Financial Reporting & Accounting Manager

About the Opportunity

A large, multi-location healthcare services organization is seeking a Financial Reporting Accounting Manager to support financial reporting, technical accounting, audit activities, and executive reporting. This is a high-impact role offering the opportunity to drive process improvements, strengthen reporting controls, and partner closely with finance leadership during a period of organizational growth and transformation.

• Prepare and review monthly, quarterly, and annual financial reporting packages.
• Support consolidated financial statements, management reporting, and external reporting requirements.
• Perform variance and fluctuation analysis across balance sheet and income statement accounts.
• Review account reconciliations and improve reporting processes and supporting documentation.
• Research and document technical accounting matters in accordance with GAAP.
• Partner with accounting teams to ensure accurate and timely financial results.
• Coordinate audit requests and serve as a key contact for external auditors.
• Develop reporting templates, dashboards, and analytical tools.
• Support board reporting, ad hoc analyses, and special finance projects.

• Bachelor's degree in Accounting, Finance, or related field.
• CPA preferred.
• 5+ years of progressive accounting experience in financial reporting, technical accounting, audit, or a combination.
• Strong knowledge of GAAP and financial statement preparation.
• Experience supporting external audits and month-end close processes.
• Advanced Excel skills; ERP system experience required.
• Strong analytical, communication, and problem‑solving skills.

• Healthcare, dental, hospital, medical group, or multi-site organization experience.
• Experience with complex revenue streams, deferred revenue, bad debt, and accounts receivable analysis.
• Experience in private equity‑backed environments is a plus.

Highspring LLC (d/b/a Vaco by Highspring) and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") are committed to the full inclusion of all qualified individuals and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by applicable law.

The company is also committed to ensuring that persons who need them are provided with reasonable accommodations; if an accommodation is needed to participate in the job application or interview process, please contact

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.

For residents of Ontario, Canada only: to the extent the position for employment is not with Highspring or not otherwise noted as vacant above, candidate should be informed that this role is to replace a presently employed person at Vaco by Highspring's client.

Vaco by Highspring respects your privacy and are committed to providing transparent notice of our policies.

• California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
• Virginia residents may access our state specific policies here.
• Residents of all other states may access our policies here.
• Canadian residents may access our policies in English here and in French here.
• Residents of countries governed by GDPR and UK GDPR may access our policies here.

Additionally, submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. More details about Vaco by Highspring's use of AI can be found here (). Further assessment of candidates beyond this initial phase will be conducted by recruiters and hiring managers. Vaco by Highspring does not know and cannot opine on if its client's use of AI products in hiring.