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About the Role

The Senior Manager, Accounting Operations is responsible for owning the company’s end-to-end accounting operations infrastructure, including accounts payable, payroll, and disbursement workflows. This role is accountable for building a scalable, controlled, and efficient operating model that supports a multi-entity, acquisition-driven business.

Responsibilities

• Own end-to-end accounting operations, including accounts payable, payroll, and all disbursement-related workflows
• Ensure accurate and timely execution of vendor payments, employee payroll, commissions, and reimbursements
• Establish and enforce SLAs, controls, and escalation paths across all operational accounting processes
• Maintain accountability for vendor master data, payment accuracy, and payroll integrity
• Design and implement standardized, scalable processes across AP and payroll
• Identify and eliminate manual work, reduce risk, and improve cycle times
• Build and maintain SOPs and documentation to ensure consistency and audit readiness
• Lead integration of newly acquired clinics into accounting operations workflows
• Own and optimize systems supporting AP, payroll, expense management, and disbursements (NetSuite, Ramp, payroll platforms)
• Drive automation and workflow improvements
• Ensure alignment between operational systems and the general ledger
• Ensure accurate and timely recording of AP and payroll activity in the monthly close
• Oversee preparation and review of accruals, journal entries, and reconciliations related to operational accounting
• Maintain strong internal controls, including approval workflows and segregation of duties
• Support audits, lender requests, and diligence processes
• Partner with Finance leadership to manage and forecast cash outflows
• Monitor disbursement trends and identify risks or inefficiencies
• Align payment timing with working capital strategy and business needs
• Lead, develop, and scale the accounting operations team
• Set clear expectations for performance, timelines, and quality
• Drive a culture of ownership, responsiveness, and continuous improvement
• Serve as escalation point for vendor, employee, and internal issues
• Partner with Accounting, FP&A, HR, and Operations to ensure alignment
• Support compensation structures, commission calculations, and payroll-related initiatives
• Act as the primary finance partner on payment and payroll-related matters

Requirements

• 7+ years of progressive accounting experience, including experience in acquisition-driven or private equity–backed environments
• Strong experience in multi-entity, multi-location accounting and financial reporting
• Strong operational and process-oriented mindset
• Ability to scale workflows in a high-growth environment
• Clear communicator who drives accountability
• Strong understanding of internal controls
• Proactive and solutions-oriented
• Familiarity with acquisition integrations, audit support, and lender reporting
• Strong understanding of GAAP, internal controls, and audit requirements

Skills

• NetSuite
• Ramp
• GAAP

Experience Level

• 7+ years

Education Level

• Active CPA required

About the Company

• Annie Aesthetic is a private equity platform that acquires and operates best-in-class medical aesthetics and functional health businesses across the United States.
• Our portfolio includes medspa brands and functional health clinics operating across multiple states, with an active pipeline of add-on acquisitions underway.
• We take a hands-on, operator-led approach — providing each portfolio company with financial, operational, and strategic resources to drive sustainable, long-term growth.
• Our team is lean, execution-focused, and deeply embedded in the day-to-day of the businesses we own.