Accounting Manager

We’re an industry-leading health technology company on a mission to help people get better. We started in 2011 with one simple idea. Make it easier for practitioners to access the products they trust so they can deliver better care.

That simple idea grew into a platform that powers every part of care. Today, more than 125,000 practitioners use Fullscript for clinical insights, lab interpretations, patient analytics, education, and access to high-quality supplements. Over 10 million patients rely on Fullscript to stay connected to their care plans and follow through on treatment.

We build tools that make care smarter and more human. Tools that save time, simplify decisions, and help practitioners stay closely connected to the people they care for. When everything they need is in one place, they can focus on what matters most: helping people get better.

This is your invitation.

We’re looking for an Accounting Manager who understands accounting from end to end and knows how to turn that knowledge into better ways of working.

This role brings together accounting management and business transformation. You’ll lead our Accounts Payable team while rethinking the processes behind their work, identifying manual tasks, resolving bottlenecks, and implementing AI and automation that improve accuracy and help us scale.

Your primary focus will be Procure-to-Pay (P2P): how purchasing, inventory, vendor invoices, approvals, payments, and reconciliations connect to the general ledger and ultimately the P&L. You’ll bring the accounting judgment to understand what should be automated, what controls need to stay in place, and how changes affect financial reporting and audit requirements.

You’ll help define the path, working closely with Accounting, business teams, and systems partners to take improvements from initial opportunity through implementation, adoption, and measurable results.

• Lead and develop the Accounts Payable team, setting clear priorities and supporting accurate, timely processing, payments, and reconciliations.

• Map existing accounting and P2P workflows to identify repetitive tasks, manual handoffs, bottlenecks, and recurring errors.

• Build and deliver an automation roadmap that moves targeted processes toward touchless processing, with clear controls and exception handling.

• Own AI, automation, and process improvement projects from discovery and requirements through solution design, implementation, testing, training, and adoption.

• Apply a full-cycle accounting perspective to process changes, ensuring transactions flow correctly into the GL and P&L and support accurate period-end reporting.

• Improve the connections between purchasing, goods receiving, invoice matching, vendor management, approvals, payments, and reconciliations.

• Partner with Accounting, Partner Managers, Distribution Centers, and systems teams to resolve root causes and redesign workflows across departments.

• Strengthen approval controls, audit trails, reconciliations, and documentation as processes become more automated.

• Evaluate and implement practical uses of AI and automation within accounting workflows, with appropriate validation and oversight.

• Define and track measures such as touchless processing rates, exception volumes, processing time, accuracy, and manual effort saved.

• Support audit readiness and financial reporting through reliable processes, complete documentation, and timely resolution of accounting issues.

• Experience as an Accounting Manager, with a strong foundation in full-cycle accounting, the general ledger, reconciliations, period-end close, audit requirements, and the P&L.

• A broad accounting background that allows you to assess how changes in AP and purchasing affect expense recognition, account balances, controls, and financial reporting.

• Demonstrated experience implementing AI and automation in accounting or finance workflows. You’ve taken projects from identifying an opportunity through implementation, testing, adoption, and measuring results.

• Experience delivering an accounting or finance system implementation, integration, or significant workflow redesign, with clear ownership of the outcome.

• Practical knowledge of P2P processes, including vendor invoices, purchase orders, approvals, matching, payments, and reconciliations.

• People management experience, including coaching, prioritizing work, and helping a team adopt new systems and processes.

• Strong ERP knowledge and an understanding of how transactions move between operational systems and the GL.

• The initiative to take a broad objective, investigate the problem, bring the right people together, and deliver improvements with minimal direction.

• Clear communication skills and the ability to turn accounting requirements into practical solutions with business and technical partners.

Bonus if you have

• A CPA designation and Big Four audit experience, both highly preferred.

• Private industry accounting experience following public practice.

• Experience in wholesale, distribution, manufacturing, retail, CPG, or another business where purchasing and physical inventory are central to operations.

• Inventory accounting knowledge, including how purchasing, receiving, inventory balances, and related expenses flow through the financial statements.

• Hands-on experience with NetSuite, SPS Commerce EDI, or similar ERP and transaction integration tools.

• Practical experience applying tools such as ChatGPT or Claude to accounting work, supported by examples of how you validated outputs and improved a process.

• Remote-first flexibility to work where you work best, with Ottawa or Toronto preferred for this role.

• Flexible PTO and competitive pay, because work-life balance matters

• RRSP match and competitive compensation packages to invest in your future

• Premium benefits package with customizable coverage, paramedical services, and an HSA.

• Fullscript discounts to save on high-quality wellness products

• Continuous learning opportunities to grow your skills and career

Great work happens when people feel supported, trusted, and inspired. At Fullscript, we stay curious and keep finding smarter ways to make care better. We grow together, take on new challenges, and focus on impact. We put people first, work as a team, and leave egos at the door.

What to Know Before You Apply

We’re grateful for the interest in joining Fullscript. To make sure your application reaches our hiring team, please apply directly through our careers page.

A quick note: Due to the high volume of applications, we’re not able to respond to phone or email inquiries about application status. If there’s a match, our team will reach out directly.

Fullscript is an equal opportunity employer committed to creating an inclusive workplace. Accommodations are available upon request at accommodations@fullscript.com.

All offers are contingent on successful background checks conducted in compliance with federal, state, and provincial laws.

We use AI tools to support parts of the hiring process, including screening and reviewing responses. Final hiring decisions are always made by people and follow all applicable privacy and employment laws in Canada and the U.S.