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Finance & Accounting Manager (Healthcare)

Colorado Center for Dermatology & Skin Surgery is a growing, privately-owned dermatology practice seeking a Finance & Accounting Manager to take full ownership of our financial operations. This is a hands-on role for someone who enjoys both execution and improving systems—and wants to grow into a broader leadership position over time.

This role is ideal for someone who is ready to move beyond task-based work and take ownership of the numbers.

Key Responsibilities

Financial Operations

  • Manage Accounts Payable and vendor relationships
  • Own month-end close and general ledger (Xero)
  • Perform bookkeeping and reconciliations
  • Prepare accurate monthly financial reports
  • Prepare and process payroll
  • Handle sales tax filings

Reporting & Dashboard

  • Own and maintain our internal financial dashboard
  • Pull and validate data from EHR (Modernizing Medicine) and internal systems
  • Ensure reporting is accurate, timely, and reliable
  • Identify discrepancies and trends over time

Process Improvement

  • Streamline workflows and reduce manual processes
  • Improve efficiency and reporting clarity
  • Partner with leadership to strengthen financial operations

Qualifications

  • 5+ years of accounting or bookkeeping experience
  • Strong understanding of month-end close and reconciliations
  • Experience owning financial processes (not just supporting)
  • Proficiency in Xero (or similar) and Excel/Google Sheets
  • Detail-oriented, proactive, and solution-focused

Preferred

  • Healthcare or medical practice experience
  • Experience in a small business environment

Why This Role

  • High ownership and visibility
  • Opportunity to grow into a broader leadership role
  • Work directly with engaged leadership
  • Build and improve systems—not just maintain them

Primary location: Centennial, CO. This position is in-person and may be eligible for hybrid remote based on performance and company alignment.

Application Process

We are intentional about building a high-performing, dependable team. To be considered, please complete the following steps:

Candidates who complete all steps demonstrate the level of follow-through and professionalism we value in this role.

Pay: $75,000.00 - $85,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee discount
  • Health insurance
  • Health savings account
  • Paid time off
  • Referral program
  • Vision insurance

Application Question(s):

Education:

  • Bachelor's (Required)

Experience:

  • Accounting or Bookkeeping: 5 years (Required)

Work Location: In person

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