Sr. Finance Manager - Integrations & Acquisitions

Job Summary/Objective

Based in Miami Lakes, Florida 33014, the Sr. Finance Manager – Integrations & Acquisitions serves as the primary finance and accounting lead for all acquisition activity within Elevate ENT Partners' management services organization (MSO). This role owns the end-to-end integration process for newly acquired physician practices, coordinating across finance and other departments such as revenue cycle, human resources, operations, and information technology to ensure each acquisition is onboarded onto the MSO infrastructure smoothly. The ideal candidate brings healthcare finance expertise, strong accounting fundamentals, and the ability to implement structured processes in a fast paced environment.

Essential Job Functions

Due Diligence & Acquisition Readiness

• Serve as the primary contact and finance lead for pre acquisition due diligence activities.
• Participate in management meetings and diligence calls to assess operational and financial risks inherent to each target practice.
• Direct and support third party diligence teams to ensure all pertinent financial information is captured, challenged, and properly evaluated.
• Review Quality of Earnings (QoE) to identify liabilities or risks that could be transferred to the MSO post acquisition.
• Partner with cross functional team leads to understand their findings and the post acquisition impact on the accounting and finance function.

Operational Integration Management

• Own the end-to-end financial integration of acquired practices across all major workstreams within the defined integration timeline, including:
• Onboarding: Leads the acquisition kickoff meetings and onsite visits with the acquired practice team, conducts comprehensive walkthroughs to identify potential internal control gaps, optimization opportunities, financial risks, and any operational considerations critical to a successful integration.
• Banking & Cash: Manages acquired bank accounts and credit cards, cash sweep structures, merchant systems, and payment platforms until the acquired accounts are closed. Leads the transition of bank workflows to the standard MSO process.
• Purchasing & Payables: Central point for the setup of Concur and P-card programs, vendor transitions and notifications, cancellation of legacy ACH/autopay arrangements, and alignment of inventory, purchasing and refund procedures.
• Payroll & HR: Collaborates with HR to understand the payroll transition plan, identifies necessary accruals and any financial impacts for the acquired practice. Analyzes compensation structure harmonization including partner draws, quarterly payouts, bonus plans, and commission models, and advises leadership or communicates changes to affected employees as necessary.
• Accounting & Close: Creates the necessary transaction level reports for revenue recognition within the acquired practice EMR/PM system, configures Intacct for the new acquisition, maps pre-acquisition financial data to the new accounting system, establishes the standard month end close process for each acquisition, records the Opening Balance Sheet (OBS), reconciles and monitors pre-acquisition period transactions, finalizes the closing statement, and transitions accounting ownership to the operational accounting team. Works with management to understand and explain significant deviations or trends in the financial results post acquisition.
• Financial Reporting, Analysis & Strategic Support: Supports Data Analytics team with development of data reporting from the acquired practice EMR/PM systems and delivers actionable insights to support strategic decisions. Partners with external consultants on ad hoc due diligence, valuation projects, audit assistance, tax matters and special analyses. Drives process standardization and scalability across a multi-state, multi-site practice portfolio.

Supervisory Responsibility

This role may supervise one or more employees and is expected to mentor junior finance and accounting staff.

Work Environment and Physical Demands

This job operates in a professional office setting and routinely uses standard office equipment. The physical demands described here are representative of those that must be met to perform the essential functions of this role.

• While performing duties, the employee is regularly required to talk or hear.
• The employee frequently stands, walks, uses hands to handle or feel, and reaches with hands and arms.

Travel

Moderate travel to acquired practice locations during onboarding and integration phases may be required. Travel requirements will vary based on deal activity.

Required Education and Experience

• Bachelor's degree in Accounting or Finance required; Master's degree a plus.
• CPA license strongly preferred.
• 5+ years of experience in accounting, finance, or due diligence/transaction advisory roles; healthcare industry experience a plus.
• Prior experience in a PE-backed environment or with M&A integration strongly preferred.
• Proficiency in EMR/PM systems (AthenaOne, ModMed, eCW, Greenway, or CareCloud) preferred.
• Advanced Microsoft Excel skills; proficiency in Microsoft Office Suite.
• Strong analytical, verbal, and written communication skills.
• Strong interpersonal skills to collaborate effectively across clinical, operational, and finance teams.

Additional Eligibility Qualifications

• Prior financial modeling experience.
• Understanding of general accounting processes.
• Experience in evaluating internal control processes and procedures.
• Cash management/treasury experience.
• Experience performing or supporting Quality of Earnings (QoE) analyses.
• Familiarity with end-to-end integration workstreams.
• Knowledge of healthcare revenue cycle management concepts.
• Strong project management skills.
• Ability to communicate financial results to non-business employees.
• Comfort operating in ambiguous, high-growth environments with shifting priorities.