Accounting Manager

The Accounting Manager will play a key role in acquisition integration activities, including Opening Balance Sheet (OBS) accounting, support the implementation and optimization of Sage ERP, and provide leadership through effective delegation and development of accounting team members. Headquartered in Arizona, DSSP includes Desert Spine & Sports Physicians, The Pain Experts of Arizona, Foot & Ankle Center of Arizona, Rembrandt ASC, Pain MDs ASC, and the Center for Healing and Regenerative Medicine (CHARM) in Austin, Texas.

Position Summary

Desert Spine & Sports Physicians (DSSP) is seeking an experienced Accounting Manager to oversee key accounting operations, financial reporting, internal controls, audit support, system implementations, and process improvement initiatives. This role will partner closely with senior leadership to ensure financial accuracy, compliance, and operational efficiency. The Accounting Manager will play a key role in acquisition integration activities, including Opening Balance Sheet (OBS) accounting, support the implementation and optimization of Sage ERP, and provide leadership through effective delegation and development of accounting team members. This role will support the accounting operations of DSSP and its affiliated physician practices and ambulatory surgery centers, ensuring consistent financial processes, reporting accuracy, and compliance across a growing multi-entity healthcare organization. This is a remote position.

About the Company
Desert Spine & Sports Physicians (DSSP) is the parent company of a growing portfolio of healthcare practices and ambulatory surgery centers focused on delivering exceptional patient care across multiple specialties and markets. Headquartered in Arizona, DSSP includes Desert Spine & Sports Physicians, The Pain Experts of Arizona, Foot & Ankle Center of Arizona, Rembrandt ASC, Pain MDs ASC, and the Center for Healing and Regenerative Medicine (CHARM) in Austin, Texas.

Through its network of physician practices and surgery centers, the organization specializes in spine care, pain management, sports medicine, musculoskeletal health, regenerative medicine, and related surgical services. DSSP is committed to helping patients restore function, reduce pain, and return to active lifestyles through compassionate, evidence-based care while continuing to expand through strategic growth and acquisitions.

Key Responsibilities

Financial Reporting

• Conduct monthly, quarterly, and annual account reconciliations.
• Prepare financial statements and supporting reports for senior leadership.
• Manage the journal entry process and month-end close activities.
• Ensure accruals are accurately recorded and reported.

Internal Controls & Compliance

• Assist in developing and maintaining accounting policies and procedures.
• Prepare reports and documentation to support adherence to internal controls.

Audit & Acquisition Support

• Coordinate with external auditors during annual audits.
• Support Quality of Earnings (QoE) and Quality of Revenue review processes.
• Participate in acquisition-related accounting activities, including Opening Balance Sheet (OBS) preparation, review, and cash-to-accrual analyses.
• Support post-acquisition integration efforts and ensure compliance with accounting standards and company policies.

Systems & Process Improvement

• Lead and support the implementation, optimization, and ongoing enhancement of accounting technologies and systems.
• Serve as a key contributor in the implementation and administration of Sage ERP.
• Identify opportunities to improve accounting processes, controls, and reporting efficiencies.
• Partner with cross-functional teams to support technology initiatives and system integrations.

Leadership & Team Management

• Effectively delegate responsibilities to ensure timely and accurate completion of accounting activities.
• Mentor, coach, and develop accounting staff while fostering a collaborative and accountable team environment.
• Review work product, provide guidance, and ensure adherence to accounting policies and procedures.
• Assist with workload prioritization and resource planning to support departmental objectives.

Special Projects

• Partner with senior leadership on financial analyses, process improvements, and strategic initiatives.
• Perform additional accounting and operational duties as assigned.

Keyword: Accounting Manager
Required Experience:

Ideal Candidate

• Strong background in accounting, financial reporting, and reconciliations.
• Experience supporting audits and maintaining internal controls.
• Proficiency with ERP and financial systems.
• Experience with mergers and acquisitions, including Opening Balance Sheet (OBS) accounting.
• Experience leading or participating in ERP implementations, preferably Sage.
• Demonstrated leadership skills with the ability to delegate, mentor, and develop team members.
• Excellent analytical, organizational, and communication skills.
• Ability to manage multiple priorities in a fast-paced, growing organization.

Equal Opportunity Employer

Individual salaries that are offered to a candidate are determined after consideration of numerous factors including internal equity, market data, the candidate's qualifications, including but not limited to specialty skills, prior relevant industry experience, relevant degrees or certifications. The salary range estimate below is inclusive of all departments, and offered salaries may vary within the given range between departments. A reasonable estimate of the base salary range for this level is $110,000 - $140,000 annually, plus competitive benefits.

From: Miller Cooper