Accounting Manager

Who We Are: 

With the collective efforts of our epic team members, we’re trailblazing a new path in the DME industry. Synapse Health was founded in 2016 with a goal to fix the fractured DME ecosystem and completely transform the industry. Built on decades of industry and leadership experience, we’ve launched tech-based solutions that eliminate age-old DME headaches, resulting in a seamless experience for all. We are proud to offer work that matters, on a mission that matters.  

Intrigued? Learn more at SynapseHealth.com and on Synapse Health’s LinkedIn. 

What We Need: 

We are seeking an Accounting Manager specializing in revenue and sales tax to join our team at Synapse Health. This role reports directly to the Controller and is responsible for overseeing accounting operations with a strong emphasis on revenue recognition and sales tax compliance. The ideal candidate will ensure accuracy, regulatory compliance, and efficiency across financial processes while leading and developing the accounting team.

What You Will Do: 

• Manage and oversee the daily operations of revenue accounting, accounts receivable, cash management, and tax compliance functions.
• Ensure timely and accurate revenue recognition in accordance with ASC 606 and collaborate with RCM teams to support billing and collections.
• Monitor and reconcile AR aging, cash activity, and revenue accounts; prepare related reports and analyses.
• Maintain compliance with sales & use tax, franchise tax, and business license requirements across all relevant jurisdictions.
• Oversee cash and treasury operations, including daily cash tracking, banking relationships, and treasury controls.
• Partner with the GL Accounting Manager to ensure alignment during close and audit cycles.
• Support external audits by preparing revenue and tax schedules, documentation, and responding to auditor inquiries.
• Implement and improve accounting processes, systems, and internal controls related to revenue, AR, and tax.
• Develop and maintain policies and procedures to ensure accuracy, compliance, and operational efficiency.
• Collaborate cross-functionally with FP&A, legal, commercial, and RCM teams to ensure accurate financial reporting and risk mitigation.

What You Have: 

At Synapse Health, we’ve intentionally built a culture of kindness, collaboration, and creativity. We consider those qualities essential for any new team member. Additional requirements include:

• Bachelor’s degree in Accounting, Finance, or a related field.
• 5–7 years of experience in accounting, with a strong background in revenue accounting and sales tax compliance.
• Proficient in MS Office applications and ability to learn department- and job-specific software systems.
• Experience in reporting, month-end close, bank reconciliation, and state & federal filings.
• Strong organizational, analytical, and communication skills.
• High attention to detail and a high degree of accuracy.

What Sets You Apart:

• Experience with ERP systems.
• CPA certification.
• Strong leadership skills.
• Ability to work under pressure and meet tight deadlines.
• Experience in healthcare accounting.
• Deep understanding of multi-state sales tax regulations and revenue recognition standards.

What Sets Us Apart:  

It’s no secret that most of us work to provide for ourselves and those we love, but just because we must work doesn’t mean we can’t enjoy it. In fact, at Synapse Health, we insist on it! We want our team members to thrive personally and professionally, which is why our benefits include:   

• Professional growth opportunities with compelling career paths 
• Healthy work-life balance culture with paid time off (PTO) 
• Medical, dental and vision insurance for full-time team members 
• 401K savings plan with employer contribution match 

Synapse Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Synapse Health, Inc will never request personal or sensitive information during the recruitment process. Please see our Careers Page for more information to protect yourself from scammers and to learn more about our recruitment process.