a mission and values driven company with tremendous dedication to our customers. Our 100% remote team, spread across the US and Canada, is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.
About the Opportunity
Synthesis Health is looking for a detail-oriented and organized Accounting Manager to manage the bookkeeping and accounting transactions at Synthesis Health. The Accounting Manager will report to the Vice President of Financial Operations but work with the People and Culture team to manage the payroll and state registration processes.
Key Responsibilities:
Accounting Management
- Prepare accurate financial statements, ensuring compliance with IFRS accounting standards and company policies.
- Reconcile various General Ledger accounts and appropriate sub-ledgers.
- Compiles and analyzes financial information to prepare journal entries to general ledger accounts documenting business transactions.
- Manage day-to-day accounting activities, including accounts payable/receivable, and financial reporting.
- Preparation of balance sheet reconciliations.
- Work with the FP&A on customer invoices.
- Timely close monthly financials in accordance with the reporting schedule.
- Ensure accurate and timely management of company accounts and financial transactions.
- Remits tax payments and prepares government filings.
- Oversee and manage audit process, ensuring timelines are met.
- Build a robust system of controls, ensuring total confidence in transparent and honest financial systems.
Payroll Processing
- Processes biweekly payroll.
- Remits payments to benefit carriers and HR vendors.
- Registers states and provinces for the appropriate tax filings.
- Prepares 1099 contractor forms.
- Assists with HR vendor, preparation of T4 and W2 forms for Synthesis employees.
About the Right Candidate
The ideal candidate will be able to work in a fast-paced environment and juggle multiple projects with overlapping deadlines. You will be an excellent communicator with good interpersonal skills and to work with individuals from diverse backgrounds.
Qualifications
- Bachelor’s degree in accounting, finance, business administration or related field.
- Five years' experience in accounting operations.
- Demonstrated experience managing payroll processing.
- Must have experience with IFRS accounting standards.
Preferred Qualifications
- Experience working in a SaaS company or healthcare company.
You will adhere to our company’s values and behaviors and incorporate them in your interactions with colleagues and customers.
Values:
- Clinical service first. 2. Collaborate with our customers. 3. Listen, respect, learn. 4. Innovate to excel.
Behaviors:
- Be nice. 2. Be creative. 3. Be honest. 4. Be helpful.
Compensation and Benefits
Compensation is paid in the currency of the country where the individual is hired. For this position, the salary range is $90,000-$120,000 USD for America based candidates and commensurate on experience. For candidates outside of the US, the salary will be calculated based on local salary markets.
Other benefits include but not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.
Synthesis Health is an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law.
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