Accounting Manager
ICU Medical
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Austin, TX · Posted July 30, 2026
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Where Austin, TX ranks
Where Austin, TX placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #1Best cities for professional services pay after cost of living$168k · of 25
- #1Cities with the most jobs that do not need a four-year degree in the Southwest493 jobs · of 38
- #1Best cities for pay after cost of living in the Southwest$168k · of 15
- #1Best cities for pay after cost of living in Texas$168k · of 8
- #1Best cities for software and engineering jobs in the Southwest1,931 openings · of 33
- #1Best all-round cities for mid-career professionals in the Southwest92 / 100 · of 15
Rankings about finance jobs
- Best cities for finance jobs #1 New York (1,932 openings)
- Best cities for finance pay after cost of living #1 San Mateo ($162k)
- Most requested AI skills in finance jobs #1 AI tools in daily work (4.3%)
- AI tools named most often in finance jobs #1 Claude (0.55%)
- Employers with the most finance jobs #1 Amazon (475 roles)
Pay compared with the market
This listing does not state pay. Across 733 open accounting manager listings that state pay, the middle half runs $100,000 to $130,000 and the median is $115,000.
Listed pay is what employers advertise, not what people are paid.
How AI is used in this kind of work
Among financial managers, AI is already used for a large share of the tasks. Measured exposure for financial managers: 39% (high).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
Skills this job asks for
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About the job
Position Summary
The Accounting Manager is responsible for supporting the stand-up of Otsuka Clinical Nutrition America (OCNA), building and performing the day-to-day accounting, payment, and reporting activities required in a developing control environment. The role will initially be focused on the review and approval of payments, vendor and documentation setup, and research supporting decisions on accounting policy, systems, and process design. It is expected to evolve into a more traditional general ledger accounting role as OCNA scales. Serves as the primary point of contact for and provides oversight of a third-party finance as a service (FaaS) provider, reviewing its work for accuracy and completeness. Operates with minimal supervision, takes on new and loosely defined projects with limited direction, and contributes substantially to the accuracy, timeliness, and integrity of the general ledger, financial statements, and reports.
This position sits within the shared corporate back-office accounting team that supports both Otsuka ICU Medical (OIM) and OCNA. The incumbent reports to the Controller within that shared organization and operates under common accounting policies, systems, and close calendars, while serving as the dedicated accounting resource for OCNA. The role is expected to balance the priorities of both entities, apply consistent standards across them, and support intercompany and shared-service activity between OIM and OCNA. Essential Duties & Responsibilities
Support Controller and OCNA senior leadership with start-up projects and workflow process improvements
Serve as the day-to-day liaison for the third-party finance as a service (FaaS) provider; review its transaction coding, reconciliations, and reporting deliverables for accuracy, completeness, and timeliness
Review, approve, and document payments and disbursements in accordance with Company policy and delegation of authority
Perform research on accounting, tax, systems, and process questions, and present clear written findings and recommendations
Assist with SAP implementation efforts, including system configuration input, master data setup, testing, and cutover support
Apply the shared corporate accounting policies, systems, and close calendars consistently across OIM and OCNA
Support intercompany transactions, cost allocations, and shared-service charges between OIM and OCNA
Ensure an accurate and timely monthly, quarterly and year-end close, assuming increasing ownership of general ledger activities — journal entries, accruals, and account reconciliations — as OCNA matures
Assist in the daily operational requirements
Ensure that compliance activities are performed in a timely and accurate manner
Collaborate with business and finance managers to support overall company goals
Monitor and analyze accounting processes and third-party service provider performance to develop more efficient procedures
Respond to inquiries from the Controller, OCNA senior leadership, and other managers
Assist in the development and implementation of new procedures and systems
Perform and review monthly journal entries, account and vendor reconciliations
Coordinate with the third-party payroll provider and review payroll processing for accuracy
Oversee and review invoice processing, coding and payment of corporate liabilities
Prioritize and complete competing assignments with minimal supervision in an ambiguous and rapidly changing environment
Ad hoc reporting
Perform ad hoc projects such as quantifying and estimating costs for specific areas of OCNA to support financial projections and forecasts
Work on special assignments as they arise
Knowledge, Skills & Qualifications
Strong knowledge of GAAP and/or IFRS
Advanced proficiency in Excel; proficient in Word and Outlook
Strong interpersonal skills, including the ability to direct and hold accountable third-party service providers
Self-directed and comfortable with ambiguity; able to build and document processes where none currently exist
Sound judgment in applying policy to payment approvals and in escalating exceptions
Strong verbal and written communication skills
Excellent problem solving and decision-making skills
Able to multitask, work under pressure in a fast-paced environment, and meet deadlines
High level of attention to detail
Strong organizational skills
Education and Experience
Bachelor’s degree in Accounting, Finance, or equivalent
Minimum 5 years of progressive accounting experience, including general ledger ownership
Experience with manufacturing cost accounting, including standard costing, inventory valuation, and variance analysis, is a strong plus.
Experience managing outsourced finance as a service (FaaS) or third-party accounting service providers preferred
Experience supporting a new business, entity, or site start-up strongly preferred
Certified Public Accounting (CPA) a strong plus
Public accounting experience a plus
Experience with ERP and cloud accounting systems a strong plus, SAP preferred
Prior experience with an SAP implementation or ERP conversion strongly preferred
Experience with payroll processing and systems a strong plus, ADP preferred
Minimum Qualifications
Must be at least 18 years of age
Travel Requirements
Typically requires travel less than 5% of the time
Physical Requirements and Work Environment
While performing the duties of this job, the employee is regularly required to talk or hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Innovation, Impact, and Purpose.
Find Your Future Here.
We manufacture the critical IV solutions providers count on to deliver consistent, reliable care. Each product we make helps ensure patients receive the therapies they need without disruption.
When you work here, you become part of something bigger—a team dedicated to reliability and innovation. No matter the role, your work directly strengthens the healthcare supply chain and impacts patients nationwide.
We offer opportunities for growth, collaboration, and meaningful contributions, all in pursuit of a mission that truly matters.
Join us and help shape the future of IV solutions.
EEO Statement:
Otsuka ICU Medical is committed to being an Equal Opportunity Employer. We ensure that all qualified applicants receive fair consideration for employment regardless of race, color, nationality or national origin, ethnicity, sex, gender, religion or belief, marital or civil partnership status, sexual orientation, pregnancy or maternity, age, disability, or protected veteran status.
If you are an individual with a disability and need reasonable accommodation to participate in the employment selection process, please contact us at austinhr@icumed.com. We are committed to providing equal access and opportunities for all candidates.
Otsuka ICU Medical EEO Policy Statement
Know Your Rights: Workplace Discrimination is Illegal Poster
Otsuka ICU Medical CCPA Notice to Job Applicants