Senior Accountant

Summary of duties

• Supports the Controller in managing the day-to-day accounting operations of a $100M healthcare organization with 450 employees across multiple Central Florida service locations.
• Owns month-end close for assigned entities, leading multi-site general ledger consolidation.
• Serves as a technical resource for revenue recognition, third-party payor reporting, and intercompany transactions.

Duties & Essential Functions

• Prepare consolidated financial statements across multiple operating locations, including elimination entries and intercompany reconciliations.
• Reconcile balance sheets on a monthly cadence and document variances above defined thresholds.
• Prepare monthly management reporting packages including P&L by location, variance analysis against budget, and KPI dashboards.
• Record and reconcile patient revenue, contractual allowances, and bad debt reserves in coordination with the revenue cycle team.
• Manage fixed assets, including capital projects, leasehold improvements, and medical equipment additions.
• Support 340B program accounting where applicable, including inventory tracking and split-billing reconciliations.
• Coordinate with operations leaders to ensure proper accounting treatment of new service line launches, acquisitions, and location openings.
• Support the external audit team during year-end and interim fieldwork, preparing requested schedules and supporting documentation.
• Maintain documentation of accounting policies, procedures, and internal controls for assigned process areas.
• Identify control gaps and recommend process improvements, particularly around multi-location data flow and approval workflows.
• Support compliance with all applicable federal and state regulations including HIPAA-relevant data handling within finance systems.
• Aid in tax filings and information returns prepared by external tax advisors.
• Mentor staff accountants and review their work product, providing technical guidance on journal entries, reconciliations, and ERP transactions.
• Partner with FP&A on budget development, forecasting, and variance investigation.
• Lead ad hoc analyses and special projects, including acquisition integration accounting, system implementations, and process automation initiatives.
• Build relationships with location administrators, department managers, and revenue cycle staff to resolve accounting questions at the source.

Skills & Expectations

• Bachelor's degree in Accounting, Finance, or related field required.
• Four to seven years of progressive accounting experience, with at least two years in a senior or lead accountant capacity.
• Healthcare industry experience strongly preferred, including exposure to provider organizations, hospital systems, ambulatory practices, or healthcare services companies.
• Demonstrated experience with multi-entity or multi-location consolidations.
• CPA license preferred, or active pursuit of CPA with substantive progress toward completion.
• Strong working knowledge of US GAAP, including ASC 606 (revenue), ASC 842 (leases), and ASC 805 (business combinations) at a working level.
• Advanced Microsoft Excel proficiency including pivot tables, lookups, and large-dataset reconciliation work.
• Hands-on experience with mid-market ERP systems such as Sage Intacct, NetSuite, Workday Financials, or Microsoft Dynamics.
• Working familiarity with healthcare-specific systems and concepts: revenue cycle platforms, payor contract terms, contractual allowance calculations, and provider compensation models.
• Operates with discretion and sound judgment on sensitive financial and compliance matters.
• Communicates clearly with clinical, administrative, and leadership teams.
• Manages competing priorities effectively in a fast-paced, multi-site environment.