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Senior Accountant

Local Infusion - Nashville, TN, United States - Hybrid - posted 2026-09-25

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Local Infusion is the fastest-growing infusion provider in the United States, transforming specialty infusion care through patient-centered service and AI-driven technology. The Senior Accountant will play a foundational role in building and scaling the accounting function during rapid growth, reporting directly to the Controller. Key responsibilities include: **Build & Scale the Accounting Function** - Partner with the Controller to transition accounting responsibilities from outsourced providers to an internal team - Develop and implement scalable accounting processes supporting a multi-location healthcare organization - Standardize account reconciliations, month-end close procedures, and supporting schedules across multiple legal entities - Identify opportunities to automate manual 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 strategic growth initiatives **Specialized Accounting Areas** - Own monthly accounting for lease activity, including new leases, modifications, terminations, amortization, and reconciliations under ASC 842 - Prepare and review revenue and accounts receivable accounting, including reconciliations, reserve analyses, and month-end reporting under ASC 606 - Prepare payroll accounting entries and reconciliations, including wages, payroll taxes, benefits, bonus accruals, and compensation-related accounts - Analyze complex accounting transactions and prepare supporting schedules - Research technical accounting matters and prepare accounting memorandums **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 This is an opportunity for an experienced public accountant who enjoys building rather than maintaining accounting processes, combining strong technical accounting knowledge with a continuous improvement mindset. **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 - 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

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