Accounting Manager

OMS360 is a fast-growing, PE-backed oral and maxillofacial surgery management services organization supporting a premier network of partner practices across the country. We provide centralized operational, financial, recruiting, and marketing support so our practices can focus on delivering exceptional patient care. We move fast, grow intentionally, and build teams that thrive.

We're looking for an experienced Accounting Manager to join our central finance team, reporting directly to the Controller. In this role, you'll own the accounting operations across a complex multi-entity, multi-state structure — leading close processes, managing intercompany accounting, supporting M&A integrations, and partnering with FP&A and operational leadership on financial reporting and controls.

This is a high-visibility role in a high-growth environment. If you've thrived in PE-backed or multi-site healthcare organizations and are energized by building scalable accounting infrastructure, we'd love to connect.

Lead monthly, quarterly, and annual close processes across multiple entities and practice locations

Review and approve journal entries, account reconciliations, accruals, and account analyses

Manage intercompany transactions, reconciliations, and eliminations

Prepare and review consolidated financial reporting packages

Support accounting integration of acquired practices, including chart of accounts mapping, balance sheet validation, and post-close transition activities

Coordinate external audits, lender reporting, and PE-level financial requirements

Develop, mentor, and supervise accounting staff

Identify automation and process improvement opportunities across accounting operations

Partner with FP&A and operations leadership on budgeting, forecasting, and financial analysis

5–7+ years of progressive accounting experience with at least 3 years in a leadership or management capacity

Bachelor's degree in Accounting, Finance, or related field required; CPA strongly preferred

Demonstrated experience managing accounting for multi-site, multi-state, or multi-entity organizations

Strong technical foundation in GAAP, intercompany accounting, consolidations, and complex close processes

Experience within a private equity-backed organization preferred

Healthcare services, dental, physician practice management, or MSO experience strongly preferred

Experience with Sage Intacct a plus

Advanced Excel skills (pivot tables, lookups, financial modeling)

M&A accounting or acquisition integration experience strongly preferred

We're one of the most active acquirers in the oral surgery space, backed by Shore Capital Partners, and we're building the finance infrastructure to match. This role offers the scope, pace, and exposure of a high-growth environment with the stability of an established platform — and direct visibility to PE leadership.

OMS360 is an Equal Opportunity Employer.