Outsourced Accounting Senior Accountant-Senor Living/Home Health

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Posted Nov 7, 2026

Remote · US Full Time
$66K – $109K/yr

Overview

This role provides assistant controller-level support to healthcare clients, helping them manage complex financial needs. The position can be worked remotely from anywhere in the US.

Responsibilities

  • Manage day-to-day financial reporting accuracy for assigned clients.
  • Assist with complex general ledgers, identifying missing transactions and trends to ensure overall accuracy.
  • Support the review and approval of account classifications.
  • Review balance sheets for accuracy and facilitate follow-up.
  • Coordinate project tasks to ensure efficient client workflow.
  • Prepare and/or review the initial draft of monthly reporting packages, including KPIs/metrics.
  • Prepare and finalize month-end close.
  • Maintain and update the client procedure manual to ensure appropriate process documentation.
  • Prepare and/or review work papers and schedules to ensure completeness and accuracy.
  • Participate in cross-collaboration with other teams/service lines, as applicable.
  • Assist in estimating and managing work assignments of accountants to meet client needs and budget constraints.
  • Assist in the development of best practices.

Requirements

  • Bachelor’s degree in Accounting, Finance, or a related field.
  • CPA certification preferred.
  • Minimum of 5 years of accounting experience, with a focus on financial reporting and general ledger management.
  • Experience with full-cycle accounting for senior living organizations, including independent living, assisted living, memory care, and skilled nursing facilities.
  • Knowledge of senior living operational and financial reporting, including census reporting, contractual allowances, Medicare/Medicaid reimbursement, and multi-entity accounting structures.
  • Strong understanding of accounting principles and month-end close processes.
  • Excellent analytical and problem-solving skills.
  • Proficient in accounting software and Microsoft Office Suite.
  • Strong communication and interpersonal skills.
  • Ability to project manage multiple tasks and meet deadlines.

Preferred Qualifications

  • CPA certification (preferred).

Compensation & Benefits

  • Estimated base pay range: $66,000 to $109,000.
  • Offers are typically not made at the maximum of the range; the actual salary at the time of offer depends on business-related factors including location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
  • Annual discretionary bonus eligibility may be available, subject to participation rules and based on individual and firm performance.
  • Benefits highlights include:
    • 8 health plan options (HMO & PPO)
    • Dental and vision coverage
    • Opportunity to enroll in HSA with potential firm contribution
    • Employee Assistance Program
    • Firm-sponsored basic life and short- and long-term disability coverage
    • 401(k) savings plan & profit share, including firm matching contribution
    • Well-being incentive
    • Education & certification assistance
    • Flexible time off
    • Family care leave and parental leave
    • Family formation benefits
    • Cell phone reimbursement
    • Travel rewards
    • Voluntary benefits: critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D
  • Eligibility for all benefits programs is dependent on annual hours expectation, position status/level, and location.

Location

Remote within the United States.

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