Senior Manager, Technical Accounting

Healthcare Outcomes Performance Company•Phoenix, AZ

About The Position

The Senior Manager of Technical Accounting is a senior leadership role responsible for owning the organization’s most complex accounting areas, including annual financial statements, technical accounting research, tax coordination, equity accounting, lease accounting under ASC 842, and foreign entity accounting and FX translation under ASC 830. This role operates at the intersection of GAAP interpretation, financial reporting execution, and crossâfunctional coordination within a highly complex, multiâentity healthcare organization. The position leads yearâend financial reporting and audit coordination, serves as the primary authority on technical accounting matters, and partners closely with tax advisors, legal, finance, and operational leadership to ensure accuracy, compliance, and scalability as the organization grows.

Requirements

Bachelor’s degree in finance/accounting.
CPA required.
8+ years of progressive accounting experience, with at least 3 years in a technical accounting role
Minimum of three years of management experience.
Deep knowledge of GAAP and equity accounting for complex legal structures (e.g., VIEs, joint ventures).
Proven experience in preparing financial statements and coordinating external audits.
Experience with ERP systems (e.g., SAP, Oracle, MD 365) and advanced proficiency in Microsoft Excel.
Excellent leadership and communication skills, with a track record of mentoring teams and collaborating cross-functionally.
Ability to navigate ambiguity and drive results in a fast-paced environment.
Prior exposure to mergers, acquisitions, or joint venture accounting in a multi-entity environment
Ability to delegate responsibility and authority to staff and work under multiple priorities.
Ability to work creatively with management and department staff to achieve objectives.
Ability to communicate effectively and clearly.

Nice To Haves

Experience in health care is preferred

Responsibilities

Technical Accounting & GAAP Oversight: Serve as the primary technical accounting authority across the organization, providing guidance on complex transactions and non-routine accounting issues.
Perform technical research and author formal accounting memos covering areas including revenue recognition (ASC 606), leases (ASC 842), equity arrangements, VIEs, foreign currency matters (ASC 830), and other complex GAAP topics.
Establish, maintain, and enforce accounting policies and procedures to ensure consistent application of U.S. GAAP across all entities.
Advise leadership on accounting implications of new business initiatives, contractual structures, and strategic transactions.
Annual Financial Statements & Financial Reporting: Lead the preparation of annual and interim consolidated financial statements, including footnotes, disclosures, and supporting schedules.
Own the year end close and financial reporting process, ensuring timely, accurate, and audit ready deliverables.
Oversee financial reporting through Workiva (or similar tools), ensuring alignment between statutory, audit, and management reporting.
Review and approve complex journal entries, account reconciliations, and period end adjustments, with particular focus on year end and audit requirements.
Drive improvements to close efficiency, documentation standards, and financial statement quality.
Audit Coordination: Serve as the primary point of contact for external auditors, managing audit planning, timelines, and deliverables.
Coordinate responses to technical accounting inquiries and ensure appropriate documentation supports accounting conclusions.
Equity Accounting & Complex Entity Structures: Oversee equity accounting across a complex, multi-entity structure, including MSOs, joint ventures, VIEs, subsidiaries, and entities with non-controlling interests.
Maintain detailed equity schedules, ownership tracking, profit allocations, and distribution accounting in accordance with governing agreements.
Ensure accurate accounting for non-controlling interests, consolidation conclusions, and equity related disclosures under ASC 810.
Partner with legal, finance, and external advisors on equity transactions, ownership changes, and compliance with operating and partnership agreements.
Foreign Entity Accounting & FX Translation: Oversee accounting and financial reporting for foreign entities in compliance with U.S. GAAP and organizational accounting policies.
Own foreign currency accounting, including translation and remeasurement under ASC 830, and ensure accurate recognition of foreign exchange gains and losses.
Establish and maintain consistent FX translation methodologies for income statements, balance sheets, and equity accounts across foreign entities.
Review and approve FX related journal entries, manage cumulative translation adjustment (CTA) activity within equity, and ensure appropriate OCI presentation.
Coordinate with tax advisors, treasury, and finance leadership on FX impacts, intercompany arrangements, and cross border considerations.
Support audit procedures related to foreign entity accounting, FX processes, and related disclosures.
Lease Accounting (ASC 842): Own the end-to-end lease accounting function across the organization.
Maintain lease data within lease accounting software (e.g., Visual Lease) and ensure accurate journal entries and disclosures.
Prepare supporting schedules and audit documentation related to lease accounting and compliance with ASC 842.
Tax Coordination: Coordinate closely with third party tax advisors to support federal, state, local, and international tax compliance.
Provide accurate financial and equity data required for tax filings, including K 1 preparation.
Partner with the Chief Accounting Officer and advisors on tax planning initiatives, entity structuring, and related accounting considerations.
Cross Functional & Strategic Collaboration: Partner with legal, finance, operations, and external advisors to support acquisitions, joint ventures, MSO arrangements, and other strategic initiatives.
Evaluate accounting implications of new business structures, contracts, and operational changes.
Support business combination accounting activities and post close integration as needed.