Accounting Manager (Remote)

Job Summary

The Accounting Manager will lead Rivia Mind’s day-to-day accounting operations and financial reporting as we continue scaling our multi-state mental health practice. Reporting directly to executive leadership and supervising an Accounting Coordinator, you will oversee all core accounting functions—including general ledger management, a timely month-end close, AP/AR, revenue cycle reconciliations, provider payouts, and tax compliance.
Beyond operational accounting, you will play a key analytical role by driving monthly departmental budget-vs-actual variance reporting and leading the annual budgeting process in partnership with the CEO and executive leadership. The ideal candidate blends rock-solid GAAP accounting and healthcare/RCM literacy with a tech-forward mindset focused on process automation, data integrity, and cross-functional leadership in a fast-paced, remote environment.

Application Window: Until August 17th, 2026
Anticipated Start Date: End of September to early October 2026. 
# of Openings: 1

Job Responsibilities & Qualifications

Responsibilities

Core Accounting & Month-End Close

• Manage Cash Flow & Banking Activity: Monitor organizational cash flow, banking activity, expected deposits, vendor payments, payroll funding, and other cash requirements to support sound financial decision-making.
  • Ensure revenue, contractual adjustments, refunds, write-offs, and related receivables are recorded accurately and consistently in accordance with company policy and US GAAP.
• Manage Month-End Close & GL: Oversee the month-end, quarterly, and annual accounting close processes in accordance with US GAAP, ensuring accurate general ledger management, bank reconciliations, and timely posting of financial data.
  • Prepare and review monthly financial statements, including the income statement, balance sheet, and cash-flow reporting, along with supporting schedules and management commentary.
• Oversight of AP, Payroll & Payouts: Supervise day-to-day accounts payable, corporate credit card programs, and expense management; collaborate with People Ops to ensure seamless payroll posting and provider payout accuracy.
  • Review and reconcile provider compensation and payout calculations, including productivity-based payments, bonuses, corrections, and related payroll or contractor reporting, in partnership with People Ops and clinical operations.
  • Support multi-state accounting and compliance requirements, including coordination of state filings, payroll-related accounting reconciliations,  and other jurisdiction-specific financial obligations, as applicable.
• Vendor Tax Reporting: Oversee vendor tax compliance by maintaining W-9 documentation, validating vendor tax information, preparing and issuing annual Forms 1099, and coordinating any required tax reporting with external partners.
• Compliance & Tax Support: Maintain accounting policies and internal controls; coordinate with external CPA/tax partners for annual filings, tax documentation, and regulatory compliance.

Financial Planning & Budget Support

• Departmental Budgeting & Variance Analysis: Partner with executive leadership to facilitate the annual budgeting process; own the monthly Budget vs. Actuals reporting to help department heads track spending and manage variances.
• Reporting & KPI Dashboards: Develop and maintain meaningful financial reporting dashboards (using QuickBooks integrations or reporting software) to provide leadership with clear visibility into cost structures and financial performance.
• Financial Modeling: Build financial models for new models, services, or hires, as needed, and include appropriate forecasting and reforecasting of costs associated with projects.  

Healthcare Operations & Systems Optimization

• Maintain Accounting for Provider Compensation: Ensure accurate accounting for provider compensation, productivity-based payments/reimbursements, and related accruals in accordance with company policies.
• Revenue Cycle Financial Reconciliation: Review revenue cycle activity and reconcile insurance reimbursements, clearinghouse deposits, merchant fees, and related revenue transactions to the general ledger.
  • Partner with the RCM team to investigate discrepancies and ensure the accuracy and completeness of financial reporting.
• Process & Tech Optimization: Continuously evaluate financial workflows and technology stack to automate manual processes, eliminate unnecessary spreadsheet reliance, mitigate risk, and reduce month-end close timelines.
  • Establish and strengthen scalable internal controls, approval workflows, documentation standards, and segregation-of-duties practices appropriate for a growing organization.
  • Coordinate annual financial reviews, audits, due diligence requests, and other external examinations by preparing schedules, documentation, and account support.

