Associate Vice President, Accounting

This role requires candidates who are currently authorized to work in the U.S. without sponsorship. Hybrid near Irvine, CA.

Overview

We are seeking an experienced Associate Vice President of Accounting to lead accounting operations for a growing, multi-site healthcare organization. This senior leadership role will oversee financial close, general ledger operations, financial reporting, technical accounting, audit, tax compliance, internal controls, and accounting systems. The ideal candidate is a hands-on accounting executive who can establish scalable processes while remaining actively involved in day-to-day execution, process improvement, and the financial integration of future acquisitions.

Responsibilities

• Lead monthly, quarterly, and annual financial close and consolidated financial reporting.
• Oversee corporate accounting operations and ensure compliance with GAAP, regulatory requirements, and internal policies.
• Maintain and improve multi-entity accounting structures, including the chart of accounts.
• Partner with operational and revenue cycle teams on revenue recognition, reserves, cash reconciliations, and cost allocation.
• Develop and maintain strong internal controls and financial reporting procedures.
• Lead external audits, tax compliance, and regulatory financial reporting.
• Oversee cash flow forecasting, working capital, reserves, lender reporting, and covenant compliance.
• Optimize accounting systems, reporting platforms, and processes to improve efficiency and shorten close cycles.
• Support accounting integration, opening balance sheets, and system onboarding related to acquisitions.
• Lead, develop, and hold accounting teams accountable for timely and accurate execution.

Requirements

• Bachelor’s degree in Accounting, Finance, Business, or a related field.
• 15+ years of progressive accounting and finance leadership experience, preferably within healthcare.
• Strong knowledge of GAAP, financial reporting, budgeting, cost controls, and regulatory requirements.
• Experience leading accounting teams within a multi-site or multi-entity organization.
• Experience with financial systems and automated accounting/reporting platforms.
• Strong leadership, communication, and process-improvement skills.

Preferred Qualifications

• CPA strongly preferred.
• MBA or Master’s degree in Accounting preferred.
• Public accounting experience.
• Experience supporting acquisitions, accounting integrations, and opening balance sheet activities.
• Experience within physician practices or other multi-site healthcare environments.