Accounting & Finance Manager - 45665742720

Position : Accounting & Finance Manager

Work Hours (Client) : 8:00 AM - 4:00 PM / 9:00 AM - 5:00 PM CST

Pay Range : $3000 - $4000 USD/month (varies based on skill set and experience level)

Location of Search : Latin America and South Africa

Work Location : REMOTE

Company/Client Overview:

The company is a leading provider of environmental and janitorial services to healthcare facilities across the United States — including hospitals, ambulatory surgery centers, and medical office buildings.

Operating across 11 states, The company partners with some of the most respected names in healthcare to deliver safe, compliant, and high-performing clinical environments. The company is experiencing rapid growth and expanding into new markets, and is now building a modern, data-driven finance function to support this next stage of scale.

Duties and Responsibilities:

The hired candidate will serve as the operational and accounting backbone of the company— owning the company’s day-to-day financial processes, month-end close, and reporting cadence.

This role consolidates the responsibilities currently handled by both a bookkeeper and a financial controller into a single, high-accountability position.

You will collaborate directly with the CEO, Fractional CFO, and Chief HR Officer to ensure accurate financial reporting, timely invoicing and payments, and clear financial visibility across all markets and service lines.

• Oversee all daily accounting activities, including AR/AP, bank reconciliations, and journal entries.
• Own the month-end close process; ensure revenue, payroll, and cost accruals are complete within 10 business days.
• Maintain and refine the chart of accounts to support management reporting by client, site, and state.
• Reconcile all balance sheet accounts monthly, including cash, payroll liabilities, and intercompany accounts.
   

• Manage all client invoicing cycles, ensuring 100% on-time and accurate submission each month.
• Coordinate with the operations team to verify hours and job-cost accuracy prior to invoicing.
• Maintain the invoice submission calendar for all hospitals, ASCs, and healthcare clients.
• Track customer remittances, identify short payments, and coordinate collection follow-up.
   

• Reconcile hours, payroll, and subcontractor payouts against site-level cost allocations.
• Work with the HR Officer to confirm labor and hour accuracy for W-2 and 1099 teams.
• Prepare monthly payroll reports and ensure timely disbursement of all payments.
• Monitor COGS (labor, supplies, subcontractors, payroll taxes) to identify and explain margin variances.
   

• Prepare monthly P&L and gross margin reports by market, client, and facility.
• Support the CEO and CFO with board materials, variance analysis, and cash flow forecasting.
• Maintain real-time visibility into revenue and profit trends using Power BI and/or Excel dashboards.
• Assist with annual budgeting, reforecasting, and scenario planning.
   

• Serve as the primary administrator for QuickBooks Online, Gusto.com, Bill.com, and other financial tools.
• Implement process improvements to streamline approvals, coding, documentation, and reconciliation workflows.
• Collaborate with leadership to automate reporting and standardize SOPs (invoice cycle, close checklist, reconciliation procedures).
   

• Month-End Close: Completed within 10 business days.
• Invoice Accuracy: <1% error rate.
• Days Sales Outstanding (DSO): ≤ 30 days.
• COGS & Payroll Accuracy: 100% on schedule and reconciled.
• Monthly Reporting: Delivered to leadership by the 10th of each month.
   

• Bachelor’s degree in Accounting, Finance, or a related field.
• CPA or CA certification (required).
• 10+ years of experience in accounting, finance, or controllership — ideally in multi-entity, multi-location service businesses.
• Hands-on experience with the U.S. market; healthcare experience is preferred but not required.
• Proficiency in QuickBooks Online and Excel/Google Sheets (pivot tables, lookups, and financial modeling).
• Familiarity with Power BI or other analytics platforms preferred.
• Excellent English communication skills (clear, professional tone; accent is fine).
• Highly detail-oriented, disciplined, and capable of independently owning complex financial functions.
   

• Strategic financial leader with a track record of driving operational efficiency and growth in scaling organizations.
• Experience in business services, facility management, or private-equity-backed companies.
• Hands-on problem solver who thrives in fast-paced, entrepreneurial environments.
• Adept at translating financial data into actionable insights that drive decisions.
• Experience with financial system implementation or process automation.
• Strong preference for seasoned candidates who can bring both technical and strategic depth to the role.