Senior Accounting Manager

VASCULAR WELLNESS MANAGEMENT INC • Cary, NC

5d • Hybrid

About The Position

Vascular Wellness is a clinically driven company delivering top-notch vascular access services to patients in the Central and Southeastern United States. At Vascular Wellness, we know that exceptional care starts with strong support. Our highly skilled clinical team delivers top-notch vascular access services, while our dedicated professionals keep things running smoothly behind the scenes, playing a vital role in advancing our mission.

When you join Vascular Wellness, you’ll become part of a growing organization that values collaboration, precision, and professionalism. Integrity, quality, innovation, and teamwork define our approach to patient care, business, and our workforce. We offer a supportive environment where your organizational skills, attention to detail, and problem-solving abilities directly contribute to improving patient care and client satisfaction. We are geographically dispersed yet empowered by a dedicated team and common vision.

Position Summary

The Senior Manager of Accounting oversees all daily accounting, internal financial controls, budgeting and reporting operations. They are responsible for the general ledger and financial statement accuracy. This role combines day-to-day accounting management with higher-level financial planning, analysis, process development, management and leadership. The ideal candidate is comfortable operating both strategically and tactically, ensuring financial integrity and process consistency while supporting business growth and operational decision-making.

Requirements

• Bachelor’s degree in Accounting, Finance, or a related field required.
• 5+ years of progressive accounting and finance experience, including management of staff.
• Strong knowledge of accounting principles, financial reporting, and internal controls.
• Demonstrated ability to balance strategic thinking with hands-on execution.
• Excellent analytical, problem-solving, and decision-making skills.
• Strong leadership and people management abilities.
• High attention to detail with the ability to meet deadlines in a changing environment.
• Proficiency with accounting systems and Microsoft Excel
• Excellent communication skills.

Nice To Haves

• CPA, CMA, or MBA preferred.
• Prior experience in a small or mid-sized organization with hands-on accounting responsibilities strongly preferred. Experience in a distributed healthcare service organization considered a plus.
• experience with Odoo systems a plus.

Responsibilities

• Oversee all accounting functions and processes, including general ledger, accounts payable, accounts receivable, payroll, and fixed assets.
• Ensure timely and accurate monthly and annual financial close processes.
• Prepare and review financial statements in accordance with GAAP.
• Maintain internal controls and safeguard company assets.
• Manage cash flow, banking relationships, and credit facilities.
• Establish and lead an annual budgeting process and periodic re-forecasting.
• Monitor actual results versus budget and investigate variances.
• Prepare financial reports and dashboards for leadership and ownership.
• Support department leaders with budget and financial performance indicators.
• Ensure compliance with all federal, state, and local tax, payroll, and regulatory requirements.
• Coordinate tax filings and work with external CPAs, auditors, and advisors.
• Establish and maintain accounting policies and procedures.
• Manage and mentor the accounting team, providing guidance, training, and performance feedback.
• Establish priorities, workflows, and best practices to ensure efficiency and accuracy in AP, AR, payroll processing, expense card and asset management processes.
• Foster a collaborative, service-oriented finance function that supports the broader organization.
• Oversee accounting systems including migration between platforms; recommend and implement improvements as needed.
• Streamline accounting and financial processes to improve accuracy, efficiency, and scalability.
• Support cross-functional initiatives by providing financial insight and data.

Benefits

• Vascular Wellness offers company-sponsored medical insurance and company-paid dental, vision, life, and short-term disability; retirement plan matching; an Employee Assistance Plan; paid time off; and paid holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1-10 employees