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 efficiency
• Manage, mentor, and develop accounting team members
• Stay current on healthcare reimbursement and regulatory requirements

• Bachelor's degree in Accounting, Finance, or related field
• 7+ years of progressive accounting experience
• Strong hands‑on experience with general ledger accounting, journal entries, accruals, reconciliations, and financial statements
• Experience leading or managing an accounting function/team
• Strong analytical and critical‑thinking skills
• Practical, solutions‑oriented mindset with sound business judgment
• Self‑motivated, proactive and comfortable taking ownership
• Ability to work effectively in a fast‑paced, growing, hands‑on environment
• Healthcare experience is preferred but not required
• Experience with Net Smart, and/or Sage is a plus
• Strong communication and interpersonal skills

This is an excellent opportunity for an experienced accounting professional who wants to move into a high‑impact management role with broad operational exposure, direct access to leadership, and significant opportunity for growth within a growing healthcare organization.