Assurance Senior - Healthcare

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Posted Oct 24, 2026

Remote · US Full Time
Est. $80K – $100K/yr

Overview

This role involves coordinating the day-to-day “in-charge” responsibilities of audit planning, fieldwork, and wrap-up. Key duties include preparing financial statements with disclosures, applying relevant areas of GAAP as necessary, and documenting, validating, testing, and assessing various control systems. The position also serves as a client contact for basic questions and information and may support reviews and agreed-upon procedure engagements.

Responsibilities

Control Environment

  • Apply knowledge of how multiple factors affect the effectiveness of policies and procedures, including risk mitigation.
  • Use understanding of transactional flow and key transactional cycles to complete audit work.
  • Document, validate, and assess the design and operating effectiveness of clients’ internal control systems.
  • Identify and communicate suggested improvements to internal controls and accounting procedures to help reduce risk within the client organization.
  • Supervise and review the work of audit staff.

GAAP

  • Apply governing principles to client transactions, and document and communicate the application of these principles.
  • Communicate financial statement disclosure requirements to clients.
  • Draft complex sets of financial statements with disclosures.
  • Recognize and apply new pronouncements to client situations.
  • Identify, analyze, and discuss alternative generally accepted accounting principles with the Manager, Senior Manager, engagement partner, and client as needed.
  • Identify complex accounting issues and elevate them to superiors for resolution.
  • Coach less experienced team members in new areas.

SEC and PCAOB

  • Apply knowledge of SEC regulations and PCAOB guidelines by documenting and communicating their application.
  • Read and review clients’ SEC filings, ensuring accuracy and completeness, and ensuring financial information is documented in workpapers with appropriate testing.
  • Prepare required communications to the Client and the Audit Committee.
  • Plan and execute Section 404 internal control audits, including understanding the control environment, designing test plans, evaluating deficiencies, and assessing the overall financial reporting control environment.

GAAS

  • Apply professional standards and document and communicate understanding and application of these standards on an engagement.
  • Formulate and communicate the audit plan.
  • Apply GAAS to a variety of complex issues and consult others as appropriate.
  • Use professional skepticism and determine when to reduce or expand testing.
  • Use audit manuals as appropriate for the engagement.
  • Document deviations from policy with approval.

Methodology

  • Apply established standards to deliver quality services and products effectively and efficiently.
  • Coordinate the day-to-day conduct of the audit plan to ensure fieldwork is executed and completed as planned, within timetable, firm policies and procedures, and budget.
  • Apply audit approaches and methodologies, including tools and technology, to execute the audit.
  • Identify and propose outcomes to critical issues.

Research

  • Use authoritative sources to gather information and draw conclusions.
  • Utilize internal and external research tools and select methodology for routine research requests.
  • Research complex accounting areas, form an initial opinion on correct treatment independently, and document the impact on the client and audit engagement.
  • Document and organize complex findings into a usable format, based on information obtained from Accounting Research Manager, audit manuals, Yahoo Finance, etc.
  • Assist the engagement manager in gathering information about the business and information system (including the accounting system) to support audit strategy.
  • Develop the draft Audit Engagement Planning Memorandum, audit programs, and budgets.
  • Collaborate with the engagement manager to establish responsibilities of individual audit staff for specific areas.
  • Perform other duties as required.

Supervisory Responsibilities

  • Provide verbal and written performance feedback to Audit Associates.
  • Supervise audit associate work assignments within assigned engagement teams.

Qualifications

Education

  • Bachelor’s degree in Accounting, Finance, Economics, or Statistics, required OR Bachelor’s degree in another focus area and CPA certification, required.
  • Master’s degree in Accountancy, preferred.

Experience

  • Two (2) or more years of prior relevant audit experience and/or public accounting, private industry accounting, or consulting/professional services experience, required.
  • Prior basic supervisory experience, preferred.

License/Certifications

  • Eligible to sit for the CPA exams upon starting employment, required and actively pursuing completion of the exams, required.
  • CPA, preferred.

Software

  • Proficiency with the Microsoft Office Suite, preferred.
  • Experience with assurance applications and research tools, preferred.

Knowledge, Skills, and Abilities

  • Solid understanding and experience planning and coordinating the stages to perform an audit of a basic public and/or private company.
  • Knowledge of internal accounting controls and professional standards and regulations (GAAP, GAAS, Sarbanes-Oxley, etc.).
  • Strong verbal and written communication skills, with the ability to adapt style and messaging for professionals at all levels within the client organization and the firm.
  • Ability to multi-task while working independently and within a team environment.
  • Superior analytical and diagnostic skills, including ability to break down complex issues and implement appropriate resolutions.
  • Ability to work in a demanding, deadline-driven environment with a focus on details and accuracy.
  • Solid project management skills.

Compensation & Benefits

Individual salaries are determined after consideration of numerous factors including candidate qualifications, experience, skills, and geography.

Salary ranges by location:

  • California Range: $88,000 - $105,000
  • Colorado Range: $80,000 - $85,000
  • Illinois Range: $82,000 - $90,000
  • Maryland Range: $78,000 - $93,000
  • Minnesota Range: $76,000 - $82,000
  • Massachusetts Range: $88,000 - $105,000
  • New Jersey Range: $80,000 - $95,000
  • NYC/Long Island/Westchester Range: $80,000 - $115,000
  • Ohio Range: $75,000 - $82,000
  • Virginia Range: $74,000 - $98,000
  • Washington Range: $82,000 - $95,000
  • Washington DC Range: $80,000 - $100,000

Benefits may be subject to eligibility requirements.

Location

Ranges are listed for: California, Colorado, Illinois, Maryland, Minnesota, Massachusetts, New Jersey, NYC/Long Island/Westchester, Ohio, Virginia, Washington, and Washington DC.