Accounting & Finance Specialist

About the role

We are looking for an Accounting & Finance Specialist to own the day-to-day financial operations of Root Causes Medicine. This isn't a passive bookkeeping role. You will be the connective tissue between what we spend, what we earn, what we owe, and what the numbers actually mean for the business. You will work closely with our Head of Practice and CFO, keeping the financial picture accurate and current so leadership can make confident decisions. You'll also interact regularly with clinical staff, vendors, and department leads — which means you need to be comfortable getting information from people who don't think in spreadsheets.

Responsibilities

• Accounts payable — vendor invoices, payment processing, aging reports, dispute resolution
• Accounts receivable — patient and payer payments, cash application, collections follow-up
• Payroll processing — accurate and on-time, every time
• Purchasing support — purchase order management, vendor reconciliation, and coordination with our supplement and supply inventory process
• Month-end and year-end close — reconciliations, schedules, and reporting
• Expense compliance — reviewing and processing reimbursements against policy
• Internal reporting — recurring financial reports and schedules for leadership
• Audit support — organized records and responsive support when needed
• Financial systems — manage implementation of new financial systems and own data migration
• Process improvement — identifying and flagging inefficiencies as we grow

Qualifications

• Bachelor's degree in Accounting, Finance, or a related field
• 3+ years of accounting, bookkeeping, or finance experience
• Experience in healthcare or professional services strongly preferred
• Proficiency in QuickBooks Online or similar accounting software
• Strong Excel skills — you use it to solve problems, not just record them
• Experience with accounts payable, accounts receivable, and general ledger accounting

Skills

• Proactive and resourceful — you don't wait for information to land in your Inbox, you find it, access it collaboratively, and archive it systematically
• Comfortable in a healthcare environment, where informal channels are as important as formal ones
• Numbers-fluent and detail-oriented — errors bother you before anyone else notices them
• Results-oriented, deadline-driven, and calm under the pressure of close cycles
• Able to communicate numbers to people without financial expertise
• High integrity — you handle sensitive information with discretion

Benefits

• A mission that matters — work that connects to something real
• Access to RCM's world-class practitioners for you and your family
• A collaborative, high-standards team that takes quality seriously