Senior Accountant

Vanta Diagnostics is a rapidly growing, CAP- and CLIA-certified national laboratory delivering targeted molecular diagnostics designed to improve both clinical and economic outcomes. Our work empowers healthcare providers with actionable insights that support better decision-making and provide therapies that truly change patients’ lives.  Known for our industry-leading turnaround times, we ensure results move quickly from the lab to the provider.

Headquarters in Charleston, South Carolina, Vanta is expanding and actively seeking high-performing sales professionals to join our team. We’re looking for individuals who not only excel in their craft, but who also live our core values every day, ethics, service, and a genuine passion for helping providers achieve better outcomes, one patient at a time.

We are looking for a dynamic Senior Accountant to join our growing finance team. The Senior Accountant is responsible for supporting the month‑end close process, financial reporting, account reconciliations, and technical accounting for a fast‑paced diagnostic laboratory environment. This role plays a critical part in ensuring accurate financial records, compliant revenue recognition, proper cost allocation, and timely reporting. The Senior Accountant partners closely with Operations, Revenue Cycle, Compliance, and FP&A to ensure the financial statements reflect the true performance of the business.

Key Responsibilities

Month‑End Close & Financial Reporting

• Lead components of the monthly, quarterly, and annual close process, ensuring accuracy and timeliness.
• Prepare and review journal entries, accruals, prepaids, fixed asset entries, and balance sheet reconciliations.
• Maintain the general ledger and support consolidation processes as needed.
• Assist in the preparation of monthly financial statements and management reporting packages.

Revenue & Accounts Receivable Accounting

• Support revenue recognition for laboratory services, ensuring compliance with ASC 606.
• Reconcile revenue, AR, denials, payer adjustments, and write‑offs in coordination with the Revenue Cycle team.
• Monitor changes in reimbursement patterns and validate financial impacts.

Cost Accounting & Operational Support

• Reconcile cost of goods sold, consumables, reagents, and inventory activity.
• Partner with laboratory operations to validate cost‑per‑test, usage variances, and supply allocation.
• Maintain fixed asset schedules, depreciation, and capital expenditure tracking.

Compliance, Controls & Audit Support

• Maintain internal controls and support compliance with GAAP, healthcare regulations, and company policies.
• Support external auditors during annual audits, providing schedules, documentation, and explanations.
• Participate in process improvement initiatives to streamline financial workflows.

System & Process Improvement

• Assist in optimizing the ERP environment (NetSuite preferred), including chart of accounts, workflows, and reporting.
• Support automation projects across Finance, RCM, and Operations.
• Collaborate with FP&A to improve data integrity and streamline cross‑functional processes.

Qualifications

· Bachelor’s degree in accounting or finance is required; CPA or CPA candidate preferred.

· 3–5+ years of progressive accounting experience; healthcare or diagnostic laboratory experience strongly preferred.

· Strong knowledge of US GAAP and revenue recognition (ASC 606).

· Experience with ERP systems (NetSuite preferred) and strong proficiency in Excel.

· Strong analytical, organizational, and problem‑solving skills.

· Ability to work in a fast‑paced, high‑volume environment with competing deadlines.

· Excellent communication skills and ability to partner with cross‑functional teams.

· High level of integrity, accuracy, and attention to detail.

Key Competencies

· Technical accounting expertise

· Analytical and detail‑oriented

· Strong organizational skills

· Results-driven and deadline-focused

· Effective communicator and collaborator

· Continuous improvement mindset

· Ability to thrive in a regulated healthcare environment

The annual base pay for this position ranges from $85,000 - $90,000.

Benefits offered include qualified retirement programs, car allowance, cell phone stipend, paid time off (i.e., vacation, holiday, and leaves), a 401(K) plan and company match, as well as health, dental, and vision coverage in accordance with the terms of the applicable plans.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

If this role excites you and you believe you can make an impact, we encourage you to apply, even if you don’t meet every requirement.