Accounting Manager
Sagis, PLLC is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals. One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner.
The Accounting Manager partners closely with the Controller and CFO to oversee the day-to-day operations of the accounting department, ensuring the accuracy, timeliness, and integrity of financial reporting across a multi-entity healthcare organization. This role leads and develops accounting staff, drives continuous improvement of accounting systems and processes — including the use of AI and automation to modernize close, reconciliation, and reporting workflows — and serves as a key contributor to budgeting, variance analysis, and finance systems strategy. The role typically requires 3+ years of managerial or supervisory experience, deep knowledge of accounting operations, and a genuine curiosity for using technology to make the finance function faster and more accurate.
Job Responsibilities:
- Oversees and directs the day-to-day operations of the accounting team, acting as a key partner to the Controller and CFO on close, reporting, and process matters.
- Implements and trains accounting staff on accounting policies and procedures that adhere to governmental, financial, and tax regulations and comply with GAAP standards.
- Leads monthly, quarterly, and annual close processes, including GL accuracy, account reconciliations, and fixed asset accounting.
- Identifies opportunities to apply AI and automation to accounting workflows — such as reconciliations, variance analysis, and reporting — and partners with the team to design, test, and roll out these tools.
- Builds and maintains AI-supported dashboards and reporting tools that translate GL, budget, and operational data into clear, decision-ready views for leadership.
- Monitors and evaluates accounting systems and processes (ERP, budgeting, and payroll platforms) to identify areas for improvement and drive standardization.
- Supports staffing activities including interviewing candidates, conducting performance reviews, and setting employee goals.
- Collaborates cross-functionally with FP&A, HR/benefits, and operations teams on shared initiatives and reporting needs.
- Assists with the budget process, including variance analysis and clear, well-supported communication of budget drivers to finance leadership.
- Supports MSO/MSA structuring and related compliance work
- Communicates with vendors and maintains oversight of the accounts payable process, including preparing cash disbursement approvals.
Qualifications
- Bachelor’s degree in Accounting or Finance
- 3+ years’ managerial or supervisory experience
- 5+ years’ progressive accounting experience
- Experience in Accounting in the Healthcare industry (laboratory, physician services) preferred
- Financial statement analysis
- Accounting software and ERP systems experience (Microsoft Business Central strongly preferred)
- Demonstrated experience using AI tools (e.g., Claude, Copilot, or similar) to build dashboards, streamline reporting, or automate accounting workflows
- Comfort working across integrated finance systems (e.g., Vena, Paycom, UKG, Emburse, or similar budgeting/payroll platforms)
- Accounting management
- Asset management
- Financial accounting
- Operations management
- Project management
- Resource planning
- Operational policy development
Preferred / A Plus:
- Exposure to MSO/MSA structuring
- Experience building or maintaining an internal knowledge base, AI agent, or automated workflow for a finance team
- A track record of process improvement through technology rather than added headcount
At Sagis, we offer:
- Medical, Dental, and Vision Insurance
- Company-Paid Short-term and Long-term Disability, Basic Life, EAP
- Voluntary Accident/Critical Illness/Life insurance
- Fair Wages
- 401(k) Contribution
- Vacation
- Paid Parental Leave
- Floating Holidays
- Scheduled Holidays
- Comfortable work environment
- Wellness Initiatives
- Tuition Assistance
- Job Training/Career Development
- Great Team Leaders
Job Type: Full-time
Work Location: In person
Skills Required
- Bachelor's degree in Accounting or Finance
- 3+ years of managerial or supervisory experience
- 5+ years of progressive accounting experience
- Financial statement analysis experience
- Accounting software and ERP systems experience
- Experience using AI tools to build dashboards, streamline reporting, or automate accounting workflows
- Comfort working across integrated finance systems, including budgeting and payroll platforms
- Healthcare accounting experience, particularly in laboratory or physician services
- Microsoft Business Central experience
- Exposure to MSO/MSA structuring
- Experience building or maintaining an internal knowledge base, AI agent, or automated finance workflow
- Track record of technology-based process improvement
What We Do
Sagis is a physician-owned, specialized pathology group and comprehensive diagnostic laboratory backed by a CLIA and CAP-accredited histology laboratory. The company provides accurate and timely pathology interpretations, toxicology testing, and specialized lab services to physicians, clinics, and health systems, focusing on extraordinary product quality and customer service through a patient-centric approach.
