Vice President of Accounting

Vice President of Accounting Fully Remote • ESP Executive Offices - Dallas, TX 75038 Apply Overview Level Senior Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Occasional Category Management Apply Description Position Overview ENT Specialty Partners, a growing, Venture Capital-based healthcare services organization, is seeking an accomplished VP of Accounting to serve as its Head of the Accounting department. Reporting directly to the Chief Financial Officer, this individual will lead the company’s accounting function, provide strong technical accounting expertise, and help strengthen the department during an important period of transition and growth. This is a highly visible leadership role for someone who can quickly assess a complex accounting environment, establish clear priorities, strengthen processes and controls, and build a team capable of supporting the organization’s continued expansion. The VP of Accounting will serve as a trusted partner to the CFO and other senior leaders while maintaining direct ownership of the accounting and financial close functions. Key Responsibilities Lead all aspects of the accounting function, including monthly, quarterly, and annual close processes. Lead Organization through a Cash to Accrual conversion in the first 6 -12 months Serve as the organization’s primary technical accounting resource and provide guidance to the CFO and executive leadership team. Quickly assess the accounting department, processes, controls, and talent while developing a clear plan for improvement. Strengthen accounting policies, internal controls, reporting practices, and audit readiness. Evaluate the existing organizational structure and make appropriate staffing and responsibility changes. Recruit and develop additional accounting talent, potentially including an Assistant Controller or Senior Accountant. Oversee accounting across a complex legal entity structure that includes a holding company, tax blocker, management services organization, and multiple physician-owned professional entities. Ensure the accuracy and compliance of intercompany allocations, shared-services arrangements, administrative service agreements, and revenue cycle charge outs. Provide oversight for entities whose books are maintained by the organization but may not be consolidated into its financial statements. Partner closely with treasury, revenue cycle, operations, legal, and executive leadership. Support external audits and work with outside advisors to address accounting or process deficiencies. Create scalable accounting infrastructure capable of supporting additional physician practices and future organizational growth. Develop, coach, and retain a strong accounting team while creating accountability and clarity across the department. Qualifications Qualifications Bachelor’s degree in accounting, finance, or a related field required. CPA desired but not required Significant technical accounting experience, ideally within a healthcare services, physician practice management, or multisite healthcare organization. Experience with corporate practice of medicine structures, management services organizations, or physician-owned professional entities strongly preferred. Demonstrated experience managing complex legal entity structures, intercompany transactions, shared-service allocations, and consolidations. Strong command of generally accepted accounting principles, internal controls, financial reporting, and external audit processes. Previous leadership experience as a Corporate Controller, Controller, Chief Accounting Officer, or senior accounting executive. Experience assessing and improving an accounting function during a period of transition, rapid growth, or operational complexity. Ability to make sound personnel and organizational decisions while building a high-performing team. Experience with NetSuite preferred. Healthcare services or private equity-backed company experience is highly desirable. Leadership Profile The successful candidate will be: A technically strong and credible accounting leader. Comfortable entering a complex environment and establishing stability quickly. Decisive, hands-on, and willing to work through details when necessary. Capable of balancing urgency with sound judgment. Confident evaluating talent and making difficult organizational decisions. An effective communicator who can translate complex accounting matters for nonaccounting executives. Collaborative while also willing to challenge existing practices when needed. Comfortable with operating in a fast-moving, growth-oriented environment. Team and Organizational Scope The VP of Accounting will lead an accounting team of approximately nine to ten professionals when fully staffed. The current structure includes accounting managers, accountants, and treasury support, with opportunities to further develop the department based on the new leader’s assessment. The broader organization employs approximately 850 clinical and nonclinical team members across Texas, Pennsylvania, Washington, D.C., Maryland, and Virginia. It supports approximately $130 million in managed revenue across its affiliated practices, including entities that are not consolidated into the management services organization.