• Manage and oversee the monthly, quarterly, and annual financial close processes. • Ensure compliance with GAAP, regulatory requirements and internal policies. • Prepare and review consolidated financial statements and management reports. • Lead external audit processes, coordinating with auditors and internal stakeholders. • Monitor and maintain internal controls over financial reporting and accounting operations. • Support budgeting, forecasting, and financial analysis activities. • Supervise general ledger, accounts payable/receivable, payroll, and fixed asset functions. • Assist with technical accounting research and implementation of new accounting standards. • Partner with operations, clinical, and executive teams to deliver financial insights that support decision-making. • Develop and mentor accounting staff; promote continuous process improvement and system enhancements. • Participate in strategic initiatives such as ERP upgrades, mergers and acquisitions, or new service line integrations.