LifespanMD is seeking a Senior Staff Accountant to own accounting close across a portfolio of concierge medical practices. Reporting to the Accounting Manager and working closely with the CFO, this person will lead month-end, quarter-end, and year-end close, own membership revenue and deferred revenue accounting, and prepare practice-level and consolidated financial statements. Beyond the numbers, the Senior Staff Accountant will be a trusted resource for office managers and physicians, guiding and training practice teams while leading the financial integration of newly acquired practices. This is a hands-on role for someone who enjoys complex accounting work and wants to help build a scalable finance function, standardizing processes and bringing in automation and AI-enabled workflows as the platform grows.

Key responsibilities: 

• Lead the month-end, quarter end, year-end close across an assigned portfolio of concierge medical practices, including journal entries, accruals, prepaids, fixed assets, and balance sheet reconciliations.
• Work with the practices to review and verify their books, including AP, payroll, bank and credit card reconciliations, and close deliverables, and give guidance and training to the practices to build skills.
• Prepare practice-level and consolidated financial statements, including P&L and Balance sheet documents with clear commentary for the Accounting Manager and CFO.
• Run practice-level payroll for assigned practices, including collecting and verifying hours, processing payroll on schedule, reviewing payroll registers for accuracy, and recording payroll entries and accruals.
• Own membership revenue accounting for assigned practices, including reconciling patient membership fees, and deferred revenue.
• Serve as the escalation point for practice-level colleagues, including office managers and physicians, on complex financial questions, and build strong working relationships with practice leadership.
• Lead the accounting side of integrating newly acquired practices, including opening balance sheets, chart of accounts mapping, and onboard standardized systems and processes.
• Own day-to-day transaction entry for assigned practices, including recording vendor bills, deposits, bank and credit card activity, and other transactions accurately and on time in the accounting system.
• Assist the Accounting Manager and CFO with external auditors and tax advisors by preparing audit schedules and supporting documentation.
• Work with the Accounting Manager to write and maintain accounting policies, close checklists, and process documentation to keep practices consistent.
• Lead efficiency projects through AP automation and AI-enabled accounting workflows, finding opportunities to standardize and scale the finance function.
• Partner with the Accounting Manager and CFO on budgeting, forecasting, enhanced reporting, and other key finance initiatives.