Sr. Manager, Practice Accounting

OneOncology • Nashville, TN

107d

About The Position

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: The Sr. Manager, Practice Accounting, reports to the Sr. Director of Practice Accounting and leads the operational accounting function for a 100+ site practice entity. This role oversees a team of managers and staff to deliver timely, accurate, and compliant accrual-based accounting under US GAAP. The Sr. Manager drives excellence in month-end close, reconciliations, and financial reporting, while building a culture of accountability and continuous improvement. This leader collaborates closely with Practice Accounting & Analysis, FP&A, Corporate Accounting, and Operations leadership, with regular exposure to senior executives including the Divisional CFO and Regional VPs.

Requirements

• Bachelor’s degree in Accounting required (Master’s degree preferred).
• 6+ years of accounting experience, preferably in healthcare.
• Prior supervisory experience managing accounting personnel.
• Proven ability to build, manage, and motivate teams.
• Strong knowledge of internal controls and accounting best practices.
• Strong proficiency in Excel; ERP system experience (Workday preferred).
• Active CPA license strongly preferred.
• Ability to travel as needed to partner practices.

Responsibilities

• Provide strategic leadership and direction to the Practice Accounting team, fostering accountability, accuracy, and continuous improvement.
• Oversee and drive excellence in monthly close activities, including journal entries, balance sheet reconciliations, consolidations, and financial reporting.
• Ensure timely and accurate reporting of income statement and balance sheet results in accordance with US GAAP that ensures financial integrity and supports decision-making across the practice.
• Lead hiring, training, and career development of managers, seniors, and staff, including performance management and succession planning.
• Partner with Practice Accounting & Analysis and FP&A to coordinate monthly financial reviews and provide insights into results.
• Build and maintain collaborative relationships with OneOncology leadership, ensuring accounting processes and financial reporting meet various business needs.
• Partner with Corporate Accounting on the annual audit and implementation of new accounting standards, policies, and processes.
• Lead the accounting integration of new physicians, tuck-ins, and service lines, including establishing opening balance sheets, converting practices from cash to accrual basis, and ensuring alignment with OneOncology accounting policies.
• Identify and implement process improvements to increase efficiency and accuracy.
• Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree