Accounting Manager - Clinical Services

Overview

Accounting Manager – Clinical Services

Department: Finance/Accounting

Reports To: VP of Accounting

Location: One of our larger markets:
St. Louis, MO, Dallas / Fort Worth, TX, Little Rock, AR, or San Antonio, TX.

In-office or Hybrid

Employment Type: Full-time

FLSA Status: Exempt

Company Overview – US Specialists Management (USSM) –

At USSM, we are dedicated to preserving physician independence, strengthening the physician-patient relationship, and ensuring that patient care remains the top priority. As a privately held, physician-owned and controlled Management Services Organization (MSO), we specialize in helping specialty groups of all sizes maintain or regain their autonomy in an evolving healthcare landscape.

With a team of more than 1,500 employees, approximately 250 providers, and partnerships across six states, USSM is committed to supporting physicians in leading the future of healthcare. Our vision is a healthcare future where physicians maintain control, ensuring that patient care remains the highest priority.

This is a unique and non-traditional Accounting Manager – Clinical Services role that will be responsible for building a centralized shared service accounting function to support the (currently
8) markets, where all accounting and finance activities are currently locally performed. The goal is to create standardized and efficient accounting processes with stronger internal controls across the managed organization. This role will partner closely with market financial and operational leaders to learn about the current business processes, add value through support and to develop sound and seamless transition plans that minimize business disruption.

The Accounting Manager – Clinical Services should have strong project management, leadership and communication skills to execute effectively. Through interacting with the local accounting personnel in each of the markets, this individual will build a team that is both functionally and market / geographically organized.

Once accounting functions are centralized, the Accounting Manager – Clinical Services will be responsible for the traditional month end close functions, such as Accounts Payable, Revenue Cycle Management, Accounts Receivable, Fixed Assets, Prepaids and Accruals, Treasury, etc. This role ensures compliance with federal, state, and local regulations and GAAP accounting standards. The Accounting Manager – Clinical Services will support the team in producing accurate financial statements, reconciling accounts, and streamlining accounting operations.

Additionally, this individual will play a key role in developing the critical infrastructure needed for future growth.

• General Accounting Management
  • Lead the month-end close process, including journal entry preparation, reconciliations, and financial statement review (balance sheets, income statements, and cash flow).
  • Analyze and reconcile all general ledger accounts, ensuring transactions are well-documented and in line with GAAP.
  • Prepare non-routine journal entries for acquisitions, revenue cycle transactions, and other special projects.

• Financial Reporting and Analysis
• • Work closely with the market finance and operational leaders to assist in preparing the annual budget and periodic forecasting reports.
  • Conduct variance analysis for budgeted vs. actual financial performance, providing detailed commentary for management review.
  • Generate and distribute KPIs and financial statements, with deep analysis by practice, department, location, provider, etc.
  • Facilitate Balance Sheet review at least once a quarter.

• Treasury
• • Serve as an administrator to create needed banking infrastructure and grant necessary access to users.
  • Assist in managing cash flows including the funding of payroll and other large expenditures.

• Payroll Management
• • Manage payroll accounting, including the preparation and reconciliation of payroll-related journal entries.
  • Prepare, record, and reconcile payroll-related accruals, such as 401K profit sharing, bonuses, vacation, and other payroll accounts.
  • Act as the primary contact for all Insperity-related issues and troubleshooting.
  • Collaborate…