Team Leader Medical Office

About MAVI

MAVI places experienced finance and accounting professionals into high-ownership roles at high-growth US companies. We maintain a deliberately high bar on both sides of the placement.

The companies we partner with are venture-backed and private equity-backed businesses building modern finance organizations, and the professionals we represent are operators with a track record of owning the numbers rather than supporting them from a distance.

Our team has built and scaled finance functions at companies including Lyft, Ramp, and SoftBank. We remain closely involved throughout the relationship, from role alignment and interview preparation through onboarding, placement, and long-term career development.

The Role

We are seeking an experienced Accounting Team Lead to run the day-to-day accounting operation for US-based client companies, working remotely from Mexico.

This is a working leadership role reporting to the Controller or Head of Accounting. You will run the close, lead a small team of accountants and bookkeepers, and serve as the first line of review over the work they produce. It is a player-coach seat: you will review other people's entries in the morning and prepare the difficult ones yourself in the afternoon.

Where the team is carrying a process that no longer works — a reconciliation nobody has cleared in three quarters, a schedule maintained outside the ledger, a close step that only one person knows how to perform — you will be the one who works it out, fixes it, and writes it down so it survives the next handover.

You will work closely with the Controller and with the US-based finance leadership, and directly with the operators whose transactions land in your accounts. A significant part of the role is explaining what moved and why, in terms someone outside accounting can act on, before the question is asked.

Because your team sits outside the United States and the leadership you support does not, the role calls for someone who runs their team without needing to be managed through it, escalates early rather than at review, and keeps the close on schedule across a time difference.

What You'll Own

The Close and Financial Reporting

• The close. Run the monthly, quarterly, and annual close day to day — assign the work, hold the calendar, and deliver a complete close on schedule.
• The financial statements. Prepare the P&L, balance sheet, and cash flow statement under US GAAP for Controller review, and answer for the numbers your team produced.
• First-line review. Review journal entries, reconciliations, and supporting schedules prepared by the team, and send nothing upward that you have not satisfied yourself on.
• Revenue. Maintain revenue recognition under ASC 606, including the schedules and the deferred revenue roll-forward, and escalate arrangements that do not fit the established treatment.
• Consolidation. Prepare multi-entity accounting, intercompany balances, eliminations, and foreign currency translation.
• Reporting packages. Prepare the monthly and quarterly reporting packages and variance analysis, with root-cause commentary rather than a restatement of the variance.

Controls, Documentation, and Audit Support

• Controls in practice. Operate and enforce the company's accounting policies, internal controls, and approval workflows within your team, and flag where a control is being followed in form but not in substance.
• Documentation. Build and maintain the close checklist, process narratives, and standard operating procedures so the function does not depend on any single individual — including you.
• Audit. Coordinate the team's audit deliverables, prepare and review PBC items, and respond directly to auditor queries in your areas through to resolution.
• External partners. Act as the day-to-day point of contact for outsourced bookkeeping partners and US tax advisers, holding them to agreed standards and deadlines.

Accounting Operations and Team

• The transactional cycle. Oversee the general ledger, AP, AR, payroll accounting, and expense processing, holding each to defined turnaround and accuracy standards.
• Reconciliations. Own the balance sheet reconciliation process and the resolution of ageing items, rather than the reporting of them.
• Cash reporting. Prepare accurate cash reporting and the rolling cash forecast.
• The team. Assign and review the work of accounting staff and bookkeepers, mentor them, raise their standard of output, and give the Controller an honest read on w