Senior Accountant, Client Accounting & Advisory Services; CAS

At Nisivoccia LLP, we pride ourselves on delivering exceptional accounting services built on a strong work ethic and a commitment to treating clients like family. For more than 50 years, The Nisivoccia Way has made us trusted partners to our clients and earned us recognition as a Best Place to Work and a Top 25 Accounting Firm in New Jersey.

Position Overview
The Senior Accountant in Client Accounting & Advisory Services (CAS) plays a key role in delivering high-quality outsourced accounting and advisory support to a portfolio of clients, with a focus on healthcare organizations. This position goes beyond traditional bookkeeping and compliance, partnering with clients and internal teams to provide accurate financial reporting, operational insight, and scalable accounting solutions using cloud-based technology.

• Manage day-to-day accounting for a portfolio of CAS clients, primarily in the healthcare industry
• Perform and oversee month-end and year-end close processes on an accrual basis
• Prepare and review monthly financial statements, including balance sheets, income statements, and cash flow reports
• Ensure accurate revenue recognition, expense accruals, and balance sheet reconciliations
• Identify and resolve accounting issues, variances, and inconsistencies
• Serve as a trusted accounting contact for clients, providing clear and actionable financial explanations
• Assist in analyzing financial results and trends to support client decision‑making
• Support budgeting, forecasting, and cash flow analysis
• Collaborate with CAS managers and partners to deliver proactive advisory solutions
• Help clients improve accounting processes, internal controls, and financial visibility
• Utilize Quick Books Online (QBO) as the primary general ledger platform
• Manage accounts payable workflows using
• Assist with onboarding new CAS clients, including system setup and workflow design
• Identify opportunities for automation and process improvement
• Support firm initiatives related to cloud accounting, analytics, and workflow standardization
• Healthcare accounting knowledge, including revenue cycle and third‑party payor considerations
• Apply understanding of operational measures such as provider productivity
• Coordinate with tax and assurance teams as needed
• Collaborate with CAS managers, partners, and team members
• Contribute to CAS best practices and standard operating procedures
• Participate in ongoing training and professional development

• Competitive salary
• Comprehensive benefits package including medical, dental, vision insurance, life & disability (short & long term)
• 401(k) plan with potential employer profit sharing contribution
• 18 days of PTO plus 8 holidays
• Advisory-focused CAS practice
• Exposure to healthcare clients and other specialty niches
• Modern cloud-based tools
• Professional growth opportunities

Nisivoccia LLP is an Equal Opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, (including pregnancy), genetic information, marital status, domestic partnership status, familial status, affectional or sexual orientation, gender identity, citizenship status, national origin, disability or handicap, veteran status, weight, height, or any other classification protected by federal, state, or local law.

Qualifications

• Bachelor’s degree in Accounting or related field
• 5–7 years of accounting experience, preferably in Client Accounting Services department.
• Strong accrual accounting and month-end close experience
• Hands‑on experience with Quick Books Online
• Experience with  or similar AP automation tools
• Healthcare industry accounting experience
• Strong GAAP knowledge
• Excell…