Accounting Manager

US Tech Solutions • Remote • Contractor • $127.65–$127.65 / hour

Posted on Mon, Sep 7, 2026

Duration: 6 months Contract (Possible Extension based on business need)
Description:
As the Associate Director of Gross-to-Net Accounting, you will play a critical leadership role in managing, analyzing, and optimizing the end-to-end GtN process across our U.S. operations, covering all three business units: Commercial (Cx), Aesthetics (Ax), and Prescription (Rx). This includes responsibility for gross sales deductions, revenue reserves, channel discounting, Medicaid/chargeback programs, and accrual estimation processes. You will ensure all related financial activities are compliant with IFRS, internal controls, and Client’s Accounting Manual (GAM). The role also includes oversight of key systems and partners, including ICS, Model N, and other third-party service providers, to ensure timely, accurate, and compliant processing of discounts, chargebacks, rebates, and other deductions.

This position requires strong cross-functional collaboration with Commercial and Trade Teams, Finance, FP&A, Sales Operations, and Global Business Services (GBS). The ideal candidate brings both technical depth in revenue accounting and business acumen to drive insights and continuous improvement in GtN forecasting and accruals.
The Associate Director will also lead and develop a team of 2 direct reports, fostering a culture of accountability, innovation, and continuous learning.

Key Responsibilities: GtN Ownership, Governance & Financial Reporting

Own and lead the end-to-end Gross-to-Net (GtN) accounting process, including governance over accrual methodologies, assumptions, and calculation models.
Establish and maintain documentation standards and controls for accrual processes, ensuring transparency, auditability, and alignment with IFRS and Client’s Accounting Manual (GAM).
Drive consistency and accuracy in reserves for rebates, chargebacks, returns, discounts, and other sales deductions across all products and channels.
Validate inputs and outputs of GtN models in coordination with Commercial and Trade Teams, ICS, and Model N to ensure data accuracy and timely execution.
Ensure monthly close deliverables are completed timely and accurately, including journal entries, reconciliations, true-ups, and variance explanations.

Forecasting & Analytics:

Provide GtN financial input to support accurate gross-to-net forecasting to BU Finance and FP&A.
Conduct in-depth reserve trend analysis and scenario modeling to support business decisions and working capital strategies.
Collaborate with Commercial and Trade Teams to evaluate evolving contractual obligations, payer terms, and pricing strategies, and assess their impact on accruals and financial forecasts.
Continuously clarify, monitor and provide insights on GtN variances, adjusting forecasts and accruals based on performance and actual claims activity.

Controls, Compliance & Technical Leadership:

Maintain and continuously improve the GtN internal control framework; ensure audit readiness and compliance with internal policies and external audit standards.
Lead accounting policy application and documentation for revenue reserves, in line with IFRS and GAM.
Prepare and maintain workpapers, memos, and process documentation to support internal controls and financial reporting integrity.

Cross-functional Leadership:

Act as the key liaison between Commercial and Trade, Accounting, Finance, Contracts, and GBS to ensure accurate customer-level accruals and claims data integration.
Serve as the primary accounting liaison with ICS and the Model N team and manage relationships with third-party service providers involved in discount, rebate, and chargeback processing.
Continuous improve the GTN Process and collaborate with IT and Finance Systems teams to identify automation and data quality improvement opportunities across the revenue cycle.
Partner with Commercial and Trade Teams to ensure evolving contractual terms and rebate strategies are properly reflected in financial estimates and controls.
Mentor and develop 2 direct reports, supporting their growth in technical skills, business understanding, and cross-functional collaboration

Qualifications:

Bachelor’s degree in accounting, Finance, or related field required (Master’s preferred)
Certified Public Accountant (CPA) required
Minimum 10+ years of relevant experience in revenue accounting, with at least 5 years focused on Gross-to-Net in the pharmaceutical, biotech, or healthcare industry
Deep understanding of IFRS 15 and experience in preparing GtN accruals and revenue reserve calculations
Strong ERP (Oracle preferred) and data/reporting tool experience (e.g., BIRDS, Power BI, Model N)
Demonstrated ability to influence across cross-functional teams and manage complex stakeholder relationships
Excellent communication skills and comfort with ambiguity in a dynamic, fast-paced environment
Proven track record in process improvement, automation, and implementation of scalable solutions a protected veteran.

About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
Disclaimer:
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Internal ID: 26-09040

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