Role Description
We are looking for a Senior Accountant to own the general ledger across our clinic entities, from a fully remote home base. Reporting to the Financial Controller, you will run the month-end and year-end close under US GAAP, maintain strong internal controls and statutory compliance, keep intercompany and lease accounting clean, and make sure we are audit-ready every quarter.
This is a hands-on role in a lean finance team. You will also cross-train on treasury, capital assets, and payroll so the team always has coverage for time-sensitive cycles.
What you'll do
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General ledger and close:
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Prepare journal entries, accruals, fixed asset entries, and complex balance sheet reconciliations, and keep the ledger accurate.
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Lead the month-end and year-end close so financial statements are reconciled and delivered on schedule.
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Analyze budget-to-actual variances across clinical cost centers and write clear commentary for leadership.
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Prepare audit schedules, support external auditors and the corporate tax package, and gather the financial and encounter data needed for healthcare regulatory reporting.
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Intercompany, related-party and lease accounting:
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Reconcile monthly Due To / Due From balances across affiliated entities and the MSO, eliminate intercompany balances, and make sure shared expenses are billed and settled on time.
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Maintain schedules, interest accruals, and amortization for related-party notes, such as facility build-outs and property transactions with audit-ready documentation and disclosure support.
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Own the multi-clinic ASC 842 lease subledger: ROU assets, lease liabilities, amortization, and interest expense.
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Track lease renewals, modifications, and rent escalations, and check annual CAM and property tax true-ups against the leases.
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Prepare quarterly and year-end workpapers, roll-forwards, and disclosure schedules for related-party balances and future lease commitments.
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Process and coverage:
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Get the most out of our tools (QuickBooks Online, Ramp, Cradle, athenahealth) and help standardize how we work and keep remote collaboration secure.
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Back up treasury, capital asset, and payroll activities when the team needs coverage.
Qualifications
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Bachelor's degree in Accounting.
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5 to 10 years of progressive accounting experience in a corporate or clinical setting.
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Deep knowledge of US GAAP.
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Strong skills with cloud accounting tools such as QuickBooks Online, Ramp, and Cradle.
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A track record of working independently and securely in a remote team, using tools like Google Workspace and ClickUp.
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Strong analytical and problem-solving skills, and the discretion to handle confidential information.
Requirements
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CPA license (nice to have).
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Healthcare experience, ideally in a Rural Health Clinic, FQHC or similar organization, with exposure to medical billing, insurance cycles, or regulatory compliance (nice to have).
Benefits
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Annual salary of $93,600 to $104,000, based on experience and qualifications.
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Fully remote, full-time, exempt position.
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100% employer-paid premium medical coverage for you, your spouse, and your children.
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Dental, vision, chiropractic, and behavioral health coverage.
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401(k) with a 4% employer match after one year.
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Paid time off, sick time, and paid holidays.
How to apply
Send your resume and a short cover letter to
[email protected]
with "Senior Accountant, GL" in the subject line. Tell us about a month-end close or ASC 842 lease process you have owned.