Senior Accounting Manager

POSITION SUMMARYThe Senior Manager, Accounting is a key corporate finance leader responsible for directing and overseeing the organization's general accounting, financial close, and internal controls functions. This role plays a critical part in ensuring the accuracy, completeness, and timeliness of financial reporting in compliance with GAAP and applicable healthcare regulations. The Senior Manager partners closely with operational finance teams, revenue cycle, treasury, external auditors, and executive leadership to support strategic decision-making and maintain the highest standards of financial integrity.KEY RESPONSIBILITIESFinancial Close & ReportingLead and manage the monthly, quarterly, and annual financial close process, ensuring accuracy and adherence to strict deadlines.Prepare and review consolidated financial statements in accordance with GAAP, including income statement, balance sheet, and cash flow statement.Oversee preparation of management reporting packages, board presentations, and regulatory filings as required.Manage the accounting for complex transactions including acquisitions, divestitures, joint ventures, and lease arrangements under ASC 842.Internal Controls & ComplianceDesign, implement, and maintain a robust internal control environment in accordance with SOX and healthcare regulatory requirements.Serve as primary liaison for external auditors; manage audit requests, fieldwork coordination, and resolution of audit findings.Ensure compliance with CMS cost report requirements, Medicaid/Medicare regulations, and other applicable federal and state healthcare statutes.Monitor changes in accounting standards (FASB/GAAP) and assess their impact on organizational financial policies and disclosures.Team Leadership & DevelopmentSupervise, mentor, and develop a team of 5–8 accounting professionals including Accounting Managers, Senior Accountants, and Staff Accountants.Establish team goals, conduct performance evaluations, and cultivate a culture of continuous improvement and professional growth.Identify and implement process improvements that enhance efficiency, reduce manual effort, and improve data integrity.Cross-Functional CollaborationPartner with Revenue Cycle, Treasury, Tax, FP&A, and Operations to ensure consistency across financial processes and reporting.Support annual budgeting and forecasting processes by providing accurate accounting data and variance analysis.Collaborate with IT and ERP teams on system implementations, upgrades, and automation initiatives.REQUIRED QUALIFICATIONSBachelor's degree in Accounting, Finance, or related field required.CPA license required.7+ years of progressive accounting experience, with at least 3 years in a management role.Healthcare industry experience (health system, hospital, managed care, or physician group) strongly preferred.Demonstrated expertise in GAAP, financial close processes, and internal controls (SOX).Proficiency with ERP systems (e.g., Oracle, SAP, Workday, or Infor Lawson).Strong analytical, problem-solving, and organizational skills with exceptional attention to detail.Excellent communication and interpersonal skills; ability to present financial information to non-finance stakeholders.PREFERRED QUALIFICATIONSMaster's degree in Accounting or MBA.Experience with healthcare-specific accounting standards including cost reporting and charity care.Familiarity with consolidation software (e.g., Workday).Prior Big 4 or national public accounting firm experience.Experience with automation tools and data analytics platforms (e.g., Power BI, Tableau, Alteryx).CORE COMPETENCIESFinancial Acumen: Applies deep technical accounting knowledge to solve complex problems and drive sound financial decisions.Leadership: Develops and inspires high-performing teams; models accountability and professional integrity.Process Improvement: Identifies inefficiencies and drives sustainable improvements in accounting workflows and systems.Communication: Translates complex financial data into clear, actionable insights for diverse stakeholders.