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Director, Accounting

upperlinehealth

upperlinehealth

Accounting & Finance
Nashville, TN, USA
Posted on Feb 7, 2026

A Specialty Path to Good Health
Upperline Health is the nation’s largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.

Triage is temporary.
Treatment is transformative.

Upperline Health providers coordinate patients’ care among a team of specialists – physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs.

We put patients at the center of value-based care.

About the Director, Accounting

Upperline Health is seeking a Director of Accounting to oversee the company’s accounting operations, including producing financial reports, maintaining accounting records, managing a team of accounting professionals performing various accounting functions centered around month-end close, and driving continuous improvement and innovation within the accounting department.

Areas of responsibility also include general ledger, technical accounting, and the associated analysis, reporting, and reconciliations. This role will ensure that accounting practices comply with organizational accounting policies and applicable laws and regulations.

*This is a hybrid position, working out of our Nashville office Monday, Wednesday, and Thursday.

What You’ll Do:

  • Develop and implement financial systems, processes, controls, and procedures for accounting functions ensuring compliance with all GAAP standards.
  • Manage and develop assigned accounting staff
  • Establish relationships with outside auditors; assist in coordinating the preparation of the annual audited financial statements and workpapers.
  • Facilitate timely closing of monthly financial records and preparation of accurate financial reports. Supervises general journal entries in relation to monthly closing of financial records.
  • Oversee the accounting operations of affiliated companies and joint ventures, ensuring consistency of reporting and accounting policies and procedures throughout.
  • Supervises reconciliations of balance sheet accounts on a monthly basis.
  • Review monthly financials to ensure accuracy and timely completion.
  • Prepare monthly financial statement analysis, including balance sheet and income statement fluctuation analysis
  • Deliver complete and accurate monthly financial reporting packages for management and investors
  • Establish, monitor, and enforce financial-related policies and procedures.
  • Identify and execute process improvements
  • Provide support to other leaders within the team and across the company by addressing any financial-related concerns or questions that arise.
  • Supports all accounting staff and serves as a backup when needed.
  • Monitor healthcare industry accounting trends to establish and implement best practices.
  • Other duties as assigned (may include acquisition and technical accounting, system implementations, etc)

Qualifications of the Director, Accounting:

  • Bachelors degree in Accounting or Finance required with a minimum of 7+ years of progressive accounting experience.
  • Active CPA required.
  • Healthcare experience highly preferred; Value-based care experience a plus.
  • Strong Microsoft Office suite skills (Excel, Word, PowerPoint); Sage Intacct experience a plus.
  • Demonstrated leadership including excellent interpersonal and relationship-building skills.
  • Proven background in strategically implementing best practices around reporting and accounting processes.
  • Ability to understand and analyze complex transactions, apply complex accounting requirements to those transactions, and effectively communicate the results to the stakeholders.
  • Excellent organizational and problem-solving abilities.
  • Ability to effectively multi-task on a daily basis with shifting priorities.
  • Ability to work independently, exercise judgment and make sound decisions with financial integrity
  • Thorough and analytical attention to detail and critical thinking skills.
  • Exceptional written and verbal communication skills.
  • Experience managing teams with a demonstrated ability to effectively delegate.
  • Comfort in a fast-paced, dynamic environment with changing priorities.

Benefits
Comprehensive benefit options include medical, dental and vision, 401K (matching), PTO and parental leave.

Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.

Job Type: Full-time