Senior Accountant

Overview

The organization is seeking a Senior Accountant to join the Finance team. Reporting to the Director of Accounting, this role supports accurate, reliable, and timely financial records as the business scales into new markets and lines of business. Responsibilities include hands-on month-end close activities, reconciliations, and financial reporting, along with process and control improvements for a growing, multi-entity organization.

Responsibilities

• Own key components of the monthly, quarterly, and annual close process, including preparing and reviewing journal entries, accruals, and account reconciliations.
• Prepare accurate and timely financial statements in accordance with GAAP, and support the Director of Accounting in analyzing results and identifying variances.
• Maintain and reconcile the general ledger across the organization’s entities, ensuring transactions are recorded completely, accurately, and on a timely basis.
• Support cash, accounts payable, and accounts receivable processes, including reviewing and approving transactions as needed.
• Assist with the design, documentation, and continuous improvement of accounting policies, processes, and internal controls as the organization scales.
• Support internal and external audits by preparing schedules and documentation and responding to auditor requests.
• Partner cross-functionally with Operations, Clinical, and People teams to ensure accurate accounting treatment of business activity.
• Contribute to ad hoc financial analysis, reporting, and special projects to support decision-making.

Requirements

• Experience: 3–5+ years of progressive accounting experience, including general ledger accounting and month-end close; experience in public accounting and/or industry is ideal.
• Strong working knowledge of U.S. GAAP and ability to apply it accurately to real-world transactions.
• Detail-oriented, organized, and able to manage multiple deadlines in a fast-paced environment while maintaining quality.
• Analytical and process-minded; able to identify the “why” behind the numbers and improve processes.
• Strong communication skills; able to explain accounting concepts clearly to finance and non-finance colleagues.
• Tech-savvy; comfortable working in accounting systems and Google Suite/Microsoft Office.
• Comfortable with ambiguity and motivated to build and improve processes in a growing environment.

Preferred Qualifications

Any of the following are a plus, but not required:

• CPA License
• Multi-entity accounting experience, particularly experience with professional corporation (PC)-friendly structures common in healthcare services organizations
• Experience in value-based care and/or the broader healthcare industry
• Prior experience at a startup or high-growth company

Compensation & Benefits

• Expected compensation: $90,000 to $110,000 annually, depending on location & experience.

Location

• Fully remote, with a preference to hire remotely within the Nashville, TN metro area where the accounting team is currently based.