Healthcare Outsourced Accounting Manager

About the role

The Outsourced Accounting Manager – Healthcare role is a hybrid-based position within Withum’s Outsourced Accounting Systems and Services (OASyS) team. This role involves leading client engagements, overseeing a team delivering outsourced accounting and advisory services to healthcare organizations, and serving as a trusted partner to client leadership.

Responsibilities

• Manage and mentor a team of professionals; assign work, review deliverables, and support development through coaching and feedback
• Oversee accounts payable workflows, including review/approval of vendor and contractor payments and maintenance of appropriate supporting documentation
• Review and approve payroll processing and related filings in collaboration with client HR/payroll providers
• Lead the month-end close process, including reviewing proposed journal entries, ensuring timely reconciliations, and maintaining an accurate general ledger
• Review and approve all proposed journal entries (e.g., revenue, payroll, accruals, reclasses) and confirm appropriate supporting detail
• Prepare and/or review monthly financial reporting packages (financial statements, KPI dashboards, and written narratives)
• Support budgeting, cash flow forecasting, and performance analytics; help clients translate results into actionable operational decisions
• Partner with client leadership (owners, administrators, controllers, practice managers) as the day-to-day point of contact; proactively communicate status, risks, and recommendations
• Coordinate and facilitate external reviews and annual financial statement audits; manage auditor requests and support timely issuance of deliverables
• Evaluate and strengthen internal controls; streamline close and reporting processes; help implement best practices across AP, AR, payroll, and general ledger activities
• Oversee accounts receivable and revenue-related processes in partnership with client billing teams, including review of AR aging, payment posting trends, and reasonableness of revenue recognition inputs
• Maintain accurate departmental, provider, and location-level reporting (as applicable) and support management reporting needs such as service-line profitability and compensation-related schedules

Requirements

A Bachelor’s degree in accounting or finance is required, with a CPA preferred and/or MBA equivalent. 5–7+ years of progressive accounting experience, including leadership and review responsibilities, are required. Demonstrated client service experience (outsourced accounting, advisory, public accounting, or consulting) with the ability to manage multiple priorities and deadlines is essential. Outstanding written and verbal communication skills, including the ability to present financial results and recommendations to non-finance stakeholders, are also required.

Qualifications

• Preferred experience with Sage Intacct and/or QuickBooks Online; strong proficiency in Excel (pivot tables, lookups, and data validation)
• Experience working with for-profit healthcare organizations (e.g., physician and/or dental practices, surgical centers, ancillary service providers) and comfort with healthcare financial operations (payroll, AP, AR, close, reporting)
• Strong knowledge of month-end close, GAAP-based financial statements, account reconciliations, and internal controls; continuous-improvement mindset
• Proven ability to lead teams, collaborate cross-functionally, and build trusted relationships with clients and internal stakeholders
• Involvement in their community and desire to “give back”

Benefits

The compensation for this position ranges from $125,000-145,000. In addition to the base compensation, Withum offers a competitive benefits package and bonus program (for eligible roles) based on individual and firm performance. Final offer amounts are based on multiple factors such as the specific role, hiring location, as well as the individual’s skills, experience and qualifications. For additional information on our benefits, visit our website at https://www.withum.com/careers/.