
Job Overview
Location
Nashville, TN
Job Type
Full-time
Category
Accounting
Date Posted
August 8, 2026
Full Job Description
📋 Description
- • The Senior Accountant will play a foundational role in building and scaling the accounting function during an exciting period of rapid growth.
- • Reporting directly to the Controller, this position will help transition key accounting functions from outsourced providers to an in-house team while designing scalable processes, strengthening internal controls, and leveraging technology to improve efficiency.
- • This is a unique opportunity for an experienced public accountant who enjoys building rather than simply maintaining accounting processes.
- • The ideal candidate combines strong technical accounting knowledge with a continuous improvement mindset and is excited to help shape the future of the Finance organization.
- • Key accountabilities include building and scaling the accounting function, financial close and general accounting, specialized accounting areas, and cross-functional partnership.
- • The Senior Accountant will partner with the Controller to transition accounting responsibilities from outsourced providers to an internal accounting team.
- • Develop and implement scalable accounting processes that support a rapidly growing, multi-location healthcare organization.
- • Standardize account reconciliations, month-end close procedures, and supporting schedules across multiple legal entities.
- • Identify opportunities to automate manual accounting processes and improve efficiency through technology and AI-enabled tools.
- • Own significant portions of the monthly close process.
- • Prepare and review complex journal entries, account reconciliations, and financial analyses.
- • Research and apply U.S. GAAP guidance to complex accounting transactions.
- • Support intercompany accounting, allocations, and consolidation activities.
- • Assist with accounting for acquisitions, new center openings, and other strategic growth initiatives.
- • Own the monthly accounting for lease activity, including new leases, modifications, terminations, amortization, and related reconciliations in accordance with ASC 842.
- • Prepare and review revenue and accounts receivable accounting, including reconciliations, reserve analyses, and month-end reporting in accordance with ASC 606.
- • Prepare payroll accounting entries and reconciliations, including wages, payroll taxes, employee benefits, bonus accruals, and other compensation-related accounts.
- • Analyze complex accounting transactions and prepare supporting schedules to ensure accurate financial reporting.
- • Research technical accounting matters and prepare accounting memorandums to support significant accounting conclusions when needed.
- • Assist with accounting for acquisitions, new center openings, and other strategic growth initiatives.
- • Collaborate with Finance, Accounts Payable, Operations, Revenue Cycle, and Human Resources.
- • Support system enhancements, implementations, and finance transformation initiatives.
- • Participate in special projects and strategic initiatives as the company continues to grow.
🎯 Requirements
- • Bachelor’s degree in Accounting, Finance, or related field required
- • CPA required
- • 3-5+ years of progressive accounting experience
- • Previous experience with a Big 4 or nationally recognized Top 10 public accounting firm
- • Strong technical accounting knowledge under U.S. GAAP
- • Experience with ASC 606 (Revenue Recognition) and ASC 842 (Leases)
- • Experience managing complex month-end close responsibilities
- • Excellent analytical, communication, and problem-solving abilities
- • Ability to thrive in a fast-paced, high-growth environment
🏖️ Benefits
- • Medical, dental, and vision insurance through our employer plan
- • Short and long-term disability coverage
- • 401(k) — as an early-stage startup, and we match!
- • 15 Days PTO — and we want you to take it!
- • Competitive paid parental leave and flexible return to work policy
- • We invest in your career. Our company is growing quickly, and we'll give you the opportunity to do the same. You'll have access to a number of professional development opportunities so that you can keep up with the company's evolving needs and grow your career along the way.
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About Local Infusion LLC
Local Infusion provides outpatient infusion services, offering patient-centered care for individuals with conditions like Crohn's disease, rheumatoid arthritis, and multiple sclerosis. They differentiate themselves through modern, comfortable centers with private suites and digitally powered tools designed to streamline the treatment process. Local Infusion aims to make infusion therapy less daunting by providing clear answers, financial transparency, and dedicated support from infusion guides. With multiple locations across the Northeast, Local Infusion accepts coverage from a wide range of health insurance providers and is committed to minimizing patient costs and ensuring a seamless experience.
Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.
Newsletter
Weekly remote jobs and featured talent.
No spam. Only curated remote roles and product updates. You can unsubscribe anytime.
Similar Opportunities

Agent Inc.
2 months ago

Storyblok GmbH
3 months ago

Sierra Technologies, Inc.
2 months ago

Vanta, Inc.
3 months ago