Accounting & Finance Manager / Controller

About the role

DSWG is a physician-owned dermatology group serving West Georgia through three clinical locations and four brands. The practice also operates a dermatopathology laboratory and holds majority ownership in a joint-venture ambulatory surgery center.

Responsibilities

• Own all bookkeeping in QuickBooks Online, including journal entries, account reconciliations, and GL integrity
• Manage the monthly close process on a consistent, timely calendar
• Allocate revenue and expenses across locations and business lines (medical dermatology, cosmetics, pathology, surgery center) to produce accurate location-level and service-line P&Ls
• Maintain the fixed asset register and depreciation schedules
• Handle multi-entity and intercompany accounting, including the joint-venture surgery center's books, distributions, and partner reporting
• Produce a monthly financial reporting package (P&L, balance sheet, cash flow) with commentary for ownership
• Lead the annual budget and periodic forecasts; deliver budget-vs-actual variance analysis
• Support and help maintain financial data feeding the practice's reporting/dashboard environment (e.g., Power BI)
• Build pro formas and ROI models for new providers, equipment purchases, and expansion decisions
• Prepare cash flow forecasts and monitor working capital
• Administer bi-weekly payroll for ~70 employees (ADP Workforce Now)
• Calculate provider and staff incentive/productivity compensation, including injector and aesthetician commissions and bonus plans
• Ensure payroll tax compliance and manage 401(k) funding, transmission, and reconciliation
• Reconcile benefits invoices (health, HSA, COBRA, carrier billing) against enrollment
• Manage the full AP cycle: invoice entry, approval routing, vendor payments, and 1099 reporting
• Track vendor contract costs and flag pricing or billing discrepancies
• Administer corporate card programs and employee expense reimbursements
• Manage cosmetics and retail inventory (Zenoti), including injectables, product COGS, and shrink/reconciliation
• Track and control medical supply and consumable costs; coordinate on par levels and purchasing with clinical leadership
• Perform margin analysis by service line and product category to inform pricing and purchasing decisions
• Reconcile daily collections and deposits from the practice management system (ModMed), merchant processors, and Zenoti
• Reconcile patient payments, refunds, and adjustments; partner with the billing/RCM team on cash posting and AR
• Monitor collection trends and payer remittances from a financial-control standpoint
• Manage cash positioning across accounts and banking relationships
• Track debt, lines of credit, and lease obligations; monitor loan covenants and reporting requirements
• Establish and maintain internal controls, segregation of duties, and fraud-prevention safeguards
• Serve as primary liaison to the external CPA for tax preparation, year-end workpapers, and audits
• Support owner distributions, K-1 preparation, and equity/buy-in accounting
• Manage sales/use tax filings and other regulatory financial compliance
• Cook up joint-venture partner reporting and distributions
• Advise the President and ownership on financial performance, cost drivers, and investment decisions
• Complete ad hoc analysis and special projects as needed

Qualifications

• Bachelor's degree in Accounting or Finance
• 5+ years of progressive accounting experience, including controller- or manager-level responsibility
• Demonstrated ownership of full-cycle accounting and month-end close
• Proficiency in QuickBooks Online
• Advanced Excel skills
• Experience supporting multiple locations or entities
• High level of discretion and confidentiality (compensation, financial, and protected health information)