Accounting Manager (Remote)

About this role

Get to Know Rivia Mind

At Rivia Mind, we believe great mental health care begins with a human connection.

Where We Are: We are a psychiatrist-owned mental health practice rooted in New York City, serving individuals across New York, New Jersey, Connecticut, Florida, and Massachusetts through both virtual and hybrid appointments.

How We Support: With a Whole-Person Lens, we provide compassionate, science-based care that honors the full complexity of a person’s biology, psychology, and life circumstances. We go beyond symptom management with an interdisciplinary care model grounded in collaboration, personalization, and delivered with warmth, respect, and clinical integrity. We bring a high-touch, human-centered approach to every aspect of care, from clinical treatment to operational coordination. Click Here to learn more about our services.

Thrive Together: 🌟 Our shared North Star unites us to provide the best patient experience.

At Rivia Mind, we cultivate a collegial culture rooted in:

• A foundation of shared values and reciprocal support

• A mindset of curiosity, learning, and growth

• A spirit of warmth, openness, and authentic connection

Together, we turn challenges into opportunities, and every team member helps shape the future of care at Rivia Mind.

Job Summary

The Accounting Manager will lead Rivia Mind’s day-to-day accounting operations and financial reporting as we continue scaling our multi-state mental health practice. Reporting directly to executive leadership and supervising an Accounting Coordinator, you will oversee all core accounting functions—including general ledger management, a timely month-end close, AP/AR, revenue cycle reconciliations, provider payouts, and tax compliance.
Beyond operational accounting, you will play a key analytical role by driving monthly departmental budget-vs-actual variance reporting and leading the annual budgeting process in partnership with the CEO and executive leadership. The ideal candidate blends rock-solid GAAP accounting and healthcare/RCM literacy with a tech-forward mindset focused on process automation, data integrity, and cross-functional leadership in a fast-paced, remote environment.

Application Window: Until August 17th, 2026
Anticipated Start Date: End of September to early October 2026.
# of Openings: 1
Job Responsibilities & Qualifications

Responsibilities

Core Accounting & Month-End Close

• Manage Cash Flow & Banking Activity: Monitor organizational cash flow, banking activity, expected deposits, vendor payments, payroll funding, and other cash requirements to support sound financial decision-making.

• Ensure revenue, contractual adjustments, refunds, write-offs, and related receivables are recorded accurately and consistently in accordance with company policy and US GAAP.

• Manage Month-End Close & GL: Oversee the month-end, quarterly, and annual accounting close processes in accordance with US GAAP, ensuring accurate general ledger management, bank reconciliations, and timely posting of financial data.

• Prepare and review monthly financial statements, including the income statement, balance sheet, and cash-flow reporting, along with supporting schedules and management commentary.

• Oversight of AP, Payroll & Payouts: Supervise day-to-day accounts payable, corporate credit card programs, and expense management; collaborate with People Ops to ensure seamless payroll posting and provider payout accuracy.

• Review and reconcile provider compensation and payout calculations, including productivity-based payments, bonuses, corrections, and related payroll or contractor reporting, in partnership with People Ops and clinical operations.

• Support multi-state accounting and compliance requirements, including coordination of state filings, payroll-related accounting reconciliations, and other jurisdiction-specific financial obligations, as applicable.

• Vendor Tax Reporting: Oversee vendor tax compliance by maintaining W-9 documentation, validating vendor tax information, preparing and issuing annual Forms 1099, and coordinating any required tax reporting with external partners.

• Compliance & Tax Support: Maintain accounting policies and internal controls; coordinate with external CPA/tax partners for annual filings, tax documentation, and regulatory compliance.

Financial Planning & Budget Support

• Departmental Budgeting & Variance Analysis: Partner with executive leadership to facilitate the annual budgeting process; own the monthly Budget vs. Actuals reporting to help department heads track spending and manage variances.

• Reporting & KPI Dashboards: Develop and maintain meaningful financial reporting dashboards (using QuickBooks integrations or reporting software) to provide leadership with clear visibility into cost structures and financial performance.

• Financial Modeling: Build financial models for new models, services, or hires, as needed, and include appropriate forecasting and reforecasting of costs associated with projects.

Healthcare Operations & Systems Optimization

• Maintain Accounting for Provider Compensation: Ensure accurate accounting for provider compensation, productivity-based payments/reimbursements, and related accruals in accordance with company policies.

• Revenue Cycle Financial Reconciliation: Review revenue cycle activity and reconcile insurance reimbursements, clearinghouse deposits, merchant fees, and related revenue transactions to the general ledger.

• Partner with the RCM team to investigate discrepancies and ensure the accuracy and completeness of financial reporting.

• Process & Tech Optimization: Continuously evaluate financial workflows and technology stack to automate manual processes, eliminate unnecessary spreadsheet reliance, mitigate risk, and reduce month-end close timelines.

• Establish and strengthen scalable internal controls, approval workflows, documentation standards, and segregation-of-duties practices appropriate for a growing…