Manager, Practice Accounting (Reporting)

OneOncology; Nashville (TN); On-site; USD 90,000 - 140,000; Full time

Job summary

OneOncology seeks a Manager, Practice Accounting to lead a team of 4–8 staff accountants overseeing accrual-based accounting for 2–3 partner practices. You will manage month-end close, ensure GAAP-compliant reporting, and collaborate with finance, operations, and treasury to craft accurate financial positions.

The role requires strong communication to senior leadership, capability to distill complex accounting concepts, and willingness to travel to physician clinics to present results and drive

Qualifications

• Accounting degree required; graduate degree preferred
• 5+ years accounting experience, with supervisory experience
• Experience with internal controls and financial reporting (US GAAP)
• Strong Excel skills and ability to analyze financial data
• Ability to communicate complex accounting concepts to diverse audiences
• Experience partnering with practice leadership and cross-functional teams

Responsibilities

• Lead and develop multiple practice accounting teams (staff and seniors)
• Oversee monthly close, balance sheet reconciliations, and financial reporting
• Coordinate financial statements with regional leadership and CFO
• Ensure proper revenue recognition across practices
• Drive process improvements and training within the accounting teams
• Travel to partner practices as needed to present financial results

Skills

Leadership

Communication

GAAP knowledge

Financial analysis

Cross-functional collaboration

Travel readiness

Education

Accounting degree

CPA preferred

Tools

Workday

ERP systems

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description

The Manager, Practice Accounting will report to a Director of Practice Accounting. This role requires a results-driven individual with an advanced understanding of technical skills around base accounting, proficient communication skills among a variety of audiences from Staff to Senior leadership, the ability to develop and maintain relationships with internal stakeholders/physician practice leadership, and overall natural curiosity with the desire to continue to learn. The Manager, Practice Accounting is a high-profile role that will oversee a team of 4-8 Staff/Senior Accountants to support the accrual-based accounting functions for a region encompassing 2 – 3 OneOncology partnered practices. This includes, but is not limited to, overseeing and coordinating Company’s monthly close process, ensuring proper accounting for all their partner practices, performing and documenting technical accounting research, ensuring proper revenue recognition across all practices, and analyzing financial trends. The Manager will partner closely with the financial operations team, operations, treasury, and corporate accounting team to dynamically develop proper accounting positions and evaluate transactions under US GAAP.

This role will have significant exposure to and work daily with the Director, Practice Accounting, VP Finance, and Chief Financial Officer while also working closely with the Regional Vice President of the Operations team for their practice’s region. They will also interface with the Revenue Cycle Management and Data and Analytics team. In addition, they will be a key point of contact for the practice leaders, which can include both practice administrators and practicing physicians/CEOs. This will include the opportunity to travel to physician oncology clinics or business offices to present financial results to practice leadership on an occasional basis. The individual must be skilled at communication with all constituents with the ability to distill accounting information in a way that nonaccounting stakeholders can understand and assimilate the information and its overall impact on the financials.

OneOncology has a collaborative, energetic, and fast-paced culture and this individual will need to have the ability to integrate into this ever-changing environment. We have experienced and will continue to experience high growth. This is a great opportunity to continue to develop your managerial and financial reporting skills.

Responsibilities

• Develop strong working and collaborative relationships with our partner practice leadership to both assist the practices as well as hold them accountable for proper accounting processes/financial reporting

• Hold staff and seniors to the same expectation with practice by developing, training, and providing feedback on practice communication.

• Present financial and accounting matters for the region to the CFO and other leaders within Finance

• Provide leadership to multiple practice accounting teams that will each have a senior and staff

• Regularly work with practice and financial operations leadership to understand and resolve business issues

• Lead the timely preparation and review of month-end balance sheet reconciliations, consolidation activities, and financial reporting

• Coordinate practice financial statement reporting and review with the Financial Operations team and Regional VP on a monthly basis

• Work with Corporate Accounting on implementation of new accounting standards, processes, or directives

• Ensure the timely and accurate recording and reporting of financial information (P&L and B/S) to the practices

• Ensure financial records are maintained in accordance with US GAAP

• Identify areas of process improvement, recommend changes, and execute improvements

• Hiring, training and development of staff and seniors

• Assist with performance evaluations and recommend merit increases, promotions, and disciplinary actions

• Participate in professional development activities and maintain professional affiliations

• Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

Key Competencies

• Demonstrate proficient people leadership and personal initiative.

• Proactive & driven leader with strong desire to serve others, achieve deadlines

• Strong communication skills – ability to influence others while making direct points

• Detail-oriented, natural ability to pay close attention to details with a desire to “get it right” first time and hold staff accountable for same mentality

• Strong technical accounting knowledge and ability to research technical accounting matters

• Ability to manipulate data to drive and expedite project analyses and completion

• Strong problem-solving skills with an ability to offer alternative solutions

• Strong technical accounting knowledge (revenue recognition, lease accounting, liability recognition, etc.)

• Constantly improve and create a culture of constant improvement within their teams

• Demonstrate strong interpersonal, analytical, and problem-solving skills

• Ability to work in a geographically separated, cross-functional environment and lead cross-functional initiatives

• Ability to work independently in a fast-paced environment

• Ability to travel to work with practices when required

Qualifications

• Accounting degree (with graduate degree preferred, but not required)

• 5+ years of accounting experience, preferably in healthcare

• Prior supervisory experience in managing accounting personnel

• Proven ability to build, manage and motivate personnel to create high performing teams

• Strong knowledge of internal controls, best practices, and the ability to research and document accounting and financial topics required

• Strong excel skills

• Strong financial and business acumen with analytical thinking capacity

• Working knowledge of Workday or other ERP platforms is a plus

• Active CPA license or working toward CPA license preferred