Team Leadership & Collaboration

• Manage & Mentor Accounting Coordinator: Directly manage, support, and evaluate the accounting coordinator, providing coaching, goal development, and performance feedback to foster professional growth.
• Cross-Functional Partner: Serve as a collaborative finance partner to leaders across clinical, people operations, and administrative departments to support business expansion and operational planning.
  • Support the financial review of vendor agreements, service contracts, expansion opportunities, and other operational commitments.

Qualifications

Education & Certification

• Education: Bachelor’s degree in Accounting, Finance, or a related business field (Required).
• Certifications: CPA, CMA, or active pursuit of certification is preferred, but not required.

Experience & Background

• 5+ Years of Accounting Experience: Proven track record in progressive operational accounting, general ledger management, and month-end close procedures within a fast-paced environment.
• Accounting & Financial Stewardship: Expertise in applying US GAAP and accrual accounting principles to maintain financial integrity through accurate financial reporting, reconciliations, internal controls, and compliance.
• Healthcare Industry Knowledge: Experience in healthcare, behavioral health, or multi-site clinical operations is strongly preferred (understanding of medical billing, insurance reimbursement cycles, clearinghouses, and EHR integration).
• Remote & High-Growth Operations: Demonstrated success working autonomously and cross-functionally in a distributed/remote team environment.
• (A Plus) Leadership Experience: Experience supervising, mentoring, or developing accounting professionals while effectively prioritizing work and managing competing deadlines.

Technical & Analytical Skills

• QuickBooks Proficiency: Advanced proficiency in QuickBooks Online and its ecosystem of bank/credit card feed integrations.
• Advanced Data & Spreadsheet Skills: High proficiency in Google Sheets/Excel (Pivot Tables, XLOOKUP/INDEX MATCH, data mapping, and financial modeling) with a drive to automate manual reporting where possible.
• FP&A & Budgeting Literacy: Experience assisting with annual organizational budgets, tracking departmental spending, and preparing Budget vs. Actual variance reports for leadership.
• Tech-Forward Aptitude: Comfort navigating modern business platforms (e.g., Google Workspace, project management software like Monday.com, and EHR platforms).

Key Attributes & Mindset

• Analytical & Detail-Oriented: Exceptional accuracy in reconciliations and record-keeping with a proactive approach to identifying data discrepancies.
• Process Improver: Continuously seeks ways to optimize month-end workflows, shorten close timelines, and strengthen internal controls.
• Financial Communication: Ability to translate complex financial information into clear, actionable insights for non-finance stakeholders while maintaining confidentiality.

Benefits

• 3 weeks of front-loaded PTO + 9 paid holidays
• Annual office closure (Dec 25–Jan 1)
• Annual Impact Days for volunteering or professional development
• 401(k) with employer match
• Referral bonus potential
• Annual Continuing Education (CE) Stipend +  Flexible Benefit Reimbursement
• Medical, dental, and vision insurance — with EAP and additional wellness programs
• Voluntary benefits, HSA, DCA, FSA (based on plan), transit & parking options
• Bereavement leave (including pet bereavement)

We’re a community of clinicians and care-minded professionals who believe in sustainable practice, personal growth, and compassionate support. Come thrive with us.

Compensation & Employment Details

Pay Range: $107,100 - $140,000, based on Location, Years of Experience, Certification, etc. 

Pay Type: Salary

Discretionary Bonus Terms: Up to 15% bonus potential annually beginning in 2027

Department: Finance
Supervisor: CEO
Supervisees: Accounting Coordinator
Employment Status: Full Time 
Exemption Status: Exempt W-2
Work Environment: Remote

​​Work Schedule: 

This role follows Eastern Time business hours, Monday to Friday, with the flexibility to choose a consistent schedule of 8:00 AM–4:00 PM, 9:00 AM–5:00 PM, or 10:00 AM–6:00 PM, based on what works best for you and the role's needs.