Full-Time

Manager – Accounting

Posted on 9/23/2025

Akumin

Akumin

1,001-5,000 employees

Outsourced radiology and oncology services

No salary listed

Fayetteville, NC, USA + 25 more

More locations: Houston, TX, USA | Concord, NC, USA | Knoxville, TN, USA | Nashville, TN, USA | Morrisville, NC, USA | El Paso, TX, USA | Jackson, TN, USA | Austin, TX, USA | Corpus Christi, TX, USA | Clarksville, TN, USA | Dallas, TX, USA | Raleigh, NC, USA | Durham, NC, USA | Plano, TX, USA | Franklin, TN, USA | Winston-Salem, NC, USA | Charlotte, NC, USA | San Antonio, TX, USA | High Point, NC, USA | Fort Worth, TX, USA | Greensboro, NC, USA | Laredo, TX, USA | Wilmington, NC, USA | Chattanooga, TN, USA | Murfreesboro, TN, USA

Remote

Must reside in Eastern or Central Time Zones.

Category
Accounting (3)
, ,
Required Skills
Financial analysis
Excel/Numbers/Sheets
Requirements
  • Bachelor’s degree in Accounting or Finance.
  • 6-8+ years of progressive accounting experience, including a mix of Big 4 public accounting and industry experience.
  • Ability to research and discuss complex accounting and reporting issues.
  • Strong Excel skills.
  • Experience leading accounting teams in dynamic, high-growth environments.
  • Proficient in ERP systems and financial reporting tools.
  • Proven ability to drive process improvements, standardization, and operational efficiencies.
  • Experience with external audits and preparation of financial statements and supporting schedules.
  • Excellent communication, organizational, and problem-solving skills.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Collaborative mindset and strong leadership skills to develop and manage a team.
  • Ability to travel up to 15%.
Responsibilities
  • Responsible for the monthly/quarterly/annual accounting close process, including preparation and/or review of significant accruals (i.e. retail AR reserves). Supervise and review/approve journal entries and monthly balance sheet account reconciliations to verify proper accounting in accordance with GAAP and proper supporting documentation. Ensure that accounting functions and duties are accurately and promptly completed.
  • Responsible for accuracy of joint venture reporting, recommending correcting entries as appropriate. Identify efficiencies to scale joint venture close processes to include additional entities as needed. Work in close partnership with financial planning and patient accounting services departments.
  • Support ongoing accounting transformation initiatives to optimize processes, improve data quality, and enhance reporting capabilities.
  • Maintain and strengthen internal controls and ensure compliance with SOX and other regulatory requirements.
  • Collaborate with external auditors and coordinate audit requests and deliverables.
  • Assist with accounting aspects of M&A transactions, including due diligence and integration activities.
  • Review periodic (monthly, quarterly, annual) consolidated and disaggregated financial results to ensure accuracy and reasonableness, performing financial analyses, investigating questionable transactions, and making recommendations for corrections as needed. Assist with preparation of monthly management and board financial packages as needed.
  • Lead and motivate staff. Provide guidance and information to senior and staff accountants, as well as formal supervision (including performance reviews, goal setting, disciplinary action, time off approval and day-to-day oversight and direction).
  • Partner cross-functionally with FP&A, Legal, Treasury, Tax, and other teams to support business initiatives and financial reporting needs.
  • Research and discuss complex accounting and reporting issues related to significant Company transactions and financial reporting processes, including newly formed joint ventures, site divestitures, physician compensation, accounts receivables and bad debt reserves. Assist with accounting due diligence related to new acquisitions. Perform technical research as needed.
  • Supervise, coach, and develop a team of accounting professionals, fostering a culture of accountability, continuous learning, and operational excellence.
  • Contribute to system enhancements, implementations, and process automation initiatives to improve efficiency and scalability of accounting operations.
  • Assist in preparing financial analyses and reports for executive management and stakeholders as needed.
  • Ensure compliance with applicable local, state, and federal regulations.
Desired Qualifications
  • CPA certification.
  • Healthcare industry experience.
  • ERP system upgrades or implementations experience.

