Accounting Manager

Accounting Manager

Addison, TX – hybrid, 3 days onsite

One of Vaco’s private equity-backed healthcare clients is looking to onboard an Accounting Manager as part of a newly-created position due to growth of the company (highly-acquired, averaging 2-3 transactions/month). Looking for a “point person” on the team that can supervise two direct reports, help run the month end close, and navigate a high-volume, data-centric environment. Vaco has received great feedback on company culture/leadership (we placed the Finance Director here 2025).

Compensation: $140-150K + bonus.

• Manage and oversee the monthly, quarterly, and year-end close processes across multiple operating entities and locations.
• Review journal entries, account reconciliations, and financial statements to ensure accuracy and compliance with U.S. GAAP.
• Prepare consolidated financial reports and variance analyses for executive leadership and private equity sponsors.
• Ensure timely reporting of KPIs, operational metrics, and performance dashboards.
• Supervise accounting for revenue cycles, payroll, intercompany transactions, leases, and fixed assets.
• Oversee balance sheet integrity, including reconciliations, reserves, and accruals.
• Manage, mentor, and develop a team of staff and senior accountants.
• Establish performance expectations, provide coaching, and support professional growth.
• Promote a culture of accountability, continuous improvement, and collaboration.
• Support acquisition integrations, purchase accounting, and opening of new locations.
• Assist with financial due diligence and onboarding of newly acquired entities.
• Drive process improvements, automation initiatives, and scalability of accounting systems.
• Coordinate with external auditors, tax advisors, and consultants.
• Ensure compliance with internal controls, company policies, and regulatory requirements.
• Support lender reporting and covenant compliance as applicable.
• Identify opportunities to streamline workflows and strengthen internal controls.
• Lead or support ERP implementations, system upgrades, and reporting enhancements.

• Bachelor’s degree in Accounting or Finance.
• 6–10+ years of progressive accounting experience, with at least 2 years in a leadership or supervisory role.
• Strong knowledge of U.S. GAAP and multi-entity accounting.
• Experience managing month-end close in a multi-unit or multi-location environment.
• Advanced Excel skills and experience with accounting/ERP systems.
• Excellent analytical, organizational, and communication skills.
• CPA or CPA-track strongly preferred.
• Healthcare, dental, behavioral health, or physician practice management experience.
• Experience in a private equity–backed or high-growth environment.
• Experience with acquisitions, integrations, or consolidations.