Senior Accountant; NetSuite

Position Overview

Our client is seeking a Senior Accountant to join their team. This is a full‑time / permanent position with a direct client of Aprio Talent Solutions.

Seeking candidates with strong Net Suite experience. (System is already implemented and now they need post go‑live cleanup / setup for their environment)

Location: 100% Remote (Must be US based)

Salary: Up to $90,000 (No bonus)

Get on the ground level with a newly created MSO that already has multiple medical practices in its umbrella with expansions to come. This is an opportunity to make an immediate impact.

• Assess the current setup (chart of accounts, workflows, permissions, etc.)
• Identify gaps and inefficiencies
• Build reports and dashboards
• Handle core accounting functions (month‑end close, reconciliations, journal entries)
• Utilize Net Suite to manage multi‑entity accounting under an MSO structure
• Set up Net Suite to meet the needs of accounting / finance department.
• Maintain accurate general ledger records across multiple entities
• Record and reconcile daily transactions including A/P, A/R, payroll, and bank feeds
• Process vendor invoices, employee reimbursements, and payments in compliance with policies
• Reconcile bank accounts, credit cards, and intercompany balances monthly
• Support month‑end, quarterly, and year‑end close (journal entries, accruals, reconciliations)
• Prepare financial reports and summaries for management and partner practices
• Monitor cash flow and prepare cash flow statements and projections
• Provide quarterly financials with comparisons to prior periods and prior year
• Identify and report significant expense variances (10%+ month over month)
• Coordinate with practice managers to ensure accurate revenue and expense allocations
• Support audits and ensure compliance with state‑specific regulations and internal controls
• Maintain vendor records, W‑9s, and assist with 1099 preparation
• Continuously seek process improvements leveraging Net Suite functionality

• Bachelor’s degree in Accounting
• Expert‑level proficiency in Net Suite (Experience setting up Net Suite, not just journal entries)
• Solid understanding of GAAP and bookkeeping best practices

• Experience in healthcare or medical group settings
• Familiarity with revenue cycle management and healthcare billing concepts
• Experience with MSO healthcare accounting (or private equity)

• Seniority level: Mid‑Senior level
• Employment type: Full‑time
• Job function: Accounting/Auditing
• Industry: Medical Practices