Accounting Lead/Bookkeeper

Statewise; Nashville (TN); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Flexible PTO

Remote-first role

Medical insurance with employer contribution

401(k) with employer match

401(k) with employer match

Flexible PTO

Paid parental leave

Job summary

A growing healthcare technology firm is seeking an Accounting Lead to own day-to-day financial operations. You will manage accounting processes, from payroll to month-end closing, ensuring accuracy and reliability in financial reporting. This role requires a detail-oriented professional with hands-on accounting experience, ideally using QuickBooks Online. The company offers a remote-first work environment and competitive salary with comprehensive benefits, aiming to directly support healthcare providers in delivering care.

Qualifications

• Must be authorized to work in the United States.
• Experience managing general ledger.
• Prior work with invoicing and billing tools is necessary.
• Experience with invoicing and billing tools (HubSpot or similar).
• Must be authorized to work in the United States.

Responsibilities

• Manage all accounting operations including AP, AR, and payroll.
• Own month-end close processes.
• Prepare financial reports for leadership.
• Prepare financial reports and support leadership visibility into performance.
• Process payroll accurately and on time.
• Ensure payroll tax compliance and proper filings through our payroll provider.
• Reconcile payroll to the general ledger each pay cycle.
• Partner with HR on employee changes, benefits deductions, and compliance items.
• Maintain disciplined billing and collections processes.
• Ensure vendor payments are timely and accurate.
• Support budgeting and forecasting with reliable historical data.
• Improve, document, and streamline accounting workflows over time.

Skills

Detail-oriented

Organizational skills

Process discipline

Communication

Proactive problem-solving

Reconciliations

Education

5+ years of hands-on accounting experience

Experience with QuickBooks Online

Tools

HubSpot

HubSpot

Job description

Overview

Statewise is looking for an Accounting Lead who wants real ownership and real impact. This role is for someone who takes pride in clean books, disciplined processes, and building financial systems that are accurate, organized, and scalable.

If you care about precision, accountability, and improving how accounting actually works, and want your work to directly support healthcare providers delivering care, this role will be a strong fit.

This is a hands‑on role. You will own accounting operations day to day, including payroll. We are not looking for someone who prefers reviewing work. We’re looking for someone who enjoys executing well and improving systems over time.

Who Is Statewise

Statewise is building the future of Medicaid home care software. We are the only EMR and EVV platform built specifically for Medicaid home care providers across Pediatric Nursing, Therapy, Personal Care, and Intellectual and Developmental Disabilities (IDD) services. Our software is designed to handle complex, state‑by‑state rules and real clinical workflows without the bloat of traditional systems. Everything we build is rooted in simplifying complexity so providers can focus on delivering high‑quality care.

We are a growing, profitable, product‑driven company with ~45 employees and a small, highly accountable team.

What You'll Do

• Manage all day‑to‑day accounting/bookkeeping workflows including AP, AR, invoicing, and cash management
• Maintain and reconcile the general ledger with a high bar for accuracy
• Own month‑end close processes and supporting documentation
• Prepare financial reports and support leadership visibility into performance
• Process payroll accurately and on time
• Ensure payroll tax compliance and proper filings through our payroll provider
• Reconcile payroll to the general ledger each pay cycle
• Partner with HR on employee changes, benefits deductions, and compliance items
• Maintain disciplined billing and collections processes
• Ensure vendor payments are timely and accurate
• Support budgeting and forecasting with reliable historical data
• Improve, document, and streamline accounting workflows over time

You will be the primary owner of accounting execution. This includes payroll control and reconciliation.

What We're Looking For

• You take pride in clean, accurate financial records
• You are detail‑oriented and follow discrepancies through to resolution
• You enjoy building order and predictability into operational systems
• You are highly organized and self‑directed
• You communicate clearly and professionally
• You don't wait to be told what needs improvement
• You value internal controls and process discipline
• You measure success by accuracy, reliability, and clarity
• You actively use modern tools (including AI) to improve efficiency and quality

Experience & Background

• 5+ years of hands‑on accounting experience
• Experience using QuickBooks Online as the primary accounting system is required
• Experience working with invoicing and billing tools (e.g., HubSpot or similar CRM‑integrated invoicing platforms)
• Must be authorized to work in the United States. Statewise does not provide visa sponsorship at this time.
• Strong experience with:
  1. General ledger management
  2. AP and AR workflows
  3. Invoicing and collections
  4. Month‑end close and reconciliations
  5. Payroll processing and reconciliation
• Experience operating independently in a small or mid‑sized company
• Comfortable being the primary accounting owner
• Experience improving or implementing accounting processes
• Familiarity with modern accounting and payroll systems
• Startup or growth‑stage experience is a plus

This Role Is Not a Fit If You

• Prefer reviewing work rather than executing it
• Avoid detailed accounting or payroll responsibilities
• Need narrow scope or rigid structure
• Are uncomfortable owning an operational function end‑to‑end
• Prefer purely strategic finance roles

What Success Looks Like

• Month‑end close is timely and predictable
• Payroll runs smoothly and reconciles cleanly
• Financial records are accurate and trusted
• Invoicing and collections are consistent and proactive
• Accounting processes are documented and scalable
• Leadership has confidence in the numbers

Benefits & Perks

• Remote‑first role (Nashville or Fort Worth proximity is a plus, not a requirement)
• Competitive salary based on experience
• Medical insurance with employer contribution
• HSA with employer contribution
• Dental insurance available (employee‑paid)
• 401(k) with employer match
• Flexible PTO with an expectation that people actually take time off
• Paid parental leave