Accounting Manager

Job Description Job Description Job Title: Accounting Manager Location: West Palm Beach, FL About the Role: OnSpot Dermatology is seeking a high-energy, "trailblazing" Accounting Manager to take ownership of our financial operations. We are past the stage of simple bookkeeping; we need a financial leader who can build the systems, controls, and reporting structures that will support our rapid expansion across Florida and beyond. You won't just be "keeping the books" - you will be the architect of our accounting department, bridging the gap between clinical operations and financial health through financial analysis and business recommendations. Core Responsibilities:  Department Architecture: Transition our current accounting processes into a high- functioning, automated department that not only displays the financial performance of the business but can explain the “why” of “what” happened in the business, and then make recommendations for business improvement.  Full-Cycle Accounting: Manage all aspects of QuickBooks Online (QBO), including a strict 10-day monthly close, accrual adjustments, and balance sheet reconciliations.  Complex Payroll & 1099s: Execute payroll for a diverse team of W2 providers and manage 1099-NEC payments/filings for our specialized medical contractors and dermatopathologists.  Revenue Cycle Oversight: Work closely with the billing team to reconcile EMR deposits (EMA/ModMed) with bank activity, ensuring "contractual adjustments" are recorded accurately.  Territory & Unit Economics: Maintain "Class Tracking" in QBO to provide P&L reports for each specific mobile unit and territory (Orlando, Tampa, Miami, Fort Myers.).  Accounts Payable: Modernize our vendor payment system to ensure fleet maintenance, medical supplies, and lab fees are paid timely while maximizing cash flow.  Transition Accounting method from Cash Basis Accounting to Accrual Basis Accounting Requirements:  Experience: 5+ years of progressive accounting experience. Healthcare or Multi- location experience is a major plus.  Software Mastery: Expert-level QuickBooks Online user. Experience with ADP (Payroll), Bill.com, and medical billing software (EMR/PM systems) is preferred.  The "Trailblazer" Mindset: You are someone who sees a broken process as an opportunity to build a better one. You don't wait for instructions; you provide solutions. Effectively, the ideal candidate will function as the right hand person to the CEO in driving business growth and transformation.  Technical Knowledge: Deep understanding of Accrual Basis accounting and the ability to explain financial data to non-financial stakeholders.  Education: Bachelor’s degree in accounting or finance (CPA or CMA candidate is a plus). Why OnSpot?  Impact: You aren't a small cog in a big machine.

You are the engine of our financial department.  Growth: As OnSpot adds more territories and mobile units, your role and team will grow with the company.  Innovation: We are disrupting the dermatology space; we want an accountant who wants to disrupt "traditional" back-office bureaucracy.