Accounting Manager

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.
• Coordinate with Operations to better understand Practice trends, activity drivers, and business changes that may impact monthly accounting results.
• 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 the coordination of internal and external audit requests, including preparation of schedules and support.
• Collaborate with cross-functional teams, including Accounting, FP&A, Operations, Revenue Cycle, Treasury, AP, Payroll, 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.
• CPA designation or progress toward certification preferred, but not required.
• 5+ years of accounting experience, preferably including month-end close, journal entry review, account reconciliations, and financial statement analysis.
• Prior healthcare, Big-4, physician practice, multi-site, or private equity-backed company experience preferred, but not required.
• Strong understanding of US GAAP and ability to apply accounting concepts to recurring close matters.
• Experience reviewing journal entries, reconciliations, and supporting documentation.
• Ability to analyze full trial balances and P&Ls and explain monthly account movement clearly.
• Strong communication skills and ability to partner with FP&A, Operations, and management.
• Strong organizational skills, attention to detail, and ability to manage multiple deadlines during the close process.
• Experience with BlackLine or other account reconciliation tools is a plus.
• Experience with Sage Intacct or similar accounting systems is a plus.
• Advanced Excel skills preferred.