We are seeking an experienced Senior Accountant to support a growing healthcare organization. This role requires deep ownership of the monthly close, mastery of the balance sheet, and the ability to interpret payroll data, analyze and troubleshoot complex revenue cycle management processes and healthcare industry regulatory requirements to ensure accurate, compliant reporting.

This position is well suited for a hands-on accountant who understands how accounting decisions impact Medicare Cost Reports, reimbursement, payroll compliance, and audits in a regulated healthcare environment.

Key Responsibilities:

Lead and execute the monthly close, including journal entries, accruals, allocations, reconciliations, and variance analysis in a healthcare environment
Maintain full ownership of the balance sheet, ensuring all accounts are supported, compliant, and audit-ready
Design, document, and apply allocation methodologies consistent with current structure.
Review provider, vendor, lease, and payer contracts to identify compliance with requirements of the contract, financial obligations and reimbursement implications
Prepare and maintain fixed asset records
Support payroll accounting, including accruals, labor distribution and reconciliations
Demonstrate a working understanding of Virginia payroll laws and payroll compliance requirements
Prepare and support BPOL filings across entities and locations
Assist with preparation and audit support of Medicare Cost Reports, including general ledger tie-outs
Leverage Sage Intacct for dimensional reporting, allocations, and healthcare financial reporting
Support external audits, Medicare audits, and internal compliance reviews
Partner with operational, clinical, and leadership teams to ensure compliant financial reporting

Qualifications:

5+ years of progressive accounting experience preferably in a healthcare or Medicare-regulated environment
Proven ownership of the monthly close
Strong balance sheet expertise with GAAP knowledge
Experience with allocations, fixed assets, and contract interpretation in a regulatory setting
Hands-on experience with Sage Intacct (preferred)
Working knowledge of Medicare Cost Reports and reimbursement concepts
Understanding of payroll processing and Virginia payroll laws
Experience with BPOL filings and local tax compliance
Strong attention to detail and audit-ready documentation skills
Bachelor’s degree in accounting or finance

Why Join Us:

High-impact accounting role in a regulated healthcare environment
Exposure to Medicare reporting, reimbursement, and compliance
Opportunity to help scale and strengthen healthcare accounting processes
Collaborative, mission-driven leadership team
Competitive compensation and comprehensive benefit