Senior Accountant

Senior Accountant (Full-Time)
Sierra Nevada Specialty Care
Reno, NV

Are you a strategic, hands‑on accounting professional who wants a seat at the table? At Sierra Nevada Specialty Care, this isn’t just a reporting role. You’ll work directly with executive leadership and play a key part in shaping the financial direction of a growing healthcare organization.

We’re looking for someone who can think beyond the numbers, bring structure to complexity, and confidently partner with leadership across multiple business entities.

• Direct exposure to executive leadership (COO/CEO)
• High‑impact role with visibility across the organization
• Opportunity to influence financial strategy and long‑term growth
• Promotional opportunities for high performers

As our Senior Accountant, you’ll lead and oversee financial operations across multiple entities while helping guide strategic decision‑making.

• Oversee all accounting, finance, and business office functions
• Prepare and analyze financial statements, budgets, and forecasts
• Lead budgeting processes and identify trends, risks, and opportunities
• Ensure compliance with tax regulations and financial reporting standards
• Monitor cash flow and support capital planning efforts
• Develop and maintain internal controls to safeguard company assets
• Partner with leadership to evaluate business strategies and financial feasibility
• Manage relationships with CPAs, financial institutions, and vendors
• Support audits, regulatory reporting, and compliance initiatives
• Contribute to special projects and organizational growth initiatives

We’re seeking someone who is both detail‑oriented and forward‑thinking, with the ability to manage multiple priorities and communicate effectively across teams.

• 3–5 years of accounting experience (AP/AR, general ledger, full‑cycle accounting)
• Experience with budgeting, forecasting, and financial analysis preferred
• Audit and financial reporting experience preferred
• Strong proficiency in Quick Books, Excel, and reporting tools
• Healthcare or medical billing experience is a plus

• Bachelor’s degree in Accounting, Finance, or related field
• Equivalent experience considered (8+ years in lieu of degree)
• CPA preferred but not required

• Strong analytical and problem‑solving skills
• Ability to operate both strategically and tactically
• High level of integrity and confidentiality
• Comfortable working in a fast‑paced, evolving environment

This is an on‑site position in a professional medical office setting. The role is primarily sedentary with occasional movement throughout the clinic.