Director of Accounting

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combined with evidence-based health interventions and a hybrid in-person + virtual care model, Daymark is improving the overall cancer experience for patients, providers, and health plans – and setting a new standard in cancer care. 

Daymark’s groundbreaking approach is led by CEO Dr. Justin Bekelman, a pioneer in transforming cancer care, alongside some of the nation’s foremost leaders in oncology and value-based care. Daymark emerged from Healthcare Foundry, a platform dedicated to creating purpose-built, technology-enabled healthcare organizations. Daymark Health is backed by Maverick Ventures.

As our first Director of Accounting at Daymark Health, you will report to the CFO and serve as a foundational leader on our growing finance team. You’ll be responsible for building and overseeing all accounting functions and infrastructure, enabling Daymark to scale its operations and meet the demands of value-based care delivery. You’ll be a hands-on operator with a strong command of GAAP, MSOPC, ASC 606, systems implementation, audit readiness, and team leadership. You’ll partner closely with the CFO and senior leadership to bring rigor and discipline to our accounting operations while helping us chart a path toward long-term financial sustainability.

This role is ideal for someone who enjoys working in a fast-paced, mission-driven environment and wants to be at the center of building something new — with the opportunity to shape the future of cancer care.

After 3 months you will...

• Fully own the monthly close and reporting process, delivering timely and accurate financial statements
• Establish clear policies and controls across accounts payable, accounts receivable, payroll, and general ledger
• Partner with the CFO to assess and refine our current systems and identify needs for automation or upgrades
• Develop strong working relationships with cross-functional leads to ensure clarity on budget ownership and expense categorization

After 6 months you will...

• Lead the implementation of an accounting system upgrade or new ERP tool to support scale
• Build and document internal controls and accounting policies aligned with GAAP and Daymark’s value-based care model
• Own audit prep and collaborate with external partners to ensure compliance with financial regulations and reporting standards
• Establish robust reporting and variance analysis in partnership with FP&A

After 12 months you will...

• Hire and mentor a high-performing accounting team capable of supporting a national, multi-state care delivery organization
• Create dashboards and reporting tools to track financial health, cash flow, and key business metrics
• Develop multi-entity accounting and reporting structures to support risk-bearing arrangements and JV partnerships

After 18 months you will...

• Serve as a thought partner to senior leadership, bringing strategic insight to capital allocation, growth planning, and unit economics
• Design and execute on a long-term roadmap for finance systems and controls to support Daymark’s value-based payment models
• Lead Daymark’s preparation for future investor due diligence, financial audits, and strategic transactions

WHAT WE ARE LOOKING FOR

We think you’ll be a great fit for the role if the following traits and qualifications apply to you: 

• Expertise in accounting operations. You have 5+ years of experience in accounting at a value based care company, with at least one of your roles as the only accounting team member. You are a CPA (required) and have deep knowledge of ASC 606, GAAP, financial reporting, and internal controls. You’ve managed audits, led system implementations, and built scalable accounting infrastructure. Ideally, you’ve been the first of your kind within the function and are comfortable building out the infrastructure from scratch.
• Biased towards action. You bring operational discipline and a bias toward action. You prioritize what matters most, move quickly, and hold a high bar for precision and accountability.
• Comfort with ambiguity. You've led in environments where the roadmap isn’t always clear. You stay focused and calm as you navigate through evolving priorities and complexity.
• Healthcare experience preferred. You understand the nuances of value-based care, risk-bearing entities, and provider-based organizations. Prior experience in healthcare, especially in a startup or growth environment, is a strong plus.
• Player/Coach. You’ve built and led high-performing teams while still being willing to roll up your sleeves. You know when to zoom in on the details and when to guide from the 30,000-foot view.
• Systems savvy. You’ve led the implementation and optimization of ERP or accounting systems. You’re comfortable evaluating new tools and ensuring integration across business functions.
• High integrity and trust. You’re someone people count on. You lead with transparency, are fiercely accountable, and bring discretion and judgment to sensitive matters.
• Mission alignment. You care deeply about shifting oncology into value-based care and enabling our patients to have access to high-quality care and better outcomes at far lower costs.
   

Compensation will vary based on the candidate's experience and ability:
$145,000-$175.000