Director of Accounting

Monogram Health•Brentwood, TN

1d•$135,667 - $169,123

About The Position

Monogram Health is seeking a Director, Accounting to serve as a senior operational and technical accounting leader for a high-growth, pre-IPO organization. This individual will own the day-to-day accounting function and serve as the Controller's primary operational partner through a period of significant growth and increasing organizational complexity. The Director will be responsible for leading the month-end close, overseeing the external audit, managing tax and treasury activities, maintaining a well-controlled AP and expense management environment, and continuously modernizing and automating accounting processes. This is a role for someone who executes at a high level, leads with accountability, and challenges processes to improve efficiency, scalability, and control. The Director, Accounting, reports directly to the Corporate Controller and works closely with Finance, Medical Economics, Legal, IT, HR, Procurement, and Operations.

Requirements

Bachelor's degree in Accounting and active CPA license required
Advanced knowledge of U.S. GAAP, with demonstrated experience researching, documenting, and operationalizing complex accounting conclusions
Big 4 or large regional public accounting experience required; audit background strongly preferred
Verbal and written communication skills; ability to operate cross-functionally and influence without authority
Organizational skills with the ability to manage multiple concurrent workstreams under competing deadlines

Nice To Haves

Healthcare or life sciences industry experience preferred; value-based care or risk-based contract environment a plus
Experience with or meaningful exposure to IPO readiness, SEC reporting, S-1 preparation, or SOX compliance implementation strongly preferred
Hands-on experience with Sage Intacct or similar tools preferred, as well as familiarity with modern AP and expense management platforms
Demonstrated experience implementing accounting process improvements or automation initiatives

Responsibilities

Own the monthly close calendar; assign responsibilities, monitor progress, and resolve timing or data issues that could affect reporting deadlines
Review and approve journal entries, account reconciliations, and supporting schedules prepared by staff; ensure completeness, accuracy, and appropriate cutoff
Analyze balance sheet and income statement activity for unusual fluctuations; coordinate corrections, reclassifications, and true-ups with full supporting documentation
Oversee all core accounting areas including revenue and medical expense, capitalized software, leases, payroll and bonuses, and other operating accruals
Partner with the Controller on technical accounting research, including revenue recognition, lease accounting, capitalization policy, and positions requiring regulatory review
Partner with FP&A to refine a robust cash forecasting model that improves forecast accuracy and visibility into liquidity
Oversee accounts payable and expense management operations, including vendor onboarding, invoice processing, approval workflows, payment execution, employee reimbursements, and corporate card administration
Maintain effective policies, controls, and training over employee expenses, corporate cards, and policy exceptions
Continuously improve AP and expense management processes to reduce manual effort, strengthen compliance, and enhance employee experience
Support in defining and implementing the accounting team's technology roadmap; identify and implement tools and integrations that reduce manual close processes and improve real-time financial visibility
Serve as an active evaluator of emerging tools and platforms; make recommendations to the Controller on investments that improve accuracy, efficiency, or control
Build sustainable, repeatable processes and effective controls around complex accounting estimates
Assist in designing and documenting an enterprise risk assessment and the internal control environment
Partner with the Corporate Controller as the primary operational point of contact for internal and external auditors on documentation, reconciliations, flux analysis, and supporting schedules
Support the Controller on financial statement preparation and regulatory submissions
Coordinate with external tax advisors on provision support and tax planning initiatives; ensure timely delivery of tax-relevant schedules and manage recurring state and local compliance filings
Support initiatives that enhance the scalability, governance, and readiness of the accounting and financial reporting functions as the organization grows
Partner with the Controller and external advisors on strategic finance initiatives, including efforts to strengthen the organization’s long-term financial flexibility and capital structure
Lead, coach, and develop the team through the establishment of clear priorities, regular check-ins, timely feedback, and performance development
Manage workload allocation and maintain backup coverage to ensure deadlines are met during close, audit, and other high-volume periods