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
Skills Required
- Active CPA
- 7+ years progressive accounting experience
- Experience in acquisition-driven or private equity-backed environments
- Experience with multi-entity, multi-location accounting and financial reporting
- Strong understanding of GAAP, internal controls, and audit requirements
- Experience owning AP, payroll, and disbursement workflows
- Familiarity with NetSuite and payroll platforms
- Experience designing standardized, scalable accounting processes and SOPs
- Ability to lead and scale an accounting operations team
- Strong communication skills and ability to drive accountability
What We Do
Annie Aesthetic is a private equity-backed platform founded in 2022 that partners with and acquires leading medical aesthetics and functional health clinics across the United States. The company focuses on enhancing operational efficiency and growth by providing its partner clinics with comprehensive operational, marketing, legal, HR, technological, and capital support to help them scale and maintain best-in-class standards.