Akumin provides outsourced radiology and oncology services to hospitals, health systems, and physician groups across the United States through a network of fixed-site outpatient imaging centers and outpatient radiology and oncology services. It operates imaging centers and partners with healthcare facilities to offer diagnostic imaging, interpretation, and related outpatient services at scale across 47 states. Its nationwide focus on outsourced radiology and oncology allows hospitals to access imaging and cancer-care resources without maintaining all services in-house. The company aims to be a trusted partner for healthcare providers by delivering reliable, scalable imaging and cancer-care services that improve patient access to diagnostics and treatment.

Company Size

1,001-5,000

Company Stage

IPO

Headquarters

Plantation, Florida

Founded

1997

Simplify Jobs

Simplify's Take

What believers are saying

  • Stonepeak invests $154M for long-term growth capital.
  • Debt restructures to new notes due 2031 at 8.75-9.75%.
  • Private equity drives steady diagnostic imaging deals in 2025.

What critics are saying

  • RadNet acquisitions capture Akumin's MRI market share.
  • Stonepeak strips assets post-privatization in 18-36 months.
  • Alliance HealthCare poaches radiation oncology referrals.

What makes Akumin unique

  • Akumin AXIS Drop Trailer expands mobile imaging capabilities.
  • Relocatable MRI suites launched at RSNA meeting.
  • National network offers outpatient imaging and radiation therapy.

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Benefits

Flexible Work Hours

Company News

Innovate Healthcare
Jan 5th, 2026
Akumin secures $154M investment and restructures debt to extend repayment timeline to 2031

Akumin Inc. has secured $154 million in new capital from Stonepeak, an alternative investment firm, to support long-term growth of its imaging and radiation oncology services. The company is also restructuring its debt with noteholders representing over 95% of its outstanding senior secured notes. Under the agreement, Akumin's existing debt will be exchanged for new senior secured notes due in 2031, carrying a 9.75% interest rate that can drop to 8.75% if certain credit targets are met. The company's revolving credit facility, with roughly $119 million outstanding, will convert into preferred equity or move to a lower-priority position. The restructuring follows Akumin's recent launch of new offerings at the Radiological Society of North America meeting, including its Axis Drop Trailer and relocatable MRI suites.

Cantech Letter
Oct 23rd, 2023
Akumin likely won’t get a better offer than Stonepeak, Clarus says

The deal from private equity firm Stonepeak to acquire Akumin likely won’t be topped, says Clarus Securities analyst Noel Atkinson.

PR Newswire
Oct 20th, 2023
Akumin Inc. Reaches Agreement With Stonepeak To Become A Private Company

Financial restructuring to fortify balance sheet and provide liquidity runway for next stage of growthApprovals received from key stakeholders across capital structure; transaction will be implemented through prepackaged court-supervised process; Expected to obtain court approval within the next 45 daysBusiness will continue to operate as usual without interruption; trade creditors, employees, and other partners expected to continue to be paid in ordinary coursePLANTATION, Fla., Oct. 20, 2023 /PRNewswire/ - Akumin Inc. ("Akumin" or the "Company") (NASDAQ: AKU) (TSX: AKU) announced today that it has reached an agreement with Stonepeak, a leading alternative investment firm specializing in infrastructure and real assets, and the Company's stakeholders on the terms of a financial restructuring that will substantially improve the Company's balance sheet and provide ample liquidity to position Akumin for future success. The contemplated transaction will result in Akumin no longer being publicly listed.To effect the transaction in a timely and efficient manner, the Company and certain of its subsidiaries will commence prepackaged chapter 11 cases in the Southern District of Texas. The Company expects to obtain court approval of the transaction within the next 45 days and complete the transaction after receiving certain regulatory approvals. Throughout the process, Akumin's operations are expected to continue as normal

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