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Verified Job Accounting - Finance

Senior Accounting Manager

Miami, Florida
Accounting - Finance
#533
Remote / WFH
Elevate ENT Partners

Job Description

Full job description
About Us:
Elevate ENT Partners is a high-growth, private equity-backed Management Services Organization (MSO) supporting a rapidly expanding network of ENT practices nationwide. We partner with physicians to drive operational excellence, scalable growth, and strong financial performance across our platform.

As we continue to grow through acquisitions and organic expansion, we are building a best-in-class finance organization to support increasing complexity and strategic decision-making.

Position Overview:
The Senior Accounting Manager will serve in a hybrid technical and operational leadership role, combining deep accounting expertise with ownership of financial performance across designated areas of the business.

This individual will lead core accounting processes while also taking responsibility for P&L oversight, variance (flux) analysis, and business-facing financial insights. The role requires strong technical experience in areas such as leases, debt accounting, purchase accounting, and stock-based compensation, along with the ability to operate as a trusted business partner, including direct communication with physicians and non-financial stakeholders.

Key Responsibilities:

Technical Accounting & Complex Transactions:
Lead accounting and analysis for debt arrangements, including interest, amortization, and related reporting
Support purchase accounting for acquisitions, including coordination with third-party valuations and integration into financials
Oversee accounting for stock-based compensation, ensuring accuracy and compliance with GAAP
Manage accounting for a centralized real estate lease portfolio in accordance with ASC 842, including initial recognition, remeasurement, and disclosures
Partner with auditors and advisors on technical accounting matters and documentation
Monitor and assess the impact of new accounting standards
P&L Ownership & Financial Analysis:
Own and analyze P&Ls for assigned regions/geographies, ensuring accuracy and understanding of key business drivers
Perform detailed monthly flux (variance) analysis, identifying drivers and clearly communicating insights
Partner with operations and revenue cycle teams to explain performance and drive accountability
Translate financial data into clear, decision-ready insights for leadership
Physician Compensation & Financial Communication:
Calculate and analyze physician compensation models, ensuring accuracy and alignment with contractual terms
Partner cross-functionally to validate inputs and resolve discrepancies
Communicate compensation outcomes and key drivers to physicians and practice leadership
Clearly explain financial performance, compensation mechanics, and variances to non-financial stakeholders
Build strong relationships through clear, concise, and confident communication
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