About Sage Health

We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They’ve earned it.

Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients’ healthcare needs, and partner with Medicare Advantage plans that fully cover primary care.

Unlike other physician practices, a Sage Health physician has a patient panel of 400 or less, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.

Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States.

Company Perks

• Join a growing company with a community focused mission to make a difference in the lives of seniors!
• Our employee Net Promoter Score (eNPS) ranks above industry standards reflecting our strong commitment to delivering exceptional service and satisfaction.
• We promote a company culture that values, recognizes, and rewards its employees for their contributions through Nectar, our employee engagement platform.
• Medical, Dental and Vision benefits with generous employer provided contributions to offset per paycheck premium costs.
• 3 different medical plan options to provide flexibility to meet personal needs including: 2 PPO options and a CDHP plan that includes a $500/year HSA employer match
• Healthcare & Dependent Care Flexible Savings Accounts (FSAs)
• Access to Employee Assistance Program (EAP) for support and work-life benefits for you and your immediate family.
• Employer-paid Life Insurance, Short-term and Long-term Disability benefits. Optional voluntary life insurance is also available.
• A 401k retirement plan offered through Transamerica for long-term financial savings & planning.
• Flexible time off including: generous PTO, 7 paid company holidays and 2 floating holidays.
• Opportunities for career growth and advancement within the company.

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact team@sage.health. 

About the role

Accounting Manager – Remote

We are seeking an experienced Accounting Manager to lead core accounting operations in a fast-paced, high-growth environment. The ideal candidate brings strong technical accounting expertise, experience in private equity-backed organizations, and a background in VBC (Value-Based Care), healthcare, or public accounting.

This role requires someone who can not only produce accurate financials, but also analyze results, explain variances, and provide meaningful insights to leadership.

What you'll do

PRIMARY RESPONSIBILITIES 

• Financial Analysis and Reporting: Lead the preparation and analysis of financial statements—balance sheets, income statements, and cash flow statements—ensuring precision and attention to detail. Provide senior management with detailed financial reports, offering valuable insights and strategic recommendations. 

• General Ledger Management: Supervise general ledger activities, including journal entries, account reconciliations, and period-end closing processes. Ensure accurate recording of transactions, maintain proper documentation, and oversee compliance with accounting standards. 

• Internal Controls: Develop and implement robust internal control procedures to protect company assets, reduce risks, and ensure regulatory compliance. Identify control gaps and propose solutions for process improvements, fostering a culture of accountability. 

• Audit Coordination: Manage interactions with external auditors during the annual audit process. Provide necessary documentation, address audit inquiries, and oversee the implementation of recommendations resulting from audit findings. 

• Financial Analysis: Direct detailed financial analysis, including variance analysis and trend forecasting, to assess financial performance, identify risks, and uncover opportunities. Prepare comprehensive reports to support strategic decision-making. 

• Budgeting and Forecasting: Oversee the development and monitoring of annual budgets and forecasts. Collaborate with department heads to gather pertinent information, offer insights into financial projections, and guide cost management strategies. Once the budget is complete, provide budget vs actual reporting. 

• Tax Compliance: Coordinate with external tax advisors to ensure accurate and timely tax reporting. Manage tax-related documentation and compliance efforts. 

• Treasury & Vendor Management: Supervise cash flow monitoring (weekly cash flow forecast) and oversee the invoice payment and approval process. Implement treasury management controls and ensure accurate bank reconciliations. 

• Lender management: work with the CFO and head of FP&A to ensure covenant compliance.  Prepare covenant certificates 

• Process Improvement: Evaluate and enhance accounting processes and systems, identifying opportunities for improved efficiency, accuracy, and effectiveness. Implement best practices and recommend changes to streamline financial operations. 

• Staff Management: Manage and review the work of staff accountants, providing guidance, support, and feedback. Ensure their work aligns with organizational goals and standards, and foster their professional development through regular training and performance evaluations. 

• Perform other related duties as assigned.   

Qualifications

REQUIRED QUALIFICATIONS: 

• Bachelor's degree in Accounting, Finance, or related field. CPA certification or active pursuit of CPA qualification is preferred. 

• At least five of experience as a Senior Accountant or similar role. Previous experience at a Big 4 accounting firm is highly desirable. 

• Experience managing, mentoring, and reviewing the work of Staff Accountant(s).  

• Strong understanding of accounting principles (GAAP) and financial reporting standards 

• Proficient in using accounting software and ERP systems. Experience with QuickBooks, NetSuite, or similar platforms is a plus. 

• Strong analytical and problem-solving skills, with the ability to interpret complex financial data. 

• Process mentality—fix repeatable processes once rather than solving immediate problems with heroic effort 

• Excellent attention to detail and accuracy, with the ability to meet deadlines and work independently. 

• Strong communication skills, both verbal and written, with the ability to convey financial information effectively. 

• Advanced proficiency in Microsoft Excel. 

• Previous experience at a start-up or healthcare company is preferred. 

• Demonstrated enthusiasm for finance and a passion for learning and growth. 

Reports To: CFO – Finance 

Sage Health will adhere to all federal, state, and local regulations, as well as all client requirements, and will obtain necessary proof of vaccination. Boosters, when applicable, before employment to ensure compliance.