Director of Accounting

TriasMD•Newport Beach, CA

8d•$160,000 - $190,000•Onsite

About The Position

TriasMD is the management platform behind DISC Surgery Centers, a multi-site ambulatory surgery center (ASC) organization operating eight centers across California and Florida. We are backed by Chicago Pacific Founders, a healthcare-focused private equity firm, and we are growing through de novo center development, tuck-in acquisitions, and joint ventures with physician partners. Our corporate finance team supports the full platform from Newport Beach on Sage Intacct. We are investing in the accounting function to match the scale and complexity of the business, and this role is central to that build. The Opportunity We are looking for a hands-on Director of Accounting to own our monthly close and the integrity of our balance sheet across all entities. This is a builder's role, not a caretaker's. You will lead the general ledger team, raise the technical standard of our accounting, and put the structure in place for a platform that is actively acquiring and opening new centers. You will work directly with the CFO, with real ownership and visibility. If you want a seat where your judgment shapes how the accounting function operates rather than one where you maintain someone else's, this is that seat.

Requirements

CPA preferred.
7 to 10 years of progressive accounting experience, including ownership of a full monthly close.
Public accounting foundation combined with industry experience at a multi-site healthcare provider organization (ASC, physician services, MSO, or similar).
Strong command of healthcare net revenue recognition and accounts receivable valuation under ASC 606, including payer contractual adjustments and reserve methodology.
Multi-entity consolidation experience, including intercompany, noncontrolling interests, and joint venture structures.
Demonstrated experience reviewing the work of others and developing accounting staff.
A track record of building or rebuilding a close process, reconciliation standards, or a control environment, rather than only operating an established one.
Advanced Microsoft Excel and experience with a mid-market ERP.

Nice To Haves

Sage Intacct experience.
Ambulatory surgery center experience specifically.
Experience at a private equity-backed or high-growth portfolio company.
Acquisition integration and opening balance sheet experience.
Experience managing or working with offshore accounting teams.

Responsibilities

Own the monthly close across all entities, including journal entries, accruals, intercompany, minority interest, and consolidation.
Own the account reconciliation process end to end. Ensure every reconciliation is completed on schedule, properly supported, and independently reviewed. Establish the templates, standards, and review controls that make that repeatable.
Serve as the technical resource for the platform: healthcare net revenue and accounts receivable valuation under ASC 606, lease accounting under ASC 842, debt and interest accounting, fixed assets and construction in progress, and reserves and estimates. Research and document positions as issues arise.
Lead, mentor, and review the work of a general ledger team that includes onshore and offshore accounting staff. Provide the detailed review that ensures accuracy before entries reach the general ledger.
Rebuild accounting methodology in key areas so estimates are grounded in source transaction data rather than ratio-based approximations, and establish hindsight testing on reserves.
Own preparation and review of audit requests, and drive remediation of identified control matters.
Build and run the accounting playbooks for de novo center openings, acquisition opening balance sheets, and joint venture onboarding, so growth does not disrupt the close.
Establish and enforce a close calendar with clear exit criteria, and improve how we use Sage Intacct and our reporting stack.