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Tend is rewriting the playbook of modern dentistry by building a company around the patient and the provider. We believe that with the power of technology, a hospitality-driven mindset, and a top tier clinical team, we can make going to the dentist something to look forward to. Our vision is to transform the dental experience into one that is empowering, human and personalized.

Since launching in 2019, we have provided exceptional care to over 100,000 patients across five major cities : New York, Washington DC, Boston, Atlanta and Nashville. With thousands of five-star reviews, Tend has become one of the country's top-rated and in-demand dental practices, with over 650 team members to support this mission. We’re continuing to grow quickly and looking for the best of the best to come join our team.

Location : Hybrid – based in Nashville, TN

Employment Type : Full-time

At Tend, we’re building the nation’s leading dental brand—where clinical excellence meets hospitality, technology, and design. We exist to make people feel good about going to the dentist, and that takes a team of caring, curious, and driven individuals across all functions.

We’re looking for a Senior Accountant who thrives in a dynamic, fast-paced environment and loves diving into the details without losing sight of the bigger picture. This role will be critical in supporting our month-end close process, financial reporting, and cross-functional collaboration as we scale.

What You’ll Do

• Own components of the month-end close process including journal entries, reconciliations, and variance analysis
• Prepare and review key balance sheet reconciliations, ensuring accuracy and timeliness
• Support financial reporting for internal stakeholders, auditors, and leadership
• Partner with FP&A and operations to understand business drivers and ensure accurate financial results
• Assist in improving and documenting accounting policies and procedures
• Help with the integration of new studios, systems, and processes as Tend expands
• Provide support for audits, tax filings, and compliance initiatives

What We’re Looking For

• 3–5 years of progressive accounting experience; mix of public and private preferred
• Bachelor’s degree in Accounting or Finance required; CPA preferred
• Strong understanding of GAAP and internal controls
• Proficiency in Excel (vlookups, pivot tables, etc.)
• Experience with Sage Intacct or similar ERP systems is a plus
• Excellent attention to detail and a proactive, solution-oriented mindset
• Strong communication and collaboration skills—especially across teams
• A desire to work in a mission-driven, growth-focused company
• Competitive compensation
• Full medical, dental, and vision coverage
• 401(k) with 4% match
• Paid time off + company holidays
• Mental health and wellness support
• A passionate, purpose-driven team that’s changing the way people experience dental care

Pay Range

80,000 - $90,000 USD

The Tend Difference

The highest standard of care, anywhere.

You’ll work with highly-esteemed clinical leadership and experience-obsessed colleagues to provide the best patient experience possible, with access to technology that’s head and shoulders above the average practice. You’ll have exciting opportunities to collaborate with talented team members to make visits extraordinary. Our hospitality-driven approach to care means that patients actually look forward to seeing you.

A Top-tier Clinical Team Who Puts Patients First.

We value science over sales, and promote a culture of warmth and hospitality — our teams are recognized for going the extra mile for our patients. We trust our providers to put patient needs first, and never implement production quotas. We offer a warm, collaborative culture and are proud to be an inclusive, curious team driven by excellence.

Innovate Dentistry. Tend To Others. Grow Together.

Tend has become beloved by patients and providers alike for combining beautiful work environments with cutting-edge clinical technology. Our providers are rewarded based on an innovative pay structure, as well as education programs that are training the next generation of industry leaders. And our top-notch total rewards packages include both best-in-class benefits and compensation. You’ll not only have the chance to be part of a thriving, industry-changing company, but empowered to become an expert in your field and supported through continuing education.

Tend is an Equal Opportunity Employer.

Tend is committed to promoting a work environment in which differences are respected, employees are treated fairly, and individual contributions are valued and rewarded. We are proud to be an Equal Opportunity Employer. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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Seniority level

Seniority level

Mid-Senior level

Employment type

Employment type

Full-time

Job function

Job function

Accounting / Auditing and Finance

Medical Practices

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Franklin, TN $85,000.00-$95,000.00 3 weeks ago

Senior Accountant - 4 Days In Office, 1 Day Remote (Military Housing - Nashville Corporate Office)

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