Accounting Manager (Remote)

About the Role

Rivia Mind is a psychiatrist-owned mental health practice rooted in New York City, serving individuals across New York, New Jersey, Connecticut, Florida, and Massachusetts through both virtual and hybrid appointments. We provide compassionate, science-based care with a whole-person lens, integrating biology, psychology, and life circumstances through an interdisciplinary care model.

The Accounting Manager will lead Rivia Mind's day-to-day accounting operations and financial reporting as we continue scaling our multi-state mental health practice. Reporting directly to executive leadership and supervising an Accounting Coordinator, you will oversee core accounting functions and play a key analytical role in financial planning and budgeting. The ideal candidate blends GAAP accounting expertise, healthcare/RCM literacy, and a tech-forward mindset focused on process automation and cross-functional leadership in a fast-paced, remote environment.

Responsibilities

• Core Accounting & Month-End Close
  • Monitor organizational cash flow, banking activity, expected deposits, vendor payments, payroll funding, and other cash requirements to support sound financial decision-making.
  • Ensure revenue, contractual adjustments, refunds, write-offs, and related receivables are recorded accurately and consistently in accordance with company policy and US GAAP.
  • Oversee the month-end, quarterly, and annual accounting close processes in accordance with US GAAP, including general ledger management, bank reconciliations, and timely posting of financial data.
  • Prepare and review monthly financial statements, including the income statement, balance sheet, cash-flow reporting, and supporting schedules with management commentary.
• Oversight of AP, Payroll & Payouts
  • Supervise day-to-day accounts payable, corporate credit card programs, and expense management; collaborate with People Ops to ensure seamless payroll posting and provider payout accuracy.
  • Review and reconcile provider compensation and payout calculations, including productivity-based payments, bonuses, corrections, and related payroll or contractor reporting.
  • Support multi-state accounting and compliance requirements, including coordination of state filings, payroll-related accounting reconciliations, and jurisdiction-specific financial obligations.
  • Oversee vendor tax compliance by maintaining W-9 documentation, validating vendor tax information, preparing and issuing annual Forms 1099, and coordinating tax reporting with external partners.
  • Maintain accounting policies and internal controls; coordinate with external CPA/tax partners for annual filings, tax documentation, and regulatory compliance.
• Financial Planning & Budget Support
  • Partner with executive leadership to facilitate the annual budgeting process; own the monthly Budget vs. Actuals reporting to help department heads track spending and manage variances.
  • Develop and maintain meaningful financial reporting dashboards (using QuickBooks integrations or reporting software) to provide leadership with clear visibility into cost structures and financial performance.
  • Build financial models for new models, services, or hires, including forecasting and reforecasting of costs associated with projects.
• Healthcare Operations & Systems Optimization
  • Ensure accurate accounting for provider compensation, productivity-based payments/reimbursements, and related accruals in accordance with company policies.
  • Review revenue cycle activity and reconcile insurance reimbursements, clearinghouse deposits, merchant fees, and related revenue transactions to the general ledger.
  • Partner with the RCM team to investigate discrepancies and ensure the accuracy and completeness of financial reporting.
  • Continuously evaluate financial workflows and technology stack to automate manual processes, eliminate unnecessary spreadsheet reliance, mitigate risk, and reduce month-end close timelines.
  • Establish and strengthen scalable internal controls, approval workflows, documentation standards, and segregation-of-duties practices appropriate for a growing organization.
  • Coordinate annual financial reviews, audits, due diligence requests, and other external examinations by preparing schedules, documentation, and account support.
• Team Leadership & Collaboration
  • Directly manage, support, and evaluate the Accounting Coordinator, providing coaching, goal development, and performance feedback to foster professional growth.
  • Serve as a collaborative finance partner to leaders across clinical, people operations, and administrative departments to support business expansion and operational planning.
  • Support the financial review of vendor agreements, service contracts, expansion opportunities, and other operational commitments.

Requirements

• Education & Certification
  • Bachelor's degree in Accounting, Finance, or a related business field (Required).
  • CPA, CMA, or active pursuit of certification is preferred, but not required.
• Experience & Background
  • 5+ years of accounting experience with a proven track record in progressive operational accounting, general ledger management, and month-end close procedures within a fast-paced environment.
  • Expertise in applying US GAAP and accrual accounting principles to maintain financial integrity through accurate financial reporting, reconciliations, internal controls, and compliance.
  • Experience in healthcare, behavioral health, or multi-site clinical operations is strongly preferred (understanding of medical billing, insurance reimbursement cycles, clearinghouses, and EHR integration).
  • Demonstrated success working autonomously and cross-functionally in a distributed/remote team environment.
  • Leadership experience supervising, mentoring, or developing accounting professionals while managing competing deadlines (a plus).
• Technical & Analytical Skills
  • Advanced proficiency in QuickBooks Online and its ecosystem of bank/credit card feed integrations.
  • High proficiency in Google Sheets/Excel (Pivot Tables, XLOOKUP/INDEX MATCH, data mapping, and financial modeling) with a drive to automate manual reporting.
  • Experience assisting with annual organizational budgets, tracking departmental spending, and preparing Budget vs. Actual variance reports for leadership.
  • Comfort navigating modern business platforms (e.g., Google Workspace, project management software like Monday.com, and EHR platforms).
• Key Attributes & Mindset
  • Exceptional accuracy in reconciliations and record-keeping with a proactive approach to identifying data discrepancies.
  • Continuously seeks ways to optimize month-end workflows, shorten close timelines, and strengthen internal controls.
  • Ability to translate complex financial information into clear, actionable insights for non-finance stakeholders while maintaining confidentiality.

Benefits

• 3 weeks of front-loaded PTO + 9 paid holidays
• Annual office closure (Dec 25–Jan 1)
• Annual Impact Days for volunteering or professional development
• 401(k) with employer match
• Referral bonus potential
• Annual Continuing Education (CE) Stipend + Flexible Benefit Reimbursement
• Medical, dental, and vision insurance — with EAP and additional wellness programs
• Voluntary benefits, HSA, DCA, FSA (based on plan), transit & parking options
• Bereavement leave (including pet bereavement)

Pay

Pay Range: $107,100 - $140,000, based on location, years of experience, certification, and other compensable factors. Actual compensation is influenced by role responsibilities, required skills, relevant experience, qualifications, and applicable credentials. Up to 15% discretionary bonus potential annually beginning in 2027.

Schedule

This role follows Eastern Time business hours, Monday to Friday, with the flexibility to choose a consistent schedule of 8:00 AM–4:00 PM, 9:00 AM–5:00 PM, or 10:00 AM–6:00 PM, based on role needs and personal preference.

Employment Status: Full Time, Exempt (W-2). Work Environment: Remote. Primary residence must be in one of the following states: Connecticut, Florida, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, or Texas.