Accounting Manager

Finance & Accounting

Location: Remote

Status: Full-Time

Compensation: $110,000-120,000

About the Role

Onspire is hiring an Accounting Manager to lead our day-to-day financial operations and supervise our Accounting team. In this role, you'll own the full accounting cycle, produce clear and timely reporting, and work closely with our CFO and broader leadership to support sound financial decisions. It's a high-impact position for someone who takes ownership, works with precision, and wants to grow alongside a fast-paced company.

What You'll Do

Financial Operations & Accounting

• Manage the full accounting cycle, including A/R, A/P, general ledger, bank reconciliations, and month-end close

• Ensure accurate and timely recording of all financial transactions in accordance with GAAP

• Oversee billing and invoicing processes, ensuring accuracy and timely delivery to clients

• Process and manage vendor payments, employee expense reports, and credit card reconciliations

• Maintain organized financial records and documentation in support of audits and reviews

Reporting & Analysis

• Prepare monthly, quarterly, and annual financial statements and reports for leadership review

• Develop and maintain dashboards and reporting tools that provide leadership with clear visibility into financial performance

• Conduct variance analysis and identify trends, risks, and opportunities across revenue, expenses, and margins

• Support annual budgeting and forecasting processes in partnership with leadership

Payroll & Compliance

• Coordinate with our payroll provider to ensure accurate, on-time payroll processing

• Maintain compliance with federal, state, and local tax requirements, including filings and remittances

• Assist with preparation for tax filings and support external accountants or auditors as needed

• Monitor regulatory changes and ensure Onspire's financial practices remain current and compliant

Systems & Process Improvement

• Serve as the primary owner of our accounting systems (NetSuite experience preferred)

• Identify opportunities to streamline, automate, and improve financial workflows

• Establish and document internal controls and accounting procedures to support scalability

• Collaborate with operations and leadership on financial system improvements and integrations

Cross-Functional Partnership

• Partner with agency leadership to provide financial insight that supports strategic planning and business decisions

• Collaborate with project managers and client services teams to ensure accurate project accounting and profitability tracking

• Serve as a trusted resource for financial questions across the organization

What You Bring

• 5+ years of experience in accounting or finance, with at least 1–2 years in a manager or lead capacity

• Strong knowledge of GAAP and general accounting principles

• Proficiency with accounting software (NetSuite preferred); experience with project-based billing a plus

• Advanced skills in Excel; comfortable working with financial models and reports

• Strong attention to detail with the ability to manage multiple priorities and deadlines with accuracy

• Clear communicator who can translate financial data into plain-language insights for non-finance stakeholders

• Self-starter with a proactive mindset and a bias toward process improvement

About Onspire

At Onspire Health Marketing, we are a full-service healthcare marketing agency that helps providers, hospitals, and health systems accelerate intelligent growth through strategy, creativity, and technology. Our mission is to ignite long-term growth for healthcare clients through purposeful, integrated marketing solutions that inspire better health for providers, patients, and communities.

We combine digital innovation with data-driven strategy to help clients connect, engage, and grow in meaningful ways.

Our Core Values: Empathy • Integrity • Innovation • Collaboration • Curiosity

Why You'll Love Working at Onspire

• Collaborative, growth-minded culture that values curiosity, innovation, and doing great work together.

• Medical, Dental, and Vision Insurance: Comprehensive coverage to support your well-being.

• 401(k) with Employer Match: Helping you plan for your future.

• Paid Time Off (PTO): Generous vacation, sick leave, and holiday pay.

• Flexible Work Options: Remote work with flexible hours for work-life balance.

An Equal Opportunity Employer

We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, or any other protected status.

Compensation

This role offers a competitive compensation package including a base salary and comprehensive benefits. Final compensation will be determined based on experience, skills, and qualifications.