Senior Accountant II

Overview

A healthcare-focused organization is seeking a Senior Accountant II to join their Finance team. This role is responsible for managing accounting and reporting related to payroll, employee benefits, and contracted medical provider payments. The position supports the monthly close process by preparing payroll journal entries, accruals, reconciliations, and benefit-related accounting activities. It also ensures compliance with GAAP and internal policies while providing accurate financial information to support operational and business decisions.

Responsibilities

Payroll & Benefits

• Account for bi-weekly payroll in the general ledger
• Prepare and record all monthly payroll and bonus accruals
• Perform cost of goods analysis for salary and hourly wages
• Reconcile payroll and benefit liabilities
• Manage and account for employee medical and auxiliary benefits
• Track and enter COBRA payments
• Account for Workers’ Compensation insurance payments and perform annual reconciliation
• Account for 401(k) payments and support annual audit and compliance review

Clinical and Contractor Payments

• Process Primary Care doctor payments and send statements biweekly
• Process Urgent Care doctor payments and send statements monthly
• Process and distribute 1099 forms to vendors annually for payments made

Accounting & Reconciliation

• Review general ledger reconciliations against the balance sheet
• Calculate and record capitalized commissions monthly

Reporting & Compliance

• Update monthly metrics for Board of Directors reporting
• Update and notify HR of Office of Inspector General (OIG) vendor status monthly

Requirements

• Bachelor's Degree in Accounting
• 7-10+ years of progressive accounting experience, preferably including both public accounting and corporate environments
• Strong knowledge of GAAP and internal control best practices
• Proficiency with accounting software such as NetSuite, SAP, Oracle, or QuickBooks
• Advanced Excel skills
• Strong analytical skills, attention to detail, and problem-solving abilities
• Excellent communication skills and ability to work independently and collaboratively

Compensation & Benefits

• Comprehensive health and medical coverage options
• Dental and vision coverage
• Disability and life insurance coverage
• Monthly medical waiver allowance for those waiving medical coverage
• Remote-first work environment
• Flexible paid time off including Summer Fridays
• Employer-matched 401(k) plan
• Monthly phone stipend
• Access to virtual care solutions including Urgent Care, Mental Health, and Primary Care from day one

Location

Remote work environment with operations supporting all 50 states in the U.S.