AMSURG

Accounting Manager

• Senior Manager of M&A leads accounting workstreams for acquisitions, divestitures, mergers, and joint ventures, ensuring GAAP compliance and timely reporting.
• Ensure timely, complete, and accurate recording of M&A activity in accordance with GAAP.
• Lead and manage the M&A team, providing leadership, guidance, and support.
• Drive team results and accountability, mentoring and developing others.
• Oversight onboarding and offboarding of entities, including accounting due diligence.
• Ability to prepare but primarily review general ledger journal entries including opening balance sheets, etc.

Senior Manager, Accounting

Accountant

• Responsible for coordinating and executing the accounting workstreams related to month end close processes ensuring accurate revenue recognition compliant with GAAP.
• Report to the Senior Director of Revenue Recognition and involve collaboration with other departments.
• Perform month end, quarter-end and year-end close procedures for revenue accounts.
• Liaison between other departments including but not limited to Legal, HPR, and AMSURG Central Billing Office (CBO).
• Perform monthly revenue related analysis and assist with accounts receivable review and research.
• Complete reconciliations to ensure accuracy of monthly revenue accruals.
• Monitor central billing office access to accounting applications.

Senior Accountant, Revenue Recognition

• Remote-Centric Hybrid: Teammates primarily work from home but go to the office 1-2 times a month.
• The Senior Accountant of M&A Accounting is responsible for preparing and managing accounting workstreams related to entity acquisitions, divestitures, mergers, and joint venture contributions.
• This role ensures accurate and timely accounting in compliance with GAAP and supports the successful onboarding and offboarding of entities.
• Reporting to the M&A Lead, the position requires technical expertise in purchase and transaction accounting, along with the ability to interpret deal structures and their accounting implications.
• The Sr Accountant must effectively manage multiple concurrent transactions, ensuring timely and accurate ledger entries.
• Additionally, this role offers opportunities to contribute to process improvements, financial analysis, and other strategic initiatives.
• Prepare general ledger journal entries.
• Ability to onboard and offboard entities, including: Accounting due diligence – obtain and review seller financials and billing reports to identify concerns or risk.
• Interpret legal agreements to ensure accurate accounting treatment.
• Integration of new entities onto AMSURG platforms and processes.
• Timely and accurate completion of post close adjustments.
• Monitor status of any transition service agreements.
• Complete deconsolidation entries and cash analyses.
• Manage entity cash and complete net working capital calculations.
• Attend pre and post transaction calls.
• Identify and recommend improvements to process or control issues for newly acquired entities.
• Conduct income statement trend analysis for entities and prepare commentary for review of center’s financial reports.
• Investigate and resolve discrepancies identified through monthly reconciliations.
• Coordinate successful transition of newly acquired entities to center accounting team.
• Train center business office staff on policies and procedures related to accounts receivable and accounts payable.
• Collaborate and work effectively with other departments including Finance, Operations, Legal and leadership.
• Ability to track multiple complex transactions on different timelines.
• Analyze, explain, and report significant fluctuations in new entity activity.
• Participate in monthly management meetings discussing departments policies and procedures.
• Actively engage in process improvement initiatives within the Center of Excellence (COE).
• Support special projects and ad hoc requests as needed.

Senior Accountant

• Remote-Centric Hybrid: Teammates primarily work from home but go to the office 1-2 times a month.
• The Senior Manager of M&A leads accounting workstreams for acquisitions, divestitures, mergers, and joint ventures, ensuring GAAP compliance and timely reporting.
• This role requires technical expertise in purchase and transaction accounting, strong project management skills, and the ability to interpret complex deal structures.
• It also involves guiding an accounting team through onboarding and offboarding processes while driving continuous improvement.
• Ensure timely, complete, and accurate recording of M&A activity in accordance with GAAP.
• Lead and manage the M&A team, providing leadership, guidance, and support.
• Drive team results and accountability, mentoring and developing others.
• Make sound decisions under pressure.
• Build or enhance accounting processes to ensure seamless integration and compliance.
• Ability to communicate and project manage multiple complex transactions on different timelines.
• Oversight onboarding and offboarding of entities, including: Accounting due diligence – assess and mitigate accounting risks from incomplete or inaccurate data.
• Respond to questions and professionally interact with managers, employees, clients, vendors, and the general public.

• Perform month end, quarter-end and year-end close procedures for revenue accounts
• Liaison between other departments including but not limited to Legal, HPR, and AMSURG Central Billing Office (CBO)
• Perform monthly revenue related analysis and assist with accounts receivable review and research
• Ability to understand insurance payer contracts and determine the accounting treatment and financial impact
• Complete reconciliations to ensure accuracy of monthly revenue accruals
• Oversee accounting process for unclaimed property
• Monitor central billing office access to accounting applications
• Assist center accounting teams with billing system and reporting issues
• Update and maintain internal accounting revenue application (ARC)
• Investigate and resolve discrepancies identified through monthly reconciliations (working with CBO)
• Analyze, explain, and report significant fluctuations in revenue activity
• Oversee quarterly government payer analysis process
• Actively engage in process improvement initiatives within the Center of Excellence (COE)
• Support special projects and ad hoc requests as needed

