Senior Director of Accounting

Acara Health, one of the largest providers of quality in-home health care in the state of Texas is seeking an innovator and leader as aSenior Director of Accounting. Acara Health’s Personal Care provides industry-leading in-home care in the markets of Central and South Texas. Our mission at Acara is that we exist to serve and advocate for the well-being of people in their home and community so that together we make a positive impact on their lives. Our mission is born out in our Core Values such as: • Respect – we are respectful of our patients, consumers, and ourselves. • Promise – we keep the promises we make. • Grateful – we are grateful to serve all individuals entrusted to our care. • Integrity – no matter who is watching we exhibit strong ethical and moral principles. • Honor – in all that we do, we conduct ourselves with honor. We have various locations in Central and South Texas in the markets of Austin, San Antonio, Del Rio, Eagle Pass, Harlingen, Laredo, McAllen, Robstown, and Rio Grande City. We are growing and adding positions to our team! The job duties for the position ofSenior Director of Accountingare listed below. Job Summary: We are seeking a highly skilled and strategicSenior Director of Accountingto lead our accounting function as we continue to scale and optimize operations. The ideal candidate will be a CPA with deep GAAP knowledge, proven leadership experience, and a strong operational mindset, ideally within a private equity-backed and/or healthcare environment. This role will oversee day-to-day accounting operations, support financial reporting and audits, and drive continuous improvement across systems and processes. You’ll play a key role in partnering with the CFO to ensure compliance, accuracy, and insight as the business grows. Key Responsibilities: Leadership & Management: • Lead, mentor, and develop a team of accounting professionals, fostering a high-performing, collaborative environment. • Establish and maintain accounting policies, procedures, and controls to ensure accuracy, compliance, and efficiency. Financial Reporting & Compliance: • Oversee the preparation of financial statements in accordance with GAAP or IFRS. • Ensure compliance with all regulatory requirements, including audits, tax filings, and other statutory obligations. • Manage the year-end audit process, working closely with external auditors. Accounting Operations: • Oversee daily accounting activities, including general ledger maintenance, accounts payable/receivable, payroll, and cash management. • Manage month-end, quarter-end, and year-end close processes, ensuring timeliness and accuracy. • Monitor and analyze accounting data to produce key reports and metrics. • Timely closing and keeping team accountable Strategic Initiatives: • Support strategic financial planning through budgeting, forecasting, and variance analysis. • Drive automation and efficiency in accounting processes through technology implementation and optimization. • Provide insights and recommendations to senior leadership for process improvements and strategic decision-making. • Lead accounting due diligence and integration efforts for mergers, acquisitions, or divestitures. Revenue Cycle & Operational Support: • Partner with the revenue cycle management team to streamline billing, collections, and denial management processes. • Monitor key metrics such as days in accounts receivable (AR), payer mix, and episode-based payment compliance. • Collaborate with clinical operations to optimize financial outcomes while ensuring quality patient care. • Strong understanding of Medicare and Medicaid payment systems, including PDGM, VBID, and per diem reimbursement models. • Experience with regulatory compliance specific to hospice and home health, including face-to-face requirements and election statements. • Familiarity with financial systems commonly used in home health and hospice, such as Brightree, WellSky, or AlayaCare. Preferred Qualifications • Experience in multi-entity accounting or healthcare industries. • Knowledge of mergers and acquisitions, purchase accounting, and integration. • Hands-on experience with digital transformation initiatives, such as ERP or BI system implementations. Qualifications: Education: • Bachelor’s degree in Accounting, Finance, or a related field (CPA or CMA preferred). • Master’s degree in Accounting, Finance, or Business Administration is a plus. Experience: • 10+ years of progressive accounting experience, including leadership roles. Expertise in GAAP, regulatory compliance, and financial reporting. • Proven experience in managing accounting systems (NetSuite, or similar ERP platforms). • Experience working with Private Equity Operating companies is a huge plus Skills: • Strong analytical and problem-solving skills with keen attention to detail. • Excellent communication and leadership abilities to manage teams and interact with senior executives. • Proficiency in financial modeling, process improvement, and project management. Work Environment This position offers a hybrid work arrangement with flexibility for remote and on-site collaboration. This position is full time, we offer benefits, vacation time, training and development opportunities, and love promoting from within. As you’re looking to expand and grow your career come grow with us as we help to guide your career path within our organization. Job Type: Full-time Pay: From $105,000.00 per year Benefits: • Dental insurance • Health insurance • Paid time off • Vision insurance Work Location: Hybrid remote in Plano, TX 75093