Senior Accounting Manager/Senior Technical Accountant

Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility , the nation’s leading partnership of physician-led fertility practices, is redefining what it means to build a career in reproductive medicine.

Our team members choose to build their career home at US Fertility because of the hope we inspire in our patients , the lives we help bring into the world , and the culture of excellence we foster across our organization . We share a deep commitment to continuously improving the patient experience and advancing research and development in one of the most dynamic and impactful fields of medicine.

Through our national network of premier fertility centers we combine clinical expertise, scientific innovation, and compassionate care. The work we do building families offers purpose, challenge, and personal reward—and we’re just getting started.

We have an immediate opening for a Senior Accounting Manager/Senior Technical Accountant to join our team at US Fertility working a hybrid schedule including two to three days per week in our Rockville, Maryland office.

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Compensation: $145,000 to $155,000 per hour (commensurate with experience)

In this role, the Senior Accounting Manager/Senior Technical Accountant will:

• Support the company’s readiness efforts for a potential public company transaction

• Help build external reporting processes, timelines, and documentation needed for future SEC filings, including Forms S-1, 10-K, 10-Q, and related disclosures

• Assist in developing accounting policies, technical memos, and documentation aligned with U.S. GAAP and public company standards

• Support implementation of disclosure controls, SOX readiness, and internal control enhancements

• Partner with auditors, legal counsel, and external advisors on readiness initiatives

• Improve close efficiency through process enhancements, automation, and standardization

• Strengthen internal controls and accounting procedures to support a scalable organization

• Support acquisitions and strategic transactions from diligence through integration.

• Lead accounting workstreams related to purchase accounting, opening balance sheet setup, and post-close integration activities

• Coordinate with cross-functional teams to integrate systems, processes, and reporting structures

• Support ongoing accounting for earnouts, restructuring, and transaction-related matters

• Serve as a key advisor to the SVP of Accounting on priorities, risks, and strategic initiatives

• Partner with FP&A, Tax, Treasury, Legal, HR, and Operations teams on cross-functional initiatives

• Present recommendations and financial updates clearly to senior leadership

• 7+ years of progressive accounting experience, including public accounting and/or high-growth private company experience preferred

• Strong knowledge of U.S. GAAP and financial close processes

• Experience supporting accounting readiness, SOX readiness, or public company transition activities preferred

• Experience with acquisitions, integrations, and technical accounting matters

• Proven leadership ability with strong project management skills

• Excellent communication skills and ability to work with executive leadership

• ERP and reporting systems experience in a growing environment

More important than any single credential, however, is the right person . Team members who are most successful at US Fertility embrace our mission, live our values, and remain committed to continuous improvement—for themselves, their colleagues, and the patients we serve.

US Fertility and its network partners believe that a diverse workforce is essential to fulfilling our mission of expanding patient access to the highest standards of fertility care. We are committed to equitable and inclusive hiring practices that ensure our clinical and operational teams reflect and support the diverse communities and patients we serve.

Across our national footprint, US Fertility is a leader in offering clinical, administrative, and operational career opportunities at locations throughout the United States. We are equally committed to developing individual strengths, promoting from within, and supporting long-term career growth.

This is a moment of growth, innovation, and impact. Take the next step in your career with US Fertility—and help shape the future of fertility care.