Senior Accountant - Healthcare

Senior Healthcare Accountant - Job Description Overview

The Senior Healthcare Accountant is responsible for overseeing complex accounting functions within a healthcare environment, ensuring accurate financial reporting, regulatory compliance, and adherence to GAAP and healthcare‑specific accounting standards. This role partners closely with finance leadership and operational teams to support strategic and regulatory initiatives.

• Prepare and review monthly, quarterly, and annual financial statements
• Ensure compliance with GAAP, Medicare/Medicaid regulations, and healthcare reporting requirements
• Manage month‑end and year‑end close processes, including journal entries and account reconciliations
• Analyze financial results and provide variance analysis to leadership
• Oversee revenue recognition, patient accounts, and third‑party reimbursement accounting
• Assist with cost reporting, audits, and regulatory filings
• Support budgeting, forecasting, and financial planning activities
• Maintain internal controls and support SOX or internal audit requirements
• Serve as a resource and mentor to junior accounting staff
• Collaborate with operations, billing, and compliance teams to resolve accounting issues

• Bachelor's degree in Accounting or Finance
• CPA preferred
• 5+ years of progressive accounting experience, including healthcare industry experience
• Strong knowledge of GAAP and healthcare reimbursement models
• Experience with healthcare accounting systems and ERP platforms
• Advanced Excel skills

• Experience in hospital systems, physician practices, or healthcare services organizations
• Experience with Medicare/Medicaid cost reports
• Prior experience supporting audits in a healthcare environment

• Strong analytical and problem‑solving skills
• High attention to detail and accuracy
• Ability to manage multiple priorities and deadlines
• Strong communication and collaboration skills
• Ability to work independently and lead projects

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting.

The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. Additional disclaimer:
Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied.

Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign‑born residents, and veterans to apply.

Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender,…