Director of Accounting

Position: Director, Accounting

Monogram Health is seeking a Director, Accounting to serve as a senior operational and technical accounting leader for a high-growth, pre-IPO organization. This individual will own the day-to-day accounting function and serve as the Controller's primary operational partner through a period of significant growth and increasing organizational complexity. The Director will be responsible for leading the month-end close, overseeing the external audit, managing tax and treasury activities, maintaining a well-controlled AP and expense management environment, and continuously modernizing and automating accounting processes. This is a role for someone who executes at a high level, leads with accountability, and challenges processes to improve efficiency, scalability, and control.

The Director, Accounting, reports directly to the Corporate Controller and works closely with Finance, Medical Economics, Legal, IT, HR, Procurement, and Operations.

Responsibilities

• Own the monthly close calendar; assign responsibilities, monitor progress, and resolve timing or data issues that could affect reporting deadlines
• Review and approve journal entries, account reconciliations, and supporting schedules prepared by staff; ensure completeness, accuracy, and appropriate cutoff
• Analyze balance sheet and income statement activity for unusual fluctuations; coordinate corrections, reclassifications, and true-ups with full supporting documentation
• Oversee all core accounting areas including revenue and medical expense, capitalized software, leases, payroll and bonuses, and other operating accruals
• Partner with the Controller on technical accounting research, including revenue recognition, lease accounting, capitalization policy, and positions requiring regulatory review
• Partner with FP&A to refine a robust cash forecasting model that improves forecast accuracy and visibility into liquidity
• Oversee accounts payable and expense management operations, including vendor onboarding, invoice processing, approval workflows, payment execution, employee reimbursements, and corporate card administration
• Maintain effective policies, controls, and training over employee expenses, corporate cards, and policy exceptions
• Continuously improve AP and expense management processes to reduce manual effort, strengthen compliance, and enhance employee experience
• Support in defining and implementing the accounting team's technology roadmap; identify and implement tools and integrations that reduce manual close processes and improve real-time financial visibility
• Serve as an active evaluator of emerging tools and platforms; make recommendations to the Controller on investments that improve accuracy, efficiency, or control
• Build sustainable, repeatable processes and effective controls around complex accounting estimates
• Assist in designing and documenting an enterprise risk assessment and the internal control environment
• Partner with the Corporate Controller as the primary operational point of contact for internal and external auditors on documentation, reconciliations, flux analysis, and supporting schedules
• Support the Controller on financial statement preparation and regulatory submissions
• Coordinate with external tax advisors on provision support and tax planning initiatives; ensure timely delivery of tax-relevant schedules and manage recurring state and local compliance filings
• Support initiatives that enhance the scalability, governance, and readiness of the accounting and financial reporting functions as the organization grows
• Partner with the Controller and external advisors on strategic finance initiatives, including efforts to strengthen the organization’s long-term financial flexibility and capital structure
• Lead, coach, and develop the team through the establishment of clear priorities, regular check-ins, timely feedback, and performance development
• Manage workload allocation and maintain backup coverage to ensure deadlines are met during close, audit, and other high-volume periods

Position Requirements

• Bachelor's degree in Accounting and active CPA license required
• Advanced knowledge of U.S. GAAP, with demonstrated experience researching, documenting, and operationalizing complex accounting conclusions
• Big 4 or large regional public accounting experience required; audit background strongly preferred
• Healthcare or life sciences industry experience preferred; value-based care or risk-based contract environment a plus
• Experience with or meaningful exposure to IPO readiness, SEC reporting, S-1 preparation, or SOX compliance implementation strongly preferred
• Hands-on experience with Sage Intacct or similar tools preferred, as well as familiarity with modern AP and expense management platforms
• Demonstrated experience implementing accounting process improvements or automation initiatives
• Verbal and written communication skills; ability to operate cross-functionally and influence without authority
• Organizational skills with the ability to manage multiple concurrent workstreams under competing deadlines

Compensation

The base salary range for this role is $135,667 to $169,123 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.

In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts 

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.  

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. 

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum