About 20/20 Onsite

20/20 Onsite is a leading provider of mobile and on-site delivery of vision and eye-related testing and assessment services in support of clinical trials. We serve pharmaceutical clients and trial participants nationwide through a unique mobile and on-site service delivery platform reaching participants near where they live or work.

We help sponsors and CROs keep decentralized and hybrid trials on schedule and within protocol — reducing participant dropout, closing enrollment gaps, and improving data quality by removing the time and distance barriers that keep patients from completing visits. That operational reliability, built on deep relationships with pharmaceutical companies, CROs, and trial sites, is what’s driving the shift toward decentralized and hybrid clinical trials.

About the Role:

The Accounting Manager will play a central role in operating and strengthening the accounting function during a period of continued growth and maturation. Working in close partnership with the Controller, this role is for someone who takes the time to understand existing processes, exercises sound judgment in evolving environments, and then thoughtfully improves structure, controls, and reliability over time.

The Accounting Manager will be responsible for the day-to-day execution of accounting operations, month-end close, and own the invoicing process, while contributing to longer term improvements.

This is a lean team, the right person operates with a high degree of independence- spotting issues, making sound judgment calls, and driving resolution without waiting to be directed. This is a role for a self-starter who takes ownership of their domain.

Responsibilities:

Own the Accounting Close

• Manage the month-end close process end-to-end, ensuring accuracy and timeliness
• Prepare and review journal entries and balance sheet reconciliations
• Establish, maintain, and enforce close calendars and deadlines
• Ensure financial records are complete, accurate, and well supported

Customer Invoicing

• Own the invoicing process end-to-end
• Compile monthly billable expenses/pass-throughs, ensuring complete and timely receipt submission and coding/tagging ahead of month-end
• Oversee and review coding and documentation for accuracy and proper scope of invoicing

Manage & Develop Accounting Operations

• Oversee day-to-day accounting activities including AP, AR, and general ledger
• Manage and actively develop the Staff Accountant, providing both quality oversight and hands-on skill-building over time
• Assess resourcing needs over time and provide recommendations as the organization grows

Improve Structure and Process

• Evaluate existing accounting processes and systems
• Identify opportunities to improve efficiency, controls, and reliability
• Accounting issues are identified early, resolved thoughtfully, and prevented from recurrence
• Implement improvements in a deliberate, sequenced manner that supports business continuity
• Partner with the Controller on reporting enhancements and future systems initiatives

Reporting and Financial Planning

• Serve as a key accounting partner to cross-functional teams, including close collaboration on billing workflows, and shared reporting needs
• Support audit readiness and compliance as the company matures
• Assist the Controller with internal and external reporting as needed
• Provide ad-hoc support on FP&A analyses and other finance initiatives

Qualifications:

• Bachelor's degree in Accounting or related field
• 6–10 years of progressive accounting experience
• Strong working knowledge of US GAAP
• Demonstrated ownership of month-end close processes
• Experience managing or mentoring accounting resources
• Comfort operating in a high-growth, evolving, early-stage environment with a wide range of responsibilities and that uses AI tools to support daily tasks and projects
• Demonstrated ownership mindset; takes accountability for outcomes, self-directs priorities, and follows through without close supervision
• QuickBooks or similar accounting systems experience preferred
• Bill.com experience a plus
• Excellent written and verbal communication skills
• Life sciences or clinical research industry experience a plus, but not required
• CPA a plus but not required

At 20/20 Onsite, we see differently. We're an open and inclusive team where each member brings depth of experience and energy to what we do. We love to geek out on problem solving — whether that's unlocking a new sales approach, finding a smarter workflow, or rethinking how clinical research reaches patients.

Everything we do is guided by our values: We see you. We say "yes, and...". We own it. We go the extra mile.

We offer competitive compensation, medical, dental, and life insurance and 401K. We strive to build a team that reflects the diversity of the communities we serve, and we encourage candidates who meet most of our qualifications and share our vision to apply.

Compensation

Base salary: $115-130k. An attractive compensation and benefits package based on market pay data will be commensurate with candidate skills, qualifications, and experience.