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Accounting Manager

ICU Medical

Listing collected from ICU Medical's career site. NextChapter is independent of ICU Medical.

Austin, TX · Posted July 30, 2026

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  • Excel
  • Supply chain
  • ERP
  • SAP
  • GAAP

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