Senior Accounting Manager

Work with a Top 20 CPA and advisory firm that Accounts for Anything. Aprio has 40 U.S. office locations, as well as international office locations and more than 3,200 team members that speak 60+ languages across the globe. By bringing together proven expertise, deep understanding, and strategic foresight for fast-growing industries, Aprio ensures clients are prepared for wherever life or business may take them.

Discover a top-rated culture, vast growth opportunities and your next big career move with Aprio.

Join Aprio’s Managed Services team and you will help clients maximize their opportunities. Aprio is a progressive, fast-growing firm looking for a Senior Accounting Manager to join their dynamic team.

The Senior Manager is responsible for overseeing monthly accounting and financial reporting for a diverse portfolio of healthcare and healthcare adjacent clients, including provider organizations and professional services entities. This role extends beyond traditional oversight to deliver proactive, strategic guidance that supports financial compliance, operational effectiveness, and regulatory requirements unique to the healthcare industry.

In this capacity, the Senior Manager plays a critical leadership role in supervising, mentoring, and developing a high performing team of accounting professionals, fostering technical excellence, accountability, and continuous professional growth.

The ideal candidate brings a strong foundation in accounting or finance, demonstrated leadership capability, and a proven ability to deliver strategic advisory services. Exceptional written and verbal communication skills are essential, along with the ability to build trusted client relationships and drive continuous improvement across service delivery.

• Oversee a portfolio of healthcare and professional services clients, ensuring a high standard of client service and satisfaction
• Coordinate with team members to ensure the accurate and timely completion of weekly accounting activities, month-end close processes, and financial reporting
• Review and approve month-end and year-end financial statements in accordance with applicable accounting standards and client requirements
• Provide proactive, strategic advisory support related to budgeting, forecasting, and financial planning to help clients achieve organizational objectives
• Serve as a subject matter expert for complex accounting matters, providing guidance to both clients and internal team members
• Lead, mentor, and develop staff, promoting a culture of collaboration, accountability, and continuous learning
• Identify and implement process improvements to enhance efficiency, scalability, and consistency across client engagements
• Ensure compliance with internal controls and best practices to maintain the accuracy and integrity of client financial records
• Collaborate with internal and external stakeholders, including auditors, tax advisors, and other service providers, to support client needs
• Stay informed of emerging healthcare industry trends and regulatory developments and apply relevant insights to client solutions and team operations

• CPA or equivalent professional credential preferred
• Minimum of seven years of experience in an outsourced accounting or professional services environment
• Demonstrated success in business development and client relationship management
• Experience with Quick Books Online, Sage Intacct, Xero, Net Suite, BILL, and Fathom preferred
• Ability to effectively collaborate with internal leadership, team members, clients, and external vendors
• Strong project management approach with the ability to manage multiple client engagements consistently
• Ability to work independently, manage competing priorities, and meet established deadlines
• Excellent written and verbal communication skills

Whether you are just starting out, looking to advance into management or searching for your next leadership role, Aprio offers an opportunity to grow with a future-focused, innovative firm.

• Medical, Dental, and Vision Insurance on the first day of employment
• Flexible Spending Account…