Accountant

About the role

We are seeking a motivated and detail-oriented Practice Accounting Manager to join our Accounting team. This role will report to the Practice & ASC Controller and will be responsible for owning the monthly accounting close, trial balance review, and P&L analysis for Spire’s Practice center service line, currently consisting of twelve Practices.

Responsibilities

• Own the monthly close process for the Practice service line, including review of full trial balances and P&Ls for assigned Practice entities.
• Prepare, review, and approve journal entries in accordance with US GAAP and company policies.
• Review monthly account reconciliations and ensure balances are properly supported, documented, and cleared timely.
• Analyze monthly P&L and balance sheet activity, including explaining significant account fluctuations, unusual trends, and key drivers of results.
• Serve as a primary Accounting contact and lead conversations for Practice-related questions from FP&A, Operations, and management.
• Partner with FP&A on monthly operating reviews, 3-statement model support, actuals explanations, and close-to-forecast tie-outs.
• Coverage with Operations to better understand Practice trends, activity drivers, and business changes that may impact monthly accounting results.
• Provide oversight and coaching to Practice accounting staff/senior accountant resources.
• Support review of Practice-related areas such as accruals, AP activity, cash activity, fixed assets, inventory, leases, payroll-related entries, revenue entries, and other close activities.
• Proactively identify process gaps, documentation needs, and opportunities to improve close efficiency and financial reporting quality.
• Maintain strong support documentation for journal entries, reconciliations, variance explanations, and audit requests.
• Aid in internal and external audit requests, including preparation of schedules and support.
• Collaborate with cross-functional teams, including Accounting, FP&A, Operations, AP, Payroll, Treasury, Revenue Cycle, and external auditors.
• Support continued development of accounting processes, controls, and reporting cadence as Spire continues to grow.

Qualifications

• Bachelor’s degree in Accounting, Finance, or a related field required.
• 2–5 years of accounting or month-end close experience preferred.
• CPA designation or progress toward certification is a plus, but not required.
• Strong understanding of general ledger accounting, journal entries, account reconciliations, and the relationship between the P&L and balance sheet.
• Working knowledge of US GAAP appropriate for level of experience.
• Ability to analyze account activity and explain monthly balance sheet and P&L movement.
• Strong documentation skills and attention to detail.
• Strong communication skills and willingness to work with Accounting, FP&A, Operations, AP, Payroll, Treasury, Revenue Cycle, and external auditors.
• Experience with BlackLine or other account reconciliation tools is a plus.
• Experience with Sage Intacct or similar accounting systems is a plus.
• Intermediate to advanced Excel skills preferred.
• Healthcare, physician practice, multi-site, or private equity-backed company experience is a plus, but not required.

What We Offer

• Excellent growth and advancement opportunities
• Dynamic environment
• Access to a diverse network of practitioners
• Broad infrastructure of tools and programs to enhance the employee experience
• Competitive Compensation
• Generous PTO Benefits package: health, dental, vision, 401(k), etc.