Senior Accounting and Finance Officer

Role Overview

• Support the Director of Finance in overseeing the organization's global accounting operations.
• Ensure the integrity of financial reporting, managing global payroll operations, overseeing client invoicing processes, and handling day-to-day accounting activities.
• Play a critical role in maintaining compliance, optimizing financial processes, improving internal accounting procedures, and providing strategic insights to support business growth.
• Partner with the Director of Finance to oversee global accounting operations and ensure accurate, timely, and GAAP-compliant financial reporting.
• Lead the monthly, quarterly, and annual close processes, including general ledger management, account reconciliations, and financial statement preparation.
• Maintain and strengthen accounting policies, procedures, and internal controls to ensure compliance and mitigate risk.
• Analyze financial results and provide insights to support business and executive decision-making.
• Oversee global payroll operations, ensuring timely and accurate payments to employees and contractors across multiple jurisdictions.
• Manage and optimize payroll platforms, including Bitwage, Wise, Deel, and Payoneer.
• Ensure compliance with international payroll regulations, tax requirements, and applicable labor laws.
• Oversee end-to-end client invoicing, revenue tracking, collections, and revenue recognition processes.
• Develop and enhance scalable billing and revenue processes aligned with business growth.
• Partner with Sales and Operations teams to ensure alignment between contracts, CRM data, invoicing, and revenue reporting.
• Monitor cash flow related to payroll, vendor payments, and receivables to support financial stability.
• Evaluate and optimize financial systems, workflows, and automation to improve efficiency, scalability, and accuracy.
• Collaborate cross-functionally to drive process improvements, strengthen controls, and support organizational growth.
• Provide financial analysis, reporting, and strategic recommendations to support leadership and key business initiatives.

Requirements

• Bachelor's degree in Accounting, Finance, or Business Administration required; MBA preferred.
• CPA certification is strongly preferred.
• Minimum of 5 years of progressive accounting experience, including leadership responsibilities.
• Strong knowledge of accounting principles, GAAP, financial reporting, and internal controls.
• Experience managing global payroll and multi-entity accounting environments.
• Advanced knowledge of general ledger management, account reconciliations, and financial close processes.
• Hands-on experience with accounting systems such as QuickBooks or similar platforms; QuickBooks experience is strongly preferred.
• Advanced proficiency in Microsoft Excel.
• Strong understanding of revenue recognition, billing systems, and sales operations alignment.
• Hands-on experience with platforms such as Bitwage, Wise, Deel, and Payoneer.
• Deep understanding of international payroll operations, contractor payments, and currency management.
• Familiarity with CRM systems such as HubSpot or Salesforce.
• Excellent analytical, organizational, problem-solving, and communication skills, with the ability to present financial information to executive leadership.
• High attention to detail and ability to thrive in a hands-on environment.
• Experience in SaaS, healthcare, or technology-driven organizations is a plus.

Benefits

• Make a positive impact on patient care by providing the best available medical practice solutions to our physician and medical practice clients
• Join a successful and continually growing USA-based company established in 1999 whose company size has doubled within the last 3 years
• Become part of a team-oriented environment.