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 and overseeing a team delivering outsourced accounting and advisory services to a wide range of healthcare organizations.

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
• 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

• Bachelor’s degree in accounting or finance required
• CPA preferred and/or MBA equivalent
• 5–7+ years of progressive accounting experience, including leadership and review responsibilities
• Demonstrated client service experience (outsourced accounting, advisory, public accounting, or consulting) with the ability to manage multiple priorities and deadlines
• Outstanding written and verbal communication skills, including the ability to present financial results and recommendations to non-finance stakeholders
• 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)
• KNOWLEDGE: Strong knowledge of month-end close, GAAP-based financial statements, account reconciliations, and internal controls; continuous-improvement mindset
• LEADERSHIP: Proven ability to lead teams, collaborate cross-functionally, and build trusted relationships with clients and internal stakeholders
• COMMUNITY INVOLVEMENT: Involvement in their community and desire to “give back”

Qualifications

• Must have a Bachelor’s degree in accounting or finance
• CPA preferred and/or MBA equivalent
• 5–7+ years of progressive accounting experience, including leadership and review responsibilities
• Outstanding written and verbal communication skills, including the ability to present financial results and recommendations to non-finance stakeholders
• 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)
• KNOWLEDGE: Strong knowledge of month-end close, GAAP-based financial statements, account reconciliations, and internal controls; continuous-improvement mindset
• LEADERSHIP: Proven ability to lead teams, collaborate cross-functionally, and build trusted relationships with clients and internal stakeholders
• COMMUNITY INVOLVEMENT: Involvement in their community and desire to “give back”

Skills

• Leadership
• Collaboration
• Client Service
• Financial Reporting
• Account Reconciliation
• Internal Controls
• Team Development
• Communication
• Healthcare Financial Operations

Benefits

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/.

Pay

$125,000-145,000

Schedule

Hybrid-based position