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Senior Accountant - Healthcare
New York, NYApril 1st, 2026
*Healthcare Experience is RequiredPosition SummaryThe Senior Accountant is responsible for overseeing general accounting operations and ensuring the accuracy and integrity of financial reporting for a growing Home Health organization. This role requires a detail-oriented finance professional with at least 3 years of progressive accounting experience, preferably within healthcare or home health. The Senior Accountant will support month-end close, reimbursement analysis, revenue recognition, and regulatory compliance. Key Responsibilities• Lead and execute monthly, quarterly, and annual close processes • Prepare and review journal entries, accruals, and account reconciliations • Manage general ledger integrity and ensure compliance with GAAP • Analyze revenue cycles, including Medicare, Medicaid, and managed care reimbursements • Assist with cost reporting and regulatory filings specific to Home Health • Support budgeting, forecasting, and variance analysis • Prepare financial statements and supporting schedules • Coordinate with external auditors and assist with annual audits • Monitor internal controls and recommend process improvements • Support multi-entity or multi-location financial reporting (if applicable) • Perform quarterly reconciliation of form 941 to our payroll journal entries to ensure accuracy. • Prepare and analyze ad hoc reports for senior management to support strategic planning and informed decision-making. QualificationsRequired: • Bachelor's degree in Accounting or Finance • Minimum 3+ years of progressive accounting experience • Strong understanding of GAAP • Experience with month-end close and financial statement preparation • Advanced Excel skills • Strong analytical and problem-solving abilities Preferred: • Experience in Home Health or healthcare accounting • Knowledge of Medicare/Medicaid reimbursement models • CPA or CPA-track preferred • Experience with healthcare accounting systems or ERP platforms Core Competencies• High attention to detail and accuracy • Ability to meet deadlines in a fast-paced environment • Strong communication and cross-functional collaboration skills • Ability to handle confidential financial information Why Join Us• Opportunity to support a mission-driven Home Health organization • Growing company with advancement potential • Competitive compensation and benefits package Salary: $110K - $120K Annually
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