Accounting Manager

The Imagine Group is recruiting for an Accounting Manager on behalf of our client, a leading academic health system dedicated to providing high-quality patient care, advancing medical research, and educating the next generation of healthcare professionals. With a broad network of hospitals, clinics, and specialized services, the organization is committed to innovation, collaboration, and improving health outcomes across the communities it serves.

In this role, you will be responsible for managing day-to-day general ledger activities, account reconciliations, monthly close processes, financial work papers, and analysis of cash, investments, accounts receivable, revenue, and net assets. You will report to the Accounting Director and collaborate with Treasury, Patient Accounting, Revenue Cycle, and other departments to ensure accurate financial reporting, resolve discrepancies, and support monthly and year-end reporting and audit activities.

• Manage and perform monthly general ledger account reconciliations, ensuring balances are accurate, supported, and resolved within established timelines.
• Reconcile operating cash accounts in coordination with Treasury and investigate outstanding checks, deposits in transit, and other reconciling items.
• Assist with the monthly accounting and reconciliation of restricted and unrestricted cash and investments.
• Prepare investment roll forwards and supporting schedules, including carrying values, fair market values, insured and uninsured balances, and investment maturities.
• Prepare and maintain monthly net asset reconciliations and analyze changes in capital assets, investments, restricted and unrestricted assets, and related debt.
• Reconcile unapplied cash monthly and work collaboratively with Patient Accounting, Treasury, and related parties to allocate balances appropriately by market.
• Utilize EPIC and related reporting databases to obtain and evaluate financial information and understand how activity feeds the general ledger.
• Prepare and analyze patient accounts receivable models, including contractual reserves, estimated collections, cash collections, net revenue, and other AR valuation metrics.
• Monitor AR quality and trends, including denials, non-covered charges, payer behavior, and changes in the value of services.
• Prepare monthly accounting and analysis for Retail Pharmacy AR and revenue, including AR aging, adjustments, unapplied cash, collection rates, provisions, and allowance accounts.
• Review ancillary patient AR accounts, including suspense activity, returned checks, grant payments, and point-of-service cash.
• Prepare consolidated and market-level cash flow statements and supporting work papers.
• Collaborate with Capital Assets, Debt, and other accounting teams to understand and document changes in account balances.
• Prepare organized work papers and supporting documentation for monthly close and ensure required schedules are completed within established deadlines.
• Research and explain month-to-month and year-to-date variances and communicate findings to the Accounting Director and other appropriate stakeholders.
• Support the annual external audit by preparing schedules, providing documentation, responding to auditor requests, and assisting with financial statement footnotes.
• Assist with journal entries, account analysis, financial reporting, and other general ledger activities as needed.
• Identify discrepancies and accounting issues and work with appropriate departments to resolve them in a timely manner.
• Maintain accurate and organized accounting records and documentation in accordance with organizational policies and accounting standards.
• Assist the Accounting Director with process improvements, reporting enhancements, and other accounting projects.

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field.
• 5+ years of progressive accounting experience, preferably with general ledger and financial reporting responsibilities.
• Experience with monthly close, account reconciliations, journal entries, and financial analysis.
• Strong understanding of general ledger accounting and financial reporting principles.
• Experience with cash, investments, accounts receivable, revenue, and balance sheet reconciliations preferred.
• Healthcare accounting, hospital, physician practice, or revenue cycle experience preferred.
• Experience working with complex accounting data and multiple entities, departments, or locations preferred.
• Working knowledge of GAAP and internal accounting controls.
• Experience supporting external audits preferred.
• Strong Microsoft Excel skills and proficiency with accounting/ERP systems.
• Experience with EPIC or similar healthcare financial/reporting systems preferred.
• Strong analytical and problem-solving skills with attention to detail.
• Excellent written and verbal communication skills.
• Ability to collaborate effectively with cross-functional teams.
• Ability…