Our client is seeking an Accounting Manager to join its finance team in Nashville and work closely with the Nashville based CFO, and Manchester, UK based Controller and finance organization.

This will be a broad, hands-on accounting role supporting the business across multiple entities and jurisdictions. While this individual will serve as an important resource for U.S.-specific accounting and compliance matters, the position will not be limited to the U.S. business. The Accounting Manager will support global accounting and consolidation activities, help establish scalable processes and best practices, and partner with third-party advisors on jurisdiction-specific requirements.

This is an opportunity to join a growing international organization at an important stage of its U.S. expansion and have meaningful involvement in continuing to build and strengthen the company's accounting and finance infrastructure. The role will also provide significant development opportunities through exposure to international accounting and finance, including the opportunity to develop knowledge of UK GAAP alongside U.S. GAAP, broaden experience across multiple jurisdictions, and work closely with the Group finance team as the organization continues to scale.

Key Responsibilities

Support accounting activities across multiple entities and jurisdictions, including general ledger accounting, journal entries, account reconciliations, accruals, and other close-related activities.
Play an active role in monthly, quarterly, and annual close and consolidation processes, ensuring accurate and timely financial reporting across the organization.
Support the consolidation of financial results across U.S. and international entities, including intercompany accounting and reconciliations.
Serve as a key internal resource for U.S.-specific accounting and compliance matters while partnering closely with the full finance team.
Take ownership of U.S. financial and tax compliance requirements, maintaining a comprehensive calendar covering federal, state and local taxes, payroll taxes, sales and use tax, corporate filings and other finance related statutory requirements, while coordinating with third party tax and professional advisors where appropriate.
Establish and enhance CMS, HCP transparency, Sunshine Act, and compliance reporting across federal and state jurisdictions within the U.S.
Support continued growth and evolution of Travel and Entertainment (T&E) policies, processes and systems used for tracking, reporting and compliance.
Help develop, document, and implement scalable accounting processes, policies, controls, and best practices as the organization grows.
Prepare and review financial statements, management reporting, account analyses, and supporting schedules.
Support external audit, tax, and statutory reporting requirements across applicable jurisdictions.
Utilize NetSuite to support accounting and reporting activities and identify opportunities to improve processes, reporting, and overall ERP utilization.
Partner with leadership and cross-functional teams to address accounting and finance needs across the business.
Take on additional accounting and finance responsibilities as the organization and U.S. presence continue to grow.

Qualifications

Bachelor's degree in Accounting, Finance, or related field required.
5+ years of progressive accounting experience; a combination of public accounting and industry experience is highly desirable.
CPA preferred but not required.
Strong knowledge of U.S. GAAP and financial reporting.
Experience with financial consolidations and accounting across multiple entities and/or jurisdictions.
International or global accounting experience strongly preferred.
Familiarity with U.S.-specific accounting, tax, and compliance requirements, including experience working with third-party tax advisors.
Experience within medical devices, life sciences, healthcare, manufacturing, or another similarly regulated/global industry is a plus.
Strong understanding of month-end close, financial statement preparation, reconciliations, and internal controls.
Comfortable operating in a growing environment where responsibilities are broad and processes continue to evolve.
Ability to work independently while collaborating effectively with colleagues and advisors across multiple geographies and time zones.
Strong analytical, organizational, and communication skills.