Senior Manager, Accounting Operations

    ~$134,848 - $250,433Market Estimate
    Full-Time
    Senior (7+ yrs)
    Finance & Accounting
    Posted on October 10, 2026

    The Opportunity - Senior Manager, Accounting Operations

    The Senior Manager, Accounting Operations is a key leader within Annie’s finance organization and reports directly to the SVP of Finance. This role 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. The Senior Manager leads a high-volume, process-driven function and ensures that all cash outflows, employee compensation, and vendor payments are executed accurately, timely, and in alignment with company priorities.

    This role operates as a peer to the Senior Accounting Manager, with clear ownership of accounting operations, systems, and execution.


    About Annie Aesthetic

    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.

    Key Responsibilities


    Accounting Operations Ownership

    • 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


    Process Design, Standardization & Scale

    • 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


    Systems & Automation

    • 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


    Financial Close & Controls

    • 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


    Cash Flow & Disbursement Management

    • 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


    Team Leadership & Accountability

    • 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


    Cross-Functional Partnership

    • 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


    Qualifications

    • Active CPA required
    • 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

    Company:  Annie Aesthetic

    Medical aesthetics group partnering with or acquiring clinics across the USA.
    2-10 employees
    Healthcare & Life Sciences
    HQ: United States