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Director of Practice Accounting

Director of Practice Accounting

Job ID 
Metro Area 
Dallas/Fort Worth, TX
Employment Status 

More information about this job


U.S. Anesthesia Partners (USAP) is the largest single-specialty anesthesia practice in the country with over 4,000 clinical providers and associates.  By joining our team you will participate in a highly collaborative and dynamic environment.  As an organization we are mission focused on delivering the highest quality in patient care and you will be directly supporting our talented clinical team.  We extend this same commitment to quality to our associates and supply tools and resources that will ensure we win in the healthcare marketplace and support of USAP.


We are proud of our inclusive people culture that supports our associates to perform at their best.  USAP is an equal opportunity employer.  Candidates with physician services or related health care experience is a plus. We offer a competitive benefits package. 


The Director of Practice Accounting is responsible for helping direct and coordinate the accounting for several the practices. Using the current shared services model as a model for incorporating other practices’ accounting functions into a centralized, shared services organization to support the development of consistent, best-in-class accounting functions based in Dallas for the company. The development of centralized, shared services accounting practices is expected to enable the company to have the scale to incorporate the inclusion of additional anesthesia practices given the company’s growth strategy.



  •  Working closely with the Vice President – Practice Accounting, determine optimal staffing and allocation of responsibilities for the current six platforms with a view to use this function as the basis for an expanded accounting organization that will assume the performance of key accounting functions for the organization over time.
  • Centralization of key accounting functions has started on a phased approached with the development of centralized accounts payable, full cycle accounting and accounting for banking/treasury functions as initial areas of focus. This role will be help in the development and implementation of plans to achieve a fully centralized, shared services accounting organization.
  • Provide for optimal processes across practices to efficiently and effectively prepare journal entries, including appropriate review procedures, as well as financial statement analytical review procedures (balance sheet and income statement) for each entity within the consolidated corporate ledger.
  • Implement best-in-class account reconciliation processes, including automated reconciliation processes wherever possible.
  • Integrate new acquisitions into the accounting department; setting up in MicroSoft NaVision, Concur and understand their physician Comp structure, whilst building relationships with practice management.
  • Participate with the company’s audit function in documenting key controls related to accounting processes, including documentation of controls and testing procedures in preparation for potential compliance requirements under Sarbanes Oxley (section 404).
  • Work closely with the Vice Presidents of Finance for each of the company’s practices to develop and provide key accounting data needed to effectively monitor and manage the company’s operations.
  • Serve as a key resource to the newly acquired practices to help them set up fully functioning accounting practice
  • Serve as a key resource for the company’s external auditors in providing them with the information required in connection with their audit of the practices financial statements.
  • Manage 15-20 staff and help and manage their development and goals
  • Manage new acquisitions and their set up in the Accounting System and support for opening balance sheets and audit.


JOB REQUIREMENTS (Knowledge, Skills and Abilities):

  • Energetic, forward-thinking and creative individual with high ethical standards and an appropriate professional image.
  • A strategic visionary with sound technical skills, analytical ability, good judgment and strong operational focus.
  • Well organized and self-directed individual who is a team player.
  • A good educator who is trustworthy and willing to share information and serve as a mentor.
  • An excellent communicator who is experienced relaying financial concepts & GAAP reporting requirements.
  • A decisive individual who possesses a "big picture" perspective and is well versed in Accounting & Finance.
  • Demonstrated ability to work cooperatively with stakeholders, all staff members and external financial partners, banks and other lenders.
  • Ability to meet deadlines.
  • Working knowledge of computers and ability to use word-processing, spreadsheet and data base programs.
  • Strong attention to accuracy and detail.
  • Exceptional organizational skills.
  • Ability to communicate effectively, both in writing and verbally.
  • Self-motivated; ability to work without direct supervision.
  • Must have a pleasant disposition and high tolerance level for diverse personalities.
  • Communicate well with the public
  • Ability to read, write, and speak English


US Anesthesia Partners, Inc. 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.



  • Bachelor’s degree in accounting and at least five (5) years financial management experience in a healthcare company; or equivalent combination of education and experience.
  • C.P.A. designation required.

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