Senior Manager, Accounting

Who We Are: 

At Synapse Health, we're streamlining the durable medical equipment (DME) process.  We manage intake, documentation, routing, claims, billing, and patient support. Our model reshapes how DME is delivered and experienced.  

Since 2016, with decades of industry and leadership experience, we've delivered tech-based solutions that help our partners to modernize operations, improve coordination, and reduce administrative burdens. By taking on operational and financial complexity, we're redefining how DME works for providers, prescribers, and patients. We are proud to offer work that matters, on a mission that matters.  

Learn more at SynapseHealth.com and on Synapse Health’s LinkedIn. 

What We Need: 

We are looking for a high-performing, highly motivated Senior Manager, Accounting, who wants to take their career to the next level. This is a role for someone who is hungry to prove themselves, excited to help build a best-in-class accounting function, and energized by working in an environment moving exceptionally fast.

Our ideal candidate is someone who thrives in hyper-growth settings, embraces challenges, and is ready to roll up their sleeves to help us scale with excellence.

You will lead critical initiatives across technical accounting, process improvement, audit readiness, and team development—helping to lay the foundation for a world-class accounting department.

The Senior Manager, Accounting, will oversee day-to-day accounting operations and lead a small team to ensure accurate financial reporting and compliance. This role will focus on managing core processes, improving efficiency, and supporting the company’s growth through strong financial controls and timely reporting.

What You Will Do: 

• Manage daily accounting operations, including general ledger, accounts payable, and payroll.
• Oversee the month-end close process, including journal entries, reconciliations, and preparation of financial statements.
• Prepare the organization for its first audit by establishing documentation standards, internal controls, and support schedules; review accounting entries for accuracy; and create robust templates, checklists, and working papers to support ongoing audit readiness.
• Build and refine scalable SOPs, streamline workflows, and ensure systems and data flows stay efficient as the business and team grows.
• Review variance analyses and balance sheet reconciliations for accuracy.
• Implement and enforce internal controls, policies, and procedures to ensure compliance with GAAP.
• Supervise and mentor accounting team members, providing guidance and development opportunities.
• Ensure compliance with federal, state and local tax and regulatory requirements
• Partner cross-functionally with Operations, HR and other teams to align financial processes and strengthen day-to-day collaboration.
• Identify and implement process improvements to enhance efficiency and scalability.
• Perform additional duties as assigned to support the accounting function.

What You Have:  

At Synapse Health we’ve intentionally built a culture of kindness, collaboration and creativity, and we consider those qualities to be table stakes for any new team member. Additional requirements include:

• Bachelor’s degree in Accounting and CPA required.
• 7+ years of accounting experience, including 2-3 years in a leadership or supervisory role (healthcare industry experience a plus).
• Public accounting and/or Big 4 audit experience Is a strong plus
• Strong knowledge of GAAP and financial reporting.
• Strong excel skills, proficiency in MS Office and experience with ERP/accounting systems.
• Excellent organizational skills and attention to detail.
• Experience supporting audits and working with external auditors
• Strong analytical and communication skills.
• Ability to thrive in a fast-paced environment and manage multiple priorities effectively.

What Sets You Apart:

• Leadership: Builds and motivates a high-performing team.
• Accountability: Takes ownership of responsibilities and delivers results.
• Analytical Thinking: Identifies trends and provides actionable insights.
• Process Improvement: Continuously seeks ways to enhance efficiency.
• Collaboration: Works effectively across departments to achieve shared goals.

Compensation:

The base salary range for this position is $140,000 –$170,000 annually. This range reflects the anticipated compensation at the time of posting. Final compensation will be based on factors such as relevant experience, demonstrated skills, internal equity, and prevailing market conditions. Compensation discussions are encouraged throughout the hiring process.

What Sets Us Apart:  

Work is a part of life, but at Synapse Health, we believe it should be meaningful and enjoyable. We’re committed to helping our team members thrive personally and professionally, which is why our benefits include: 

• Professional growth opportunities with compelling career paths 
• Healthy work-life balance supported by flexible paid time off (PTO) 
• Comprehensive benefits package, including medical, dental, vision, STD & LTD insurance for full-time team members 
• 401(k) savings plan with employer matching contributions 

Synapse Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Synapse Health, Inc will never request personal or sensitive information during the recruitment process. Please see our Careers Page for more information to protect yourself from scammers and to learn more about our recruitment process.