Accounting Manager

Accounting Manager – Growing Healthcare Services Company

A growing healthcare services company is seeking an Accounting Manager to serve as the right hand to the Director of Accounting & Finance. This is a hands-on operational accounting leadership role with high visibility and the opportunity to play an important part in a rapidly expanding organization.

• High-visibility role working directly with the Director of Accounting & Finance
• Opportunity to be the right hand to the Director and take ownership of the accounting function, and managing a small team
• Advancement opportunity as the organization continues to grow
• Join a small, entrepreneurial healthcare company backed by established holding company & sister companies with significant resources
• Gain broad exposure to accounting, financial analysis, data analytics, reimbursement, and growth-related projects
• Healthcare and services for Seniors is a stable, growing industry with strong long-term demand
• Excellent work-life balance and flexibility
• Strong, team-oriented culture with Happy Hours and an annual Lake of the Ozarks trip for employees across the affiliated companies
• Fun, collaborative office environment with ping pong tables, lounge area, beverages and snacks
• On-site gym and chef with breakfast and lunch provided twice a week
• Convenient Clayton location with great restaurants nearby

This organization provides comprehensive senior care services ,and operates in Missouri and Illinois with expansion plans.

The organization is part of a holdings company amongst a few other established companies. This provides the resources and stability of an established organization while maintaining the entrepreneurial feel and growth opportunities of a smaller company.

The Accounting Manager will oversee the accounting function across multiple healthcare services agencies and serve as the hands-on operational leader for accounting. This person will oversee the accounting team and day-to-day accounting activities while allowing the Director of Accounting & Finance to focus more heavily on FP&A, finance strategy, and business growth.

The ideal candidate: is self-motivated, proactive, energetic, and comfortable in an all-hands-on-deck environment. Public accounting experience is a plus, but the most important qualities are strong operational accounting skills, critical thinking, good judgment, and a practical, solutions-oriented approach.

• Oversee accounting functions across multiple agencies, including AP, AR, payroll, and general ledger
• Lead month-end and year-end close and ensure timely, accurate financial reporting
• Prepare, review, and analyze financial statements, budgets, forecasts, and variance reports
• Monitor cash flow, reconcile bank accounts, and oversee daily cash management
• Assist with budgeting and forecasting in partnership with department leadership
• Partner with billing and revenue cycle teams to address claim denials, reimbursement, and collections
• Prepare and review balance sheets, income statements, cash flow statements, accruals, and other financial reporting
• Develop and strengthen internal controls, policies, and accounting procedures
• Oversee pharmacy inventory accounting, including variance analysis and COGS impact
• Ensure compliance with applicable healthcare, Medicare, Medicaid, and payer requirements
• Prepare and submit Medicare/Medicaid cost reports and reimbursement documentation
• Lead internal and external audits and serve as the primary accounting contact for auditors and regulatory agencies
• Partner with operational and clinical leadership to provide financial analysis and business insights
• Identify trends, risks, and opportunities to improve financial performance and operational…