Head of Accounting

Adaptive Innovations

. Own the general ledger, monthly, quarterly, and annual close, and consolidated financial statements under US GAAP, including multi-entity consolidation and intercompany accounting .

Posted 11/5/2026full-timeNew York City • New York • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in US GAAP and ASC 606 for healthcare revenue accounting, with a strong focus on multi-entity consolidation, internal controls, and audit readiness. Proven ability to lead accounting teams, manage financial operations, and implement automation for efficiency.

Highest-signal resume keywords

Active CPA10+ Years Accounting ExperienceASC 606 ExpertiseInternal Controls DesignHealthcare Revenue Accounting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

General Ledger ManagementFinancial Statement PreparationGross-To-Net EstimatesTax ComplianceM&A Accounting Diligence

Soft Skills

Attention To DetailClear Written CommunicationSound Judgment

Tools & Technologies

CampfireRampHCHBAI Automation

Certifications & Qualifications

CPA

Industry Keywords

Healthcare AccountingMulti-Entity ConsolidationPublic AccountingPE-Backed Healthcare ExperienceRegulatory Compliance

About the role

Key responsibilities & impact

Own the general ledger, monthly, quarterly, and annual close, and consolidated financial statements under US GAAP, including multi-entity consolidation and intercompany accounting
Lead healthcare revenue accounting under ASC 606 across fee-for-service, payer contracts, patient responsibility, government programs, and value-based care arrangements
Manage gross-to-net estimates, contractual allowances, and price concessions
Lead the annual financial statement audit and lender, investor, and regulatory reviews
Design, document, and operate internal controls, preparing for SOX-level requirements if and when needed
Oversee accounts payable, accounts receivable and cash application, payroll accounting and compensation administration, fixed assets, prepaids, accruals, and treasury operations
Manage tax compliance and external advisors
Own the accounting stack, including Campfire, Ramp, HCHB, and internal tools
Use AI and automation to reduce manual work while maintaining accuracy and controls
Support M&A through accounting diligence, purchase accounting, and post-close integration
Hire, develop, and lead the accounting team
Report to the Head of Finance
Deliver accurate, timely financial statements, reliable healthcare revenue estimates, an efficient close, and an accounting function that is consistently audit-ready

Requirements

What you’ll need

Active CPA with a foundation in Big Four or national public accounting
10+ years of progressive accounting experience, including 5+ years leading an accounting function inside a healthcare company as a Controller, VP Controller, or Head of Accounting
Deep, current expertise in ASC 606 for healthcare revenue, including payer contracting, reimbursement, contractual allowances, price concessions, and net revenue estimation
Track record of closing the books accurately within 10 business days or fewer and delivering clean, on-time audits
Experience designing and operating internal controls and building the control environment of a growing company
Exceptional attention to detail, clear written communication, and sound judgment about when to escalate issues to leadership
Public accounting experience auditing healthcare clients
Experience at a PE-backed or venture-backed healthcare company through a financing, acquisition, or sale, including quality-of-earnings and diligence work
Multi-entity, multi-state healthcare experience, including roll-up or de novo structures and MSO arrangements
Experience building an accounting function from an early-stage close process to institutional-grade reporting and controls
Practical experience using data, AI, and automation to eliminate manual accounting work
Legally authorized to work in the United States

Benefits

Comp & perks

Competitive salary and equity compensation
Comprehensive health insurance, dental, and commuter benefits
401(k) retirement plan with employer contribution
Flexible time off policy — we expect most employees to take at least 3 weeks of vacation per year
In-office lunches, dinners, and snacks to fuel your focus and well-being
Opportunity for growth in a fast-growing company
Collaborative team valuing innovation and problem-solving