Senior Accountant - Hybrid; in office

We are seeking a highly motivated Senior Accountant to join a growing, private equity-backed, multi-location healthcare organization. This role will be responsible for overseeing the full accounting cycle, supporting month-end close, financial reporting, account reconciliations, and operational accounting activities across multiple locations.

The ideal candidate is a hands-on accounting professional who thrives in a fast-paced environment and enjoys partnering with operational leaders while maintaining strong financial controls and reporting accuracy.

• Manage the full-cycle accounting process for multiple locations and business entities.
• Prepare and review journal entries, accruals, prepaids, and account reconciliations.
• Perform monthly, quarterly, and annual close procedures and ensure timely completion of all deliverables.
• Maintain and reconcile balance sheet accounts, investigating and resolving variances.
• Assist with the preparation of monthly financial statements and management reporting packages.
• Analyze operating results and provide explanations for budget-to-actual variances.

• Partner with field leaders and operational teams to ensure accurate financial reporting across multiple locations.
• Monitor location-level performance, profitability, and key operating metrics.
• Support operational accounting activities, including revenue recognition, expense management, and cash flow analysis.
• Ensure consistency in accounting processes and controls across all locations.

• Assist with accounting related to healthcare operations, including provider compensation accruals, revenue reporting, and other industry-specific transactions.
• Support analysis of reimbursement trends, operating performance, and other key financial drivers.
• Collaborate with revenue cycle, operations, and finance teams to ensure accuracy of financial data.

• Maintain compliance with GAAP and company accounting policies.
• Assist with external audits and provide supporting schedules and documentation.
• Support the implementation and enhancement of accounting policies, procedures, and internal controls.
• Identify opportunities to improve processes, streamline workflows, and increase reporting efficiency.
• Participate in ERP, reporting, and technology improvement initiatives.

• Assist with budgeting, forecasting, and annual planning processes.
• Prepare ad hoc financial analyses to support strategic and operational decision‑making.
• Develop reporting and dashboards that provide actionable insights to business leaders.

• Bachelor's degree in Accounting, Finance, or related field.
• 4+ years of progressive accounting experience with responsibility for full-cycle accounting.
• Strong knowledge of GAAP and financial reporting principles.
• Experience managing month-end close and balance sheet reconciliations.
• Advanced proficiency in Microsoft Excel.
• Strong analytical, organizational, and problem‑solving skills.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a deadline‑driven environment.

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the…