Healthcare Senior Accountant
Vaco, Birmingham, AL, United States
Position Overview
We are seeking a Senior Accountant to join a growing healthcare organization. This role is a key contributor to the finance team, responsible for general ledger accuracy, financial reporting, and month‑end close. The position is designed with a clear path to promotion into an Accounting Manager or higher-level role based on performance.
Key Responsibilities
Support and lead the monthly close process, including journal entries, reconciliations, and financial statement preparation
Ensure proper revenue and expense classification in accordance with GAAP and healthcare accounting standards
Perform balance sheet reconciliations, payroll and benefits analysis, and budget‑vs‑actual variance analysis
Partner with operations, payroll, and revenue cycle teams to ensure accurate financial data
Assist with budgeting, forecasting, and financial planning alongside the CFO
Support board reporting, external audits, and coordination with third‑party CPA firms
Maintain and improve internal controls, policies, and accounting processes
Contribute to cash flow optimization, cost management, and financial modeling for growth initiatives
Growth Opportunity
Direct exposure to the CFO and strategic finance initiatives
Opportunity to take on increasing ownership and leadership responsibilities
Qualifications
Bachelor’s degree in Accounting or Finance (CPA is a plus)
3–6+ years of accounting experience (healthcare or public accounting preferred)
Strong knowledge of GAAP and financial reporting
Experience with month‑end close and financial analysis
Advanced Excel and ERP system experience preferred
Benefits
Medical, dental, and vision benefits as well as a company 401(k) retirement plan. Eligibility for discretionary bonuses.
EEO Notice
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com.
Workplace discrimination is illegal. By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
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We are seeking a Senior Accountant to join a growing healthcare organization. This role is a key contributor to the finance team, responsible for general ledger accuracy, financial reporting, and month‑end close. The position is designed with a clear path to promotion into an Accounting Manager or higher-level role based on performance.
Key Responsibilities
Support and lead the monthly close process, including journal entries, reconciliations, and financial statement preparation
Ensure proper revenue and expense classification in accordance with GAAP and healthcare accounting standards
Perform balance sheet reconciliations, payroll and benefits analysis, and budget‑vs‑actual variance analysis
Partner with operations, payroll, and revenue cycle teams to ensure accurate financial data
Assist with budgeting, forecasting, and financial planning alongside the CFO
Support board reporting, external audits, and coordination with third‑party CPA firms
Maintain and improve internal controls, policies, and accounting processes
Contribute to cash flow optimization, cost management, and financial modeling for growth initiatives
Growth Opportunity
Direct exposure to the CFO and strategic finance initiatives
Opportunity to take on increasing ownership and leadership responsibilities
Qualifications
Bachelor’s degree in Accounting or Finance (CPA is a plus)
3–6+ years of accounting experience (healthcare or public accounting preferred)
Strong knowledge of GAAP and financial reporting
Experience with month‑end close and financial analysis
Advanced Excel and ERP system experience preferred
Benefits
Medical, dental, and vision benefits as well as a company 401(k) retirement plan. Eligibility for discretionary bonuses.
EEO Notice
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com.
Workplace discrimination is illegal. By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
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