Accountant Senior (S)

SSM Health; St. Louis (MO); Hybrid; USD 68,000 - 101,000; Full time

Job summary

SSM Health in Missouri seeks a Senior Accountant to lead complex accounting activities, prepare and analyze financial statements, and ensure GAAP compliance. You will partner with leaders across the organization to drive accurate reporting, budgeting, and process improvements, supporting mission-driven patient care.

The role is hybrid, with standard hours Mon-Fri, 8:00 a.m.–4:30 p.m., and a one-hour driving distance requirement to the Mission Hill office.

Qualifications

• Bachelor's degree or equivalent combination of experience and education.
• Five years' experience in accounting (Healthcare preferred).
• Experience with GAAP and financial statement preparation.

Responsibilities

• Performs complex journal entries and other accounting activities using in-depth conceptual and practical knowledge.
• Produces financial statements, budget-to-actual reports, and prepares narrative explanations of financial statements.
• Prepares and reviews complex audit and/or tax work papers.
• Analyzes and prepares accurate and timely project budgets for both operating and capital budgets.
• Performs other duties as assigned.

Skills

Excel

Computer skills

SAP S/4HANA

Journal entries

Variance analysis

Financial statement analysis

AR invoicing

GAAP

Account reconciliations

Healthcare accounting

Education

Bachelor's degree

Tools

SAP S/4HANA

Job description

It\'s more than a career, it\'s a calling.
MO-SSM Health Mission Hill

Worker Type:
Regular

Job Highlights

Join a team where your work matters—every moment, every patient, every community. At SSM Health, you\’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact.

As a Senior Accountant , you\'ll play a critical role in supporting the financial health and strategic success of the organization. In this position, you\'ll lead complex accounting activities, prepare and analyze financial statements, ensure compliance with accounting standards and regulatory requirements, and provide valuable insights that help drive informed business decisions. Working closely with leaders across the organization, you\'ll contribute to financial reporting, budgeting, process improvements, and special projects that enhance operational efficiency and support our mission of exceptional patient care.

If you\'re a detail-oriented accounting professional who enjoys solving complex financial challenges, improving processes, and partnering with stakeholders to make an impact, this is an excellent opportunity to advance your career while supporting a purpose-driven organization.

Scheduling & Logistics

• Hybrid role: Candidates must reside within a one-hour driving distance of the SSM Mission Hill corporate office.
• Standard work hours are Monday–Friday, 8:00 a.m.–4:30 p.m., with flexibility in start and end times.
• There is no on-call requirement for this position.

Skills & Matching Criteria

• Strong Excel skills
• Strong computer skills
• Knowledge of prior accounting software SAP S/4HANA experience is considered a plus
• Ability to prepare and post complex journal entries
• Experience with actual to budget variance analysis
• Experience with financial statement analysis
• Experience with non-patient accounts receivable invoicing
• Understanding of GAAP Experience with account reconciliations
• Accounting experience in healthcare is preferred, but not required

Pay Range:
$67,558.40 - $101,337.60

Pay Rate Type

Salary

SSM Health values the skills and talents that each team member brings to our organization. Compensation for this role is based on a variety of components including relevant experience, labor market, and other qualifications. The posted pay range for this position is what SSM Health reasonably expects, in good faith, to offer based on the circumstances at the time of posting. SSM Health may ultimately pay more or less than the posted range as permitted by law.

Job Summary

Performs complex accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Generates and interprets financial records and statements for management. Analyzes financial data in order to prepare financial statements.

Job Responsibilities and Requirements

PRIMARY RESPONSIBILITIES

• Performs complex journal entries and other accounting activities using in-depth conceptual and practical knowledge.
• Produces financial statements, budget-to-actual reports, and prepares narrative explanations of financial statements.
• Prepares and reviews complex audit and/or tax work papers.
• Analyzes and prepares accurate and timely project budgets for both operating and capital budgets.
• Performs other duties as assigned.

EDUCATION

• Bachelor\’s degree or equivalent combination of experience and education

EXPERIENCE

• Five years\' experience

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

• None

Department

8761060033 Operational Accounting STL - ILL

Work Shift

Day Shift (United States of America)

Scheduled Weekly Hours

40

SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.