Senior Manager, Revenue Accounting & Integrations

You will be the senior accounting leader responsible for revenue recognition, provider compensation accounting, labor cost accounting, and order-to-cash operations. You will ensure the integrity of revenue reporting, drive compliance with ASC 606, and serve as a critical partner across M&A integrations—standing up accounting processes for every new acquisition and ensuring compliance requirements are embedded from day one.

This is a builder’s role: designing automated workflows, implementing scalable reconciliation frameworks, leading ERP/CRM system implementations, and elevating financial rigor across the organization. You will lead a high-performing team with significant autonomy while partnering closely with leadership across the business.

What You’ll Own

Revenue Accounting & Compliance

• Own end-to-end revenue accounting, ensuring compliance with ASC 606 across all service lines and locations.

• Oversee provider commission calculations and accounting for labor costs, ensuring accuracy and timeliness.

• Implement and maintain best practices in Order-to-Cash to reconcile purchases to cash receipts across payment processors and POS systems. 

• Build new processes and controls for cash handling within the Order-to-Cash cycle, ensuring completeness and accuracy from point of sale through bank settlement. 

• Develop and enforce revenue recognition policies, internal controls, and documentation standards. 

• Monitor and reconcile payment processor transactions, chargebacks, and settlement activity. 

Integration & M&A Support

• Lead accounting integration efforts for newly acquired practices, standing up revenue accounting processes and controls from close through stabilization. 

• Assist with deal diligence by evaluating revenue recognition practices, commission structures, and cash handling procedures of target acquisitions. 

• Partner on ERP/CRM implementations and system migrations, ensuring accounting and compliance requirements are built into system design from the outset. 

Automation & Process Improvement

• Champion automation across the revenue accounting function—identifying and implementing technology solutions to eliminate manual processes and improve accuracy. 

• Continuously improve reconciliation workflows, reporting cadences, and close processes to build for scale. 

• Work with large data sets to develop automated reporting and analytics that drive operational visibility. 

Audit, Controls & Reporting 

• Serve as the lead contact for external auditors on revenue-related matters, managing walkthroughs, testing support, and timely resolution of issues. 

• Design and maintain internal controls over revenue recognition, cash handling, and provider compensation. 

• Partner with FP&A and senior leadership to deliver accurate revenue reporting and actionable insights. 

Team Leadership 

• Lead, mentor, and develop a high-performing accounting team, fostering a culture of continuous improvement. 

• Set clear goals and performance standards, building bench strength and operational resilience as the organization scales. 

• Report to and partner with the VP of Finance and Accounting to build a best-in-class finance organization. 

Who You Are 

• Active CPA license required. 

• 8–10 years of progressive accounting experience, with deep expertise in revenue accounting. 

• Strong command of ASC 606 revenue recognition standards. 

• Experience working with 4-wall businesses (retail, healthcare, hospitality, or multi-site service environments). 

• Demonstrated experience with payment processors, POS systems, and order-to-cash reconciliation. 

• Proven track record serving as the lead contact for external auditors, including walkthroughs, testing, and resolution of audit issues. 

• Experience partnering on ERP/CRM implementations and ensuring accounting and compliance requirements are embedded in system design. 

• Advanced Excel skills required; comfortable working with large data sets and building automated reporting tools. 

• Able to lead teams and manage multiple workstreams in a fast-paced, high-growth environment. 

• Strong communication skills with the ability to produce polished, executive-facing materials and partner across functions. 

Preferred Background 

• Master of Accounting or equivalent advanced degree. 

• Previous healthcare accounting experience, particularly in multi-site or practice-based settings. 

• Experience in private-equity-backed environments with exposure to acquisition-driven growth. 

• Background in designing and implementing automation solutions within accounting functions. 

• SQL or BI tool experience a plus. 

Why This Role Is Different 

• You will work directly with founders, senior leadership, and private equity partners—not layers of hierarchy. 

• You will own a critical function that directly impacts enterprise value as the company scales through organic growth and acquisitions. 

• You will have the mandate and resources to automate, modernize, and build—not just maintain the status quo. 

• You will be at the center of every integration, shaping how new practices are brought into the AP ecosystem. 

• You will join a high-caliber team that values intellectual rigor, operational excellence, and relentless improvement. 

Competitive compensation and benefits, including: 

• Compensation Range $150,000 to $170,000 yearly. 

• Medical, Dental, and Vision Insurance 

• Paid Time Off and Holidays 

• 401(k) with Profit Sharing 

• Company Paid Life Insurance 

• Employee Assistance Program 

• Employee Discounts 

• Professional Development Assistance 

This job description is not an employment contract and does not alter the “at-will” employment relationship. Employment with Aesthetic Partners may be terminated at any time, with or without notice, by either the employee or the company. Duties and responsibilities may evolve based on business needs.  

 Aesthetic Partners is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Qualified applicants will receive consideration without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, protected veteran status, or any other characteristic protected by applicable law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.  

Aesthetic Partners 

78 SW 7th St, Suite 700, Miami, FL 33130 

[email protected]