Senior Manager, Accounting

12/3/2025

Manage daily accounting operations and oversee the month-end close process. Lead initiatives for audit readiness, process improvement, and team development.

Salary

133600 - 167000 USD

Working Hours

40 hours/week

Company Size

51-200 employees

Language

English

Visa Sponsorship

About The Company

Synapse Health is on a mission to transform the DME industry with innovative solutions that improve experience, accountability and transparency for all. We're modernizing the entire experience of ordering home medical supplies and equipment through a unified, digital-first process that saves time and reduces errors. From paper forms, multiple phone calls, and very little transparency to a smart, streamlined, digital platform, Synapse Health is bringing the process of ordering and receiving home medical equipment into the 21st century so that patients receive the supplies they need, and prescribers can focus on patients, not paperwork. Visit our website to learn more about our solutions.

About the Role

<span data-ccp-charstyle="eop" data-ccp-charstyle-defn="{"ObjectId":"add99f72-447f-4654-99a8-40eecaf1b78a|121","ClassId":1073872969,"Properties":[201342446,"1",201342447,"5",201342448,"1",201342449,"1",469777841,"Calibri",469777842,"Arial",469777843,"Calibri",469777844,"Calibri",201341986,"1",469769226,"Calibri,Arial",268442635,"24",469775450,"eop",201340122,"1",134233614,"true",469778129,"eop",335572020,"1",469778324,"Default Paragraph Font"]}">Who We Are:  With the collective efforts of our epic team members, we’re trailblazing a new path in the DME industry. Synapse Health was founded in 2016 with a goal to fix the fractured DME ecosystem and completely transform the industry. Built on decades of industry and leadership experience, we’ve launched tech-based solutions that eliminate age-old DME headaches, resulting in a seamless experience for all. We are proud to offer work that matters, on a mission that matters.   Intrigued? Learn more at <a href="https://synapsehealth.com/">SynapseHealth.com</a> and on <a href="https://www.linkedin.com/company/synapsehealthdme/mycompany/">Synapse Health’s LinkedIn</a>.  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:  <ul> <li>Manage daily accounting operations, including general ledger, accounts payable, and payroll.</li> <li>Oversee the month-end close process, including journal entries, reconciliations, and preparation of financial statements.</li> <li>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.</li> <li>Build and refine scalable SOPs, streamline workflows, and ensure systems and data flows stay efficient as the business and team grows.</li> <li>Review variance analyses and balance sheet reconciliations for accuracy.</li> <li>Implement and enforce internal controls, policies, and procedures to ensure compliance with GAAP.</li> <li>Supervise and mentor accounting team members, providing guidance and development opportunities.</li> <li>Ensure compliance with federal, state and local tax and regulatory requirements</li> <li>Partner cross-functionally with Operations, HR and other teams to align financial processes and strengthen day-to-day collaboration.</li> <li>Identify and implement process improvements to enhance efficiency and scalability.</li> <li>Perform additional duties as assigned to support the accounting function.</li> </ul> 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: <ul> <li>Bachelor’s degree in Accounting and CPA required.</li> <li>7+ years of accounting experience, including 2-3 years in a leadership or supervisory role (healthcare industry experience a plus).</li> <li>Public accounting and/or Big 4 audit experience Is a strong plus</li> <li>Strong knowledge of GAAP and financial reporting.</li> <li>Strong excel skills, proficiency in MS Office and experience with ERP/accounting systems.</li> <li>Excellent organizational skills and attention to detail.</li> <li>Experience supporting audits and working with external auditors</li> <li>Strong analytical and communication skills.</li> <li>Ability to thrive in a fast-paced environment and manage multiple priorities effectively.</li> </ul> What Sets You Apart: <ul> <li>Leadership: Builds and motivates a high-performing team.</li> <li>Accountability: Takes ownership of responsibilities and delivers results.</li> <li>Analytical Thinking: Identifies trends and provides actionable insights.</li> <li>Process Improvement: Continuously seeks ways to enhance efficiency.</li> <li>Collaboration: Works effectively across departments to achieve shared goals.</li> </ul> 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:   It’s no secret that most of us work to provide for ourselves and those we love, but just because we must work doesn’t mean we can’t enjoy it. In fact, at Synapse Health, we insist on it! We want our team members to thrive personally and professionally, which is why our benefits include:    <ul> <li>Professional growth opportunities with compelling career paths </li> <li>Healthy work-life balance culture with paid time off (PTO) </li> <li>Medical, dental and vision insurance for full-time team members </li> <li>401K savings plan with employer contribution match </li> </ul> 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.   <div class="content-conclusion"><a href="https://synapsestg1.wpenginepowered.com/privacy-policy/" target="_blank">Privacy Policy</a></div>

Key Skills

AccountingLeadershipGAAPFinancial ReportingProcess ImprovementAnalytical SkillsCommunication SkillsTeam DevelopmentAudit ReadinessInternal ControlsExcelERP SystemsAttention to DetailCollaborationOrganizational SkillsPayroll