Care Access is a unique, multi-specialty network of research sites which operates as one connected team of physician investigators, nurse coordinators, and operations managers. Our goal is to engage every healthcare professional in clinical research and to make clinical trials a care option for every patient. By removing this bottleneck, Care Access is helping accelerate the approval and delivery of critical and life-saving therapies.

Who We Are:

We care. Our people are the engines behind our mission: to revolutionize access to clinical trials for the benefit of patients everywhere. We care for one another, find new ideas to accelerate medicine, and seed a long-term impact for generations.

Position Overview:

The Senior Director of Accounting will provide strategic leadership and hands-on management of the global accounting function. This role is responsible for overseeing accurate and timely financial reporting, developing and enforcing internal controls, and ensuring compliance with evolving accounting standards and regulatory requirements. As a key leader in the accounting organization, this role will drive process improvements, support external audits, and collaborate cross-functionally to enable data-driven decision-making. By providing oversight and mentorship to the accounting team, the Senior Director of Accounting will help the organization scale sustainably and maintain financial excellence.

What You'll Be Working On (Duties Include but Not Limited to):

Oversee the Monthly, Quarterly, and Annual Close Process
Direct the preparation, review, and analysis of journal entries, account reconciliations, and financial statements to ensure accurate and timely financial close.
Collaborate with FP&A and other departments to ensure proper accruals, reconciliations, and variance analyses.
Develop and Maintain Accounting Policies and Internal Controls
Establish and update accounting policies and procedures to ensure compliance with US GAAP and other applicable standards.
Evaluate, implement, and monitor internal controls to safeguard assets and ensure accurate financial reporting.
Prepare audit-ready documentation and support internal control testing and remediation efforts.
Stay current with evolving accounting standards, best practices, and regulatory requirements to ensure organizational compliance and readiness.
Lead and Develop the Accounting Team
Manage, coach, and develop accounting team members to achieve performance goals and support professional growth.
Allocate tasks and set priorities, ensuring effective team performance and timely completion of responsibilities.
Conduct regular team meetings and provide ongoing feedback and performance evaluations.
Manage Tax and External Audits
Prepare and deliver audit schedules, workpapers, and supporting documentation.
Act as a primary point of contact for auditors and facilitate timely resolution of questions and requests.
Implement and monitor corrective actions for audit findings as needed.
Drive Process Improvements and System Enhancements
Collaborate with teams across departments to identify inefficiencies, recommend solutions, and support the implementation of process and system enhancements.
Contribute to the planning and execution of strategic projects, ensuring alignment with company objectives and promoting cross-team coordination.

What You Bring (Knowledge, Skills, and Abilities):

Technical Accounting Knowledge:
In-depth understanding of US GAAP and other relevant accounting standards; ability to apply them to complex transactions.
Familiarity with accounting for multinational or multi-entity environments, including foreign currency and consolidation considerations.
Financial Reporting and Controls:
Expertise in financial close processes, reconciliations, variance analysis, and internal control frameworks.
Ability to develop, implement, and enforce accounting policies and procedures to ensure accuracy and compliance.
Software and Systems Proficiency:
Advanced proficiency in Microsoft Excel (e.g., pivot tables, VLOOKUP, financial modeling, data analysis).
Experience with enterprise resource planning (ERP) systems such as NetSuite (preferred), SAP, Oracle, or similar.
Familiarity with accounting automation and workflow tools to streamline processes.
Leadership and Team Development:
Strong people management skills, including the ability to coach, motivate, and develop team members.
Ability to allocate tasks and set priorities to ensure team efficiency and effectiveness.
Communication and Collaboration:
Excellent written and verbal communication skills, with the ability to explain complex accounting concepts to non-financial stakeholders.
Ability to build relationships and collaborate across teams and functions to drive initiatives forward.
Analytical and Problem-Solving Skills:
Strong critical thinking, analytical, and problem-solving abilities to resolve issues and identify opportunities for improvement.
Ability to handle multiple priorities and deliver accurate work under tight deadlines.

Certifications, Education, and Experience:

Required
12+ years of progressive accounting experience, with at least 6 years in leadership or management capacity.
Proven experience managing accounting operations, including month-end close, audits, and financial reporting
Strong technical knowledge of U.S. GAAP and internal controls
Preferred
Prior experience in a Controller or Assistant Controller capacity
Public accounting background, preferably with a Big 4 firm
Experience in a fast-paced, high-growth environment, ideally with exposure to SECreporting or IPO readiness
Familiarity with multinational operations, including intercompany accounting and foreign currency translation
Knowledge of financial systems such as NetSuite, Workday, SAP, or comparable ERP platforms
Exposure to M&A, system implementations, or business transformation initiatives

Licenses:

Certified Public Accountant (CPA) certification required.
Equivalent professional accounting certification (e.g., Chartered Accountant) may be considered for international candidates.

Physical/Travel Requirements

This role requires 100% of work to be performed in a remote office environment and requires the ability to use keyboards and other computer equipment.
This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.

Diversity & Inclusion

We serve patients and researchers from diverse cultures and communities around the world. We are stronger and better when we build a team representing the people we aim to support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission. We value diversity and believe that unique contributions drive our success.

At Care Access, every day, we are advancing medical breakthroughs. We’re uniting standard patient care with cutting-edge treatments and research. Our work brings life-changing therapies to those in need and paves the way for newer and greater treatments to reach the world. We’re proud to advance these breakthroughs and work with the big players while engaging with the

physicians and caring for patients.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Care Access is unable to sponsor work visas at this time.

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