Senior Accountant

Meridian Street Capital, LLC; Nashville (TN); Hybrid; USD 85,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Disability coverage (short & long-term

401(k) with company match

15 Days PTO

Parental leave & flexible return-to-w

Job summary

Local Infusion is seeking a Senior Accountant to build and scale the accounting function during a period of rapid growth. You will transition key functions from outsourced providers to an in-house team, design scalable processes, strengthen controls, and leverage technology to drive efficiency.

The role reports to the Controller and requires CPA, 3–5+ years of progressive accounting experience, and strong GAAP knowledge. Hybrid work in the Nashville, TN area is offered.

Qualifications

• Bachelor’s degree in Accounting or related field required.
• CPA required; Big 4 or Top 10 public accounting experience preferred.
• 3–5+ years of progressive accounting experience in healthcare or similar.
• Strong U.S. GAAP knowledge, ASC 606 and ASC 842 experience.
• Experience with month-end close and intercompany accounting.
• Excellent analytical and communication skills; able to work in fast-growth environment.

Responsibilities

• Build and scale the internal accounting function with scalable processes.
• Own significant portions of monthly close and financial analyses.
• Apply U.S. GAAP guidance to complex transactions.
• Manage lease accounting under ASC 842 and revenue under ASC 606.
• Collaborate with Finance, AP, Operations, and HR.

Skills

CPA

GAAP (U.S.)

ASC 606

ASC 842

Big 4 experience

Excel

Sage Intacct

AI tools

Education

Bachelor’s degree in Accounting or related field

Tools

Sage Intacct

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.

Fraud and Security Notice: Please note that all communication regarding job opportunities at Local Infusion will come exclusively from an @mylocalinfusion.com email address. If you receive messages from any other domain, please disregard them.

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.