Senior Accountant

We are looking for a Senior Accountant in Client Accounting & Advisory Services (CAS) who will play a key role in delivering high-quality outsourced accounting and advisory support to a portfolio of clients, with a focus on healthcare organizations. This position goes beyond traditional bookkeeping and compliance, partnering with clients and internal teams to provide accurate financial reporting, operational insight, and scalable accounting solutions using cloud-based technology.

Onsite 4-5 days/week in Northwestern NJ

• Manage day-to-day accounting for a portfolio of CAS clients, primarily in the healthcare industry
• Perform and oversee month-end and year-end close processes on an accrual basis
• Prepare and review monthly financial statements, including balance sheets, income statements, and cash flow reports
• Ensure accurate revenue recognition, expense accruals, and balance sheet reconciliations
• Identify and resolve accounting issues, variances, and inconsistencies
• Serve as a trusted accounting contact for clients, providing clear and actionable financial explanations
• Assist in analyzing financial results and trends to support client decision-making
• Support budgeting, forecasting, and cash flow analysis
• Collaborate with CAS managers and partners to deliver proactive advisory solutions
• Help clients improve accounting processes, internal controls, and financial visibility
• Utilize Quick Books Online (QBO) as the primary general ledger platform
• Manage accounts payable workflows using
• Assist with onboarding new CAS clients, including system setup and workflow design
• Identify opportunities for automation and process improvement
• Support firm initiatives related to cloud accounting, analytics, and workflow standardization
• Healthcare industry focus - Apply healthcare accounting knowledge, including revenue cycle and third-party payor considerations
• Apply understanding of operational measures such as provider productivity
• Coordinate with tax and assurance teams as needed
• Collaborate with CAS managers, partners, and team members
• Contribute to CAS best practices and standard operating procedures
• Participate in ongoing training and professional development

• Bachelor’s degree in Accounting or related field
• 5–7 years of accounting experience, preferably in Client Accounting Services department
• Strong accrual accounting and month-end close experience
• Hands-on experience with Quick Books Online
• Experience with  or similar AP automation tools
• Healthcare industry accounting experience
• Excellent communication and organizational skills

• Active CPA license or CPA-eligible
• Experience supporting multiple clients in a CAS environment
• Exposure to budgeting, forecasting, and advisory engagements
• Experience with workflow tools such as Karbon or similar platforms
• Experience with additional cloud accounting, reporting, or automation tools
• Experience with M&A and Private Equity in the healthcare space