General Ledger Accountant

Nextmed; Tucson (AZ); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision

401k match

Life insurance

Vacation time

Sick time

Laptop provided

Phone stipend

Job summary

Nextmed is seeking a detail-oriented General Ledger Accountant to join our accounting team. This role maintains accurate financial records, performs general ledger activities, and supports month-end close across a growing multi-entity environment.

The ideal candidate has strong GAAP knowledge, experience with fixed assets and inventory accounting, and can work independently in a fast-paced setting. This is an intermediate-level accounting position with opportunities for process improvement and

Qualifications

• Bachelor’s degree in accounting, finance, or related field.
• 3–5 years of progressive accounting experience, preferably multi-entity or multi-location.
• Strong GAAP knowledge and general ledger processes.
• Hands-on experience with fixed assets, inventory, and accruals.
• Proficiency in ERP systems (NetSuite preferred) and advanced Excel.

Responsibilities

• Perform general ledger activities including journal entries and reconciliations.
• Prepare monthly amortization and accrual entries for reporting.
• Support month-end close, consolidations, intercompany eliminations.
• Ensure inventory and fixed asset data integrity across business units.
• Assist with audits and provide documentation as requested.

Skills

GAAP

NetSuite

Excel

Fixed assets

Inventory management

Accruals

Month-end close

Education

Bachelor’s degree in accounting

Tools

ERP systems

Intercompany eliminations

Job description

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We are seeking a detail-oriented and motivated General Ledger Accountant to join our accounting team. This role is responsible for maintaining accurate financial records, performing general ledger activities, supporting month-end close, ensuring period-end internal control activities and reporting processes are effectively maintained. The ideal candidate will have a strong understanding of GAAP, experience managing fixed assets and inventory accounting, and the ability to work independently in a fast-paced and growing multi-entity environment and multiple mobile lithotripsy partnerships.

Key Responsibilities

• Perform general ledger accounting activities, including journal entry preparation, account reconciliations, and variance analysis.
• Execute and document financial control activities to ensure proper governance and accuracy across balance-sheet accounts.
• Collaborate with operational teams to ensure integrity of inventory and fixed asset data across multiple business units.
• Manage fixed asset accounting, including tracking additions, disposals, and maintaining depreciation schedules.
• Maintain and reconcile inventory balances, ensuring accuracy of valuation and related cost-of-goods entries.
• Prepare and post monthly amortization and accrual entries to ensure timely and accurate financial reporting.
• Assist with month-end close, including consolidations, intercompany eliminations, and supporting schedules.
• Support corporate reporting by preparing analyses and schedules used in management and audit reviews.
• Participate in process improvement and standardization initiatives to enhance efficiency and internal controls.
• Assist with annual audit preparation and provide documentation as requested by external auditors.
• Assist Business Developers with preparing pro forma financials for prospective companies and investor presentations.
• Cross-Functional Growth (Future State): As operations stabilize, cross-train with the Revenue Accountant and Controller to understand and support integration of revenue recognition workflows across our businesses and billing audits as part of your long-term career development.

Minimum Qualifications

• Bachelor’s degree in accounting, finance, or related field
• 3–5 years of progressive accounting experience, preferably in a multi-entity or multi-location environment
• Solid understanding of GAAP and general ledger processes
• Hands-on experience with fixed assets, inventory, and accruals
• Proficiency in ERP systems (NetSuite preferred) and intermediate-to-advanced Excel skills
• Strong analytical and problem-solving skills
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment
• Excellent attention to detail and commitment to accuracy

Preferred Qualifications

• Experience in healthcare, imaging, or related industries
• Prior experience with month-end close ownership or process improvement initiatives

This is an intermediate-level accounting position, suited for a professional ready to independently manage assigned areas while contributing to process consistency, audit readiness, and overall accounting excellence.

Pay: $65,000-$90,000

-Education and experience may be considered along with internal equity when job offers are extended.

• BENEFIT options including medical, dental, vision, company matched 401k, and company paid life insurance.
• VACATION and SICK time
• Company PROVIDED laptop, monthly phone stipend.