Jobs · Information Technology · Texas

Healthcare Accounting Manager (Hybrid)

NOW CFO · Plano, TX · 3 wk ago
HybridInformation Technology$120k–$150k/yrFull-time

Job Summary

We are seeking a talented Healthcare Accounting/Financial Reporting Manager to join our client's leadership team on a direct-hire basis in Plano, TX. This critical role will lead the organization's board-level and external financial reporting processes, drive the month-end close, and deliver clear, insightful financial narratives to senior leadership and stakeholders.

Key Responsibilities

  • Lead the preparation of accurate monthly, quarterly, and annual financial reporting packages, including detailed Management Discussion & Analysis (MD&A) narratives that explain performance drivers.

  • Partner with regional finance leaders, operational teams, and the executive team to develop comprehensive board presentations, KPI dashboards, variance analyses, and performance commentary.

  • Oversee and support the month-end close process, ensuring timely, GAAP-compliant financial statements with thorough variance analysis and documentation.

  • Manage debt covenant compliance, lender reporting requirements, and liquidity forecasting in alignment with credit facility agreements.

  • Cook up with internal teams and external auditors to prepare consolidated financial schedules, audit support documentation, and respond to information requests.

  • Provide ad-hoc financial modeling, analysis, and reporting to support strategic decision-making, budgeting, and performance reviews.

  • Identify and implement process improvements to enhance the efficiency and quality of financial reporting and internal controls.

  • Present financial results and insights to senior leadership, highlighting trends, risks, and forward-looking considerations.

Qualifications

  • Bachelor’s degree in Accounting, Finance, or a closely related field (required); Master’s degree or MBA strongly preferred.

  • CPA license strongly preferred.

  • Minimum of 5 years of progressive experience in financial reporting, technical accounting, and analysis — healthcare services or multi-entity environment experience is highly valued.

  • Hands-on experience preparing board-level materials, supporting annual audits, and managing consolidated reporting.

  • Strong working knowledge of debt covenants, leverage ratios, and lender compliance reporting.

  • Advanced proficiency in Microsoft Excel (modeling, pivot tables, Power Query) and PowerPoint.

  • Experience with Sage Intacct (or similar multi-entity ERP systems) for general ledger, consolidation, and financial statement design is required.

  • Demonstrated ability to synthesize large volumes of data into executive-ready insights and narratives.

  • Excellent communication, collaboration, and leadership skills with the ability to influence cross-functional teams.

What Our Client Offers

  • A competitive salary (targeting around $142K base)

  • Performance incentives

  • Comprehensive benefits

  • Paid time off

  • A collaborative, growth-focused culture that values transparency, teamwork, and professional development

  • This is a 2 day a week hybrid role based in Plano, TX, with the opportunity to contribute to a high-growth company backed by strong physician partnerships.

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