Senior Manager, Accounting

About Care Access

Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly to communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow.

With programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.

To learn more about Care Access, visit .

How This Role Makes a Difference

By joining our team as a Senior Manager, Accounting you will be a key member of the accounting team reporting directly to the Senior Director, Accounting. Your key responsibilities will include ensuring accurate and timely financial reporting, coordinating audits, and maintaining strong internal controls to support a fast-paced company.

How You'll Make An Impact

• General Ledger, Consolidation & Month-End Close: Oversee and support day-to-day accounting operations, including general ledger activities, balance sheet reconciliations, intercompany and subsidiary transactions, multi-entity consolidation, and timely month-end and period-end close processes. Manage and support team members through the monthly close cycle to ensure accurate, complete, and timely financial results.

• Technical Accounting & Accounting Policy Support: Provide technical accounting support and assist with accounting determinations, which may include, but are not limited to, revenue recognition, lease accounting, equity-related accounting, stock-based compensation, consolidation, intercompany transactions, and other complex accounting areas. Partner cross-functionally to review contracts, transactions, and accounting treatments and help maintain accounting policies.

• Financial Reporting, Compliance & Internal Controls: Support accurate financial reporting and compliance with applicable accounting standards, company policies, and internal controls. Assist with the preparation and review of financial schedules, supporting documentation, and management reporting.

• Process Optimization & Team Leadership: Identify and execute process improvement opportunities to improve the efficiency, accuracy, and scalability of accounting operations and financial reporting. Standardize accounting procedures and documentation while coaching, developing, and supporting accounting team members.

• Audit, Tax & External Reporting Support: Partner with accounting leadership and external advisors to support annual audits, tax filings, technical requests, and other external reporting or compliance requirements. Coordinate audit support and ensure timely preparation of requested documentation.

• Cross-Functional Collaboration & Process Improvement: Coordinate with management and cross-functional teams to support accounting policy compliance, financial reporting needs, and special projects. Partner with internal stakeholders to identify and implement process improvements that increase efficiency, accuracy, scalability, and consistency across accounting and finance workflows.

The Expertise Required

• Experience with multi-entity and international consolidations, including overseas entities, intercompany transactions, and foreign currency considerations, is strongly preferred.

• Advanced Excel skills are required; experience with financial reporting and consolidation tools is preferred.

• Prior managerial or supervisory experience is strongly preferred, with the ability to coach, develop, and review the work of accounting team members.

• Excellent verbal and written communication skills, with the ability to partner cross-functionally and communicate accounting matters clearly.

• Strong work ethic and willingness to put in the additional effort needed to meet deadlines and support business priorities.

• Strong attention to detail, organizational skills, and ability to manage multiple priorities and deadlines.

Certifications/Licenses, Education, and Experience

• Minimum Education:

• 8+ years of progressive accounting experience, including experience in a fast-paced, dynamic environment

• CPA or equivalent strongly preferred.

• Minimum Experience:

• Experience with NetSuite or a comparable large ERP system is required.

• Strong understanding of month-end close, reconciliations, financial reporting, and internal controls is required.

How We Work Together

• Location: Remote within the United States. This role requires 100% of work to be performed in a remote office environment.

• Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.

• Physical demands associated with this position Include: The ability to use keyboards and other computer equipment.

The expected pay range for this role is $130,000 - $180,000 USD per year for full time team members.

Benefits & Perks (US Full Time Employees)

• Paid Time Off (PTO) and Company Paid Holidays

• 100% Employer paid medical, dental, and vision insurance plan options

• Health Savings Account and Flexible Spending Accounts

• Bi-weekly HSA employer contribution

• Company paid Short-Term Disability and Long-Term Disability

• 401(k) Retirement Plan, with Company Match

Mandatory Employer DisclosuresNotice to Illinois applicants: Applicants are not obligated to disclose expunged juvenile records or adjudication, arrest, or conviction.

Notice to Connecticut applicants: Care Access may require applicants to submit to a urinalysis drug test in connection with an application for employment.
Notice to Arizona, Georgia, Indiana, and North Dakota applicants: Care Access complies with applicable laws prohibiting smoking in and around places of employment.
Notice to Massachusetts applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Notice to Rhode Island applicants: Care Access complies with Rhode Island law prohibiting smoking in enclosed areas within places of employment. Care Access is also subject to is subject to Chapters 29–38 of Title 28 of the Rhode Island General Laws.

Notice to Maryland applicants: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.

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Diversity & Inclusion

We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Care Access is unable to sponsor work visas at this time.

If you need an accommodation to apply for a role with Care Access, please reach out to: TalentAcquisition@careaccess.com