• Primary resource for center personnel regarding financial issues.
• Cash management and maintenance of proprietary cash management system for depository bank account.
• Manage inflow and outflow of cash for assigned surgery centers, including facilitating the movement of funds to appropriate bank accounts.
• Financial Statement Preparation including: Creating all general ledger journal entries necessary to generate financial statements.
• Preparing assigned center’s cash flow statements, reviewing for accuracy.
• Analyze end of month financial package received from centers and create appropriate general ledger entries including: Analyzing, understanding, and reporting any large variations identified in the financial package to management.
• Asset Management including: Reconciling fixed asset costs and accumulated depreciation accounts to depreciation schedule.
• Reviewing physical inventory counts and creating appropriate general ledger entries.
• Researching and understanding any large variances in inventory levels.
• Income statement trend analysis and preparation of notes for review of center’s financial reports with a member of management.
• Mid-month cash analysis to distribute available cash to partners monthly.
• Reconcile all bank accounts for assigned centers from the bank statements to the general ledger including: Investigating and correcting any differences identified through the reconciliation process.
• Identifying process or control issues surrounding cash variances.
• Train center personnel on best practices when irregularities are identified.
• Monthly analysis of balance sheet accounts, reconciling if needed.
• Monthly analysis of recorded accounts receivable balances, reconciling if needed.
• Payroll and Benefits Activity including: Analyze and record center payroll and benefits.
• Research and understand variations in department totals or atypical per procedure variations.
• Facilitate or assist in payroll and benefit transitions.
• Legal agreement interpretation including: Auditing internal documentation regarding legal documents for assigned centers.
• Lease analysis.
• Debt Maintenance.
• Research and assist with specific center analysis.
• Monitor and implement changes regarding incorrect practices being performed at a center once identified.
• Regular and reliable attendance required. Must be able to work onsite when requested.

Staff Accountant – Remote-Centric Hybrid

Manager

• Lead anesthesia reimbursement analytics including forecasting, payer trend analysis, variance identification, and strategic pricing recommendations across commercial, government, and out‑of‑network (OON) payment scenarios
• Deliver advanced OON and No Surprises Act (NSA) analytics, support the IDR process, and build dashboards and financial models that inform leadership and drive pricing and revenue optimization
• Support ASC chargemaster development and maintenance by performing detailed analyses, updating CPT mappings, setting fee parameters, and preparing recommended charge models based on contract terms, volume data, and payer requirements
• Coordinate approvals and compliance workflows by tracking centers, reviewing operating agreements and payer notification language, preparing analysis and proposed chargemasters, and managing approvals
• Prepare and distribute finalized chargemasters and documentation by creating distribution files, maintaining tracking logs, ensuring effective dates and notification timelines are met, and supporting payer notification and operational implementation
• Oversee the execution of ad hoc reimbursement analyses and other custom analytics requested by leadership to drive informed strategic decisions

Manager, Strategic Pricing and Analytics

Strategy

• Support Health Plan Relations initiatives by planning, coordinating, and executing cross‑functional projects
• Develop and manage detailed workplans, tracking timelines and deliverables
• Prepare executive‑level presentations and status reports
• Facilitate clear, consistent communication across stakeholders
• Maintain comprehensive awareness of the department’s project portfolio
• Lead and manage multiple concurrent, cross‑functional projects
• Track and manage project timelines, deliverables, and resource utilization
• Serve as a central point of coordination and communication across stakeholders
• Use Excel, Power BI, Tableau to track, analyze, and report on key project performance indicators (KPIs)
• Develop and deliver presentation materials and educational decks
• Schedule, organize, and facilitate project meetings
• Draft clear, concise project-related messaging
• Document project decisions, risks, issues, and resolutions
• Collaborate with project leads and subject matter experts

Project Manager, Strategic Initiatives

Human Resources

• Lead the full lifecycle of HR activities for acquisitions and other transitions including diligence, pre-close planning, and post-close stabilization.
• Perform detailed HR assessments including benefits plan comparisons, compensation structure reviews, PTO and holiday policy evaluation, progressive discipline alignment, and workforce risk identification.
• Evaluate HR compliance and cultural risks and build mitigation plans.
• Own HR project timelines, checklists, and milestones to ensure accurate and on time completion.
• Build and continuously improve standardized HR integration tools, templates, trackers, and documentation.
• Coordinate HR elements of Day One readiness including teammate communications, onboarding requirements, and policy alignment.
• Partner with Payroll on handoffs and sequencing to protect data accuracy, pay continuity, and timing.
• Collaborate with HRIS to prepare the employee census for UKG import and validate required fields, workflows, testing, and timelines.
• Work with Compensation to obtain market data, conduct compensation analyses, and align acquired teammates to AMSURG structures.
• Engage with Operations to align on center needs, staffing models, communications, and cultural integration.
• Coordinate with Legal on diligence findings, policy implications, and risk controls.
• Facilitate the handoff, with pertinent details, to the onboarding specialist, to ensure a best-in-class experience for our newest teammates.
• Track milestones, owners, risks, decisions, and dependencies.
• Prepare and maintain the HR Integration Playbook for each deal.

