Senior Accountant

Local Infusion; Nashville (TN); Hybrid; USD 85,000 - 115,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Disability coverage

401(k) with company match

15 days PTO

Parental leave

Career development opportunities

Job summary

Local Infusion is the fastest growing infusion provider in the United States, seeking a Senior Accountant to build and scale the in-house accounting function during rapid growth. Reporting to the Controller, you will transition duties from outsourced providers and design scalable processes while strengthening internal controls with technology.

Hybrid work in the Nashville, TN area offers impact across multiple entities, including leases, revenue, payroll, and acquisitions, shaping the finance

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• CPA required.
• 3-5+ years of progressive accounting experience.
• Big 4 or Top 10 public firm experience preferred.
• Strong U.S. GAAP knowledge including ASC 606/842.
• Experience with month-end close processes.
• Proficiency with Excel and data analysis.

Responsibilities

• Lead the transition of accounting from outsourced to in-house.
• Develop scalable accounting processes for multi-location growth.
• Own month-end close and financial reporting.
• Prepare complex journal entries and analyses.
• Support intercompany, acquisitions, and center openings.
• Collaborate with cross-functional teams to transform finance systems.

Skills

Analytical thinking

Communication skills

Problem solving

Adaptability

Education

Bachelor’s degree in Accounting/Finance

CPA certification

Tools

Sage Intacct

AI tools

Excel

Job description

We are Local Infusion.

Local Infusion is the fastest growing infusion provider in the United States, with a mission to transform the specialty infusion industry, because patients deserve better. By providing both exceptional, patient-centered care and the proprietary, AI-driven technology powering it, Local Infusion accelerates access, simplifies workflows, and improves outcomes for everyone in the infusion journey — from patients and clinicians to health plans, health systems, employers, and pharma.

Clinicians can spend less time on paperwork and more time with patients, bringing comfort, connection, and community back to healthcare. With Local Infusion, every patient and every care team is fully supported, every step of the way.

The Role

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.

Location: Hybrid (Nashville, TN area)

Key Accountabilities

Build & Scale the Accounting Function

• 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.

Financial Close & General Accounting

• 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.

Specialized Accounting Areas

• 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.

Cross-Functional Partnership

• 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.

Systems Experience

• Experience with Sage Intacct a plus

• Experience using AI tools to improve productivity, automate routine tasks, analyze data, or enhance accounting workflows.

• Strong Excel skills with ability to work with large data sets

The Local Infusion Way

Local Infusion is a respectful upbeat team united by our mission of shaping the way specialty infusion care is delivered. We are highly ambitious but understand that in order to do a great job, we have to take care of ourselves; we expect that you will have time and energy devoted to your families, friends and hobbies.

As part of our team, full-time employees get:

• 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.

We don’t discriminate—Local Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision.