ACCOUNTING MANAGER at Apex Dermatology and Skin Surgery Center LLC – Beachwood, Ohio

Position Overview

Apex Skin is a rapidly growing, patient-focused dermatology and aesthetic practice committed to delivering exceptional care. We are seeking a strategic and detail-oriented Accounting Manager to lead key financial operations and strengthen our financial control environment. The Accounting Manager will oversee payroll, treasury, revenue recognition, audit and tax support, and general accounting functions, ensuring accuracy, compliance, and timely reporting. The Accounting Manager will provide leadership to a small accounting team and report directly to the Controller, serving as a critical partner in driving business insights and operational excellence.

Schedule

• Full-time, Monday through Friday [40 hours per week]
• Hybrid schedule
• Must reside in Ohio and be within a commutable distance of Apex Skin’s home office in Beachwood, Ohio

Essential Functions

• Lead month-end and year-end close processes and prepare accurate financial statements and management reports.
• Maintain the general ledger, ensuring timely and precise journal entries.
• Analyze trends, variances, and key metrics, providing actionable financial insights to support business decisions.
• Oversee revenue recognition across multiple dermatology and aesthetic service lines.
• Partner with billing and revenue cycle teams to ensure accuracy and completeness of revenue data.
• Monitor and interpret financial trends to inform strategic planning.
• Prepare documentation and schedules for internal and external audits.
• Ensure compliance with GAAP, internal controls, and applicable tax regulations.
• Serve as the primary liaison with auditors and tax compliance teams.
• Manage, mentor, and develop accounting and payroll staff to foster a collaborative, high-performance culture.
• Delegate responsibilities effectively, ensuring timely completion of all accounting functions.
• Oversee bi-weekly payroll processing and commission/bonus calculations, ensuring compliance with federal, state, and local regulations.
• Maintain accurate employee records and resolve payroll discrepancies in partnership with HR.
• Supervise treasury activities, banking relationships, and short-term investments.
• Support strategic financial initiatives, including new banking relationships or process improvements.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field; CPA preferred.
• 10+ years of progressive accounting experience; prior management experience strongly preferred.
• Deep knowledge of GAAP, accounting principles, procedures, and financial regulations.
• Healthcare or medical practice experience is a strong plus.
• Proficiency in accounting software and ERP systems; Sage ERP experience a plus.
• Advanced Microsoft Excel skills and strong analytical abilities.
• Exceptional attention to detail, organizational skills, and ability to meet deadlines.
• Strong interpersonal, communication, and leadership skills.
• Commitment to confidentiality, ethical guidelines, and HIPAA compliance.
• Eagerness to grow professionally and pursue ongoing education in accounting and finance.

Physical Requirements & Work Environment

• Work performed in a remote home office environment with reliable internet connectivity.
• Prolonged periods of sitting and computer use for data entry, projects, and electronic communication.
• Frequent use of hands and fingers for typing and navigating multiple software systems.
• Ability to communicate clearly via phone, email, and virtual platforms with providers and team members.
• Visual acuity sufficient to read financial data and prepare revenue forecasts and budgets.
• Requires consistent attention to detail and ability to maintain focus in a virtual setting.
• Must adhere to HIPAA and Apex Skin privacy standards while working remotely.

Apex Skin Culture

Apex Skin fosters a collaborative, patient-first environment built on compassion, clinical excellence, and teamwork. We believe in a respectful and supportive workplace where employees feel valued, trusted, and empowered to contribute to exceptional patient experiences and meaningful clinical care.

Employee Health & Safety Requirements:

All patient-facing employees are required to provide proof of a TB test within the past 12 months and an annual flu vaccination as part of Apex Skin’s employee health and safety protocols. The Hepatitis B vaccination series is also strongly recommended for clinical staff due to potential occupational exposure risks. Apex Skin complies with federal and Ohio law by providing reasonable accommodations for medical conditions or sincerely held religious beliefs that prevent vaccination. Employees seeking an accommodation should contact Human Resources for more information.

Equal Employment Opportunity Statement:

Apex Skin provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Apex complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.