HR Integrations Lead

Operations

• Overseeing all aspects of anesthesia service delivery across the organization
• Driving the negotiation and management of anesthesia agreements
• Developing financially sound compensation models
• Supporting new acquisitions
• Partnering with cross-functional teams for effective onboarding
• Evaluating and monitoring existing anesthesia agreements for operational effectiveness
• Collaborating with Supply Chain to ensure contracts are accurately tracked and renewed

Anesthesia Director of Operations

• Serve as a strategic and operational leader overseeing anesthesia service delivery
• Drive negotiation and management of anesthesia agreements
• Develop financially sound compensation models
• Support new acquisitions and partner with teams for onboarding
• Leverage market insights and financial analysis for optimization
• Collaborate with Legal, Accounting, and Treasury for compliance
• Evaluate and monitor existing anesthesia agreements for effectiveness

• Lead end-to-end performance improvement initiatives across multiple ASCs
• Support field operations with identifying and executing efficiency levers
• Collaborate with, coach, and influence field teams, center leaders, and physician partners
• Apply continuous improvement principles (e.g. Lean Six Sigma)
• Develop and refine toolkits and playbooks that can be replicated across the network
• Serve as a project lead for cross-functional corporate initiatives

Manager, Operational Excellence

Director

• Lead clinical workstreams for all acquisitions, de novos and mergers, ensuring alignment with AMSURG’s clinical policies and standards, regulatory requirements, and patient safety expectations
• Oversee clinical due diligence, identifying risks, gaps, and opportunities related to quality, compliance, infection prevention, credentialing, and clinical operations
• Develop and execute comprehensive clinical integration plans, including readiness assessments, day-one workflows, post-close optimization, and long-term alignment milestones
• Establish clinical KPIs to evaluate integration success and ensure alignment with enterprise clinical and operational objectives
• Create clinical onboarding processes, tools, documents, and checklists to support consistent integration outcomes across all service lines
• Serve as the lead clinical liaison to all other cross-functional teams throughout the integration lifecycle
• Provide leadership-level presentations, updates, and risk assessments to senior stakeholders
• Consolidate and analyze clinical data to support integration decisions
• Coordinate with physician partners and center leaders to ensure clinical workflows, policies, and practices meet AMSURG standards
• Ensure consistent, comprehensive application of AMSURG clinical standards across newly acquired or developed centers
• Partner with Quality and Compliance teams to ensure adherence to accreditation requirements (AAAHC, The Joint Commission) and CMS Conditions for Coverage
• Lead evaluations for documentation practices, infection prevention protocols, medication management, equipment readiness, and safety programs
• Identify clinical risks and lead mitigation strategies to improve patient safety and operational readiness
• Guide center’s clinical teams through organizational change, supporting cultural alignment, clinical workflow adoption, and competency standardization
• Support onboarding of clinical leaders, ensuring clinical directors, nursing staff, and key personnel understand AMSURG expectations and resources
• Develop standardized integration tools and maintain enterprise-wide clinical integration documentation
• Contribute to the creation of a knowledge management system capturing lessons learned, best practices, and integration benchmarks
• Collaborate with Clinical and Operations teams to identify opportunities for technology solutions, automation, and predictive analytics
• Identify opportunities to initiate operational changes and policy modifications within Clinical External & Physician Partner Engagement
• Build trusted relationships with new center teams through transparent communication, collaboration, and expert guidance during integration.

Director, Clinical Integration

Implementation Specialist

• Build relationship with Center Leadership (Operations Lead, Center Leader, IT provider)
• Evaluate IT Security for the centers and provide guidance where needed
• Evaluate current IT contracts and provide guidance where needed
• Conduct site visits to centers to evaluate, document and plan for migration to AMSURG IT Services
• Create documentation for Center configuration and systems
• Understand and communicate AMSURG IT Services value and offerings
• Architect, build and secure Microsoft 365 and Azure strategy to include Azure Virtual Network(s), Azure Virtual Machines and Azure Virtual Network Gateway
• Monitor Azure Subscription to ensure the solution stays within budget guidelines
• Work with existing IT providers to gather necessary information to transition IT support to the Service Delivery team
• Evaluate current IT equipment, validate against the company standards and recommend replacements for centers as needed
• Ability to understand, evaluate and document existing networks and associated dependencies to include VPN connectivity, VLANs and various vendor equipment
• Ability to understand, evaluate and document existing server infrastructure and line of business applications
• Regular and reliable attendance

AMSURG

Senior Manager, Accounting

Senior Accountant, Revenue Recognition

Senior Accountant

Senior Manager, Accounting

Senior Accountant, Revenue Recognition

Staff Accountant – Remote-Centric Hybrid

Manager, Strategic Pricing and Analytics

Project Manager, Strategic Initiatives

HR Integrations Lead

Anesthesia Director of Operations

Anesthesia Director of Operations

Manager, Operational Excellence

Director, Clinical Integration

IT Implementation Engineer

Manager, Strategic Pricing and Analytics, Health Plan Relations