ACCOUNTING MANAGER

Apex Dermatology and Skin Surgery Center LLC•Mayfield Heights, OH

10h•Hybrid

About The Position

Apex Skin is a rapidly growing, patient-focused dermatology and aesthetic practice committed to delivering exceptional care. We are seeking a strategic and detail-oriented Accounting Manager to lead key financial operations and strengthen our financial control environment. The Accounting Manager will oversee payroll, treasury, revenue recognition, audit and tax support, and general accounting functions, ensuring accuracy, compliance, and timely reporting. The Accounting Manager will provide leadership to a small accounting team and report directly to the Controller, serving as a critical partner in driving business insights and operational excellence. Schedule Full-time, Monday through Friday [40 hours per week] Hybrid schedule Must reside in Ohio and be within a commutable distance of Apex Skin’s home office in Beachwood, Ohio

Requirements

Bachelor’s degree in Accounting, Finance, or related field; CPA preferred.
10+ years of progressive accounting experience; prior management experience strongly preferred.
Deep knowledge of GAAP, accounting principles, procedures, and financial regulations.
Proficiency in accounting software and ERP systems; Sage ERP experience a plus.
Advanced Microsoft Excel skills and strong analytical abilities.
Exceptional attention to detail, organizational skills, and ability to meet deadlines.
Strong interpersonal, communication, and leadership skills.
Commitment to confidentiality, ethical guidelines, and HIPAA compliance.
Eagerness to grow professionally and pursue ongoing education in accounting and finance.

Nice To Haves

Healthcare or medical practice experience is a strong plus.
Sage ERP experience a plus.

Responsibilities

Lead month-end and year-end close processes and prepare accurate financial statements and management reports.
Maintain the general ledger, ensuring timely and precise journal entries.
Analyze trends, variances, and key metrics, providing actionable financial insights to support business decisions.
Oversee revenue recognition across multiple dermatology and aesthetic service lines.
Partner with billing and revenue cycle teams to ensure accuracy and completeness of revenue data.
Monitor and interpret financial trends to inform strategic planning.
Prepare documentation and schedules for internal and external audits.
Ensure compliance with GAAP, internal controls, and applicable tax regulations.
Serve as the primary liaison with auditors and tax compliance teams.
Manage, mentor, and develop accounting and payroll staff to foster a collaborative, high-performance culture.
Delegate responsibilities effectively, ensuring timely completion of all accounting functions.
Oversee bi-weekly payroll processing and commission/bonus calculations, ensuring compliance with federal, state, and local regulations.
Maintain accurate employee records and resolve payroll discrepancies in partnership with HR.
Supervise treasury activities, banking relationships, and short-term investments.
Support strategic financial initiatives, including new banking relationships or process improvements.