Senior Manager, Accounting
LBMC Staffing Solutions • Nashville, Tennessee • Full Time
Posted on Sat, Jun 13, 2026
The Sr. Manager, Practice Accounting, reports to the Sr. Director of Practice Accounting and leads the operational accounting function for the UUG 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 UUG 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 company 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 the company's overall 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.
- 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.
- 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.