ACCOUNTING MANAGER

Pueblo Medical Imaging; Las Vegas (NV); On-site; USD 90,000 - 130,000; Full time

Job summary

Pueblo Medical Imaging in Las Vegas, NV is seeking an Accounting Manager to oversee day-to-day accounting for a multi-entity healthcare organization and partner with the Controller to ensure a timely month-end close.

You will supervise staff, drive process improvements, maintain GAAP compliance, and collaborate with executives to deliver accurate financial reporting and support audits.

Qualifications

• Bachelor's degree in Accounting.
• Seven (7) or more years of accounting experience.
• Healthcare and multi-entity accounting experience preferred.
• Strong knowledge of GAAP.
• Advanced proficiency in Microsoft Excel and QuickBooks.
• Strong written and verbal communication skills.
• Demonstrated leadership, organizational, and analytical abilities.

Responsibilities

• Lead the month-end close process for multiple entities, ensuring timely and accurate financial reporting.
• Manage bank reconciliations, balance sheet reconciliations, journal entries, allocations, and intercompany accounting.
• Coordinate with revenue cycle management vendors to reconcile revenue and ensure accurate cash balancing.
• Review payroll accounting, physician compensation accruals, and related financial reporting.
• Prepare monthly financial statements, variance analyses, and supporting financial reports for leadership.
• Supervise, mentor, and develop accounting staff while promoting accountability and continuous improvement.
• Support annual audits, tax return preparation, shareholder reporting, and other regulatory requirements.
• Identify opportunities to improve accounting processes, internal controls, and operational efficiencies.
• Maintain compliance with GAAP, company policies, and applicable regulatory requirements.
• Collaborate with the Controller, CEO, and other departments to support organizational financial objectives.
• Perform other duties and special projects as assigned.

Skills

Leadership

Analytical abilities

Communication skills

Education

Bachelor's degree in Accounting

Tools

Microsoft Excel

QuickBooks

Job description

Job Details

Job Location: LAS VEGAS, NV 89118Position Type: Full TimeEducation Level: 4 Year DegreeTravel Percentage: NegligibleJob Category: Accounting

At Pueblo Medical Imaging, our Accounting Manager play a vital role in maintaining the financial health and operational success of our growing multi-entity healthcare organization. In this leadership role, you will oversee day-to-day accounting operations, partner with executive leadership to ensure timely and accurate financial reporting, supervise accounting staff, and drive continuous process improvements while maintaining compliance with Generally Accepted Accounting Principles (GAAP).

We are committed to excellence—not only in the care we provide to our patients, but also in the way we support our employees and operate our business. Our culture is built on teamwork, accountability, integrity, and continuous improvement, creating an environment where employees are empowered to grow professionally, solve complex challenges, and make a meaningful impact across the organization.

If you are a detail-oriented accounting professional with strong leadership skills, healthcare accounting experience, and a passion for improving financial operations, Pueblo Medical Imaging offers an exciting opportunity to advance your career while contributing to an organization dedicated to exceptional patient care.

Position Summary

The Accounting Manager oversees the day-to-day accounting operations for a complex multi-entity healthcare organization and partners with the Controller to restore and maintain a timely month-end close.

Key Responsibilities

• Lead the month-end close process for multiple entities, ensuring timely and accurate financial reporting.


• Manage bank reconciliations, balance sheet reconciliations, journal entries, allocations, and intercompany accounting.


• Coordinate with revenue cycle management vendors to reconcile revenue and ensure accurate cash balancing.


• Review payroll accounting, physician compensation accruals, and related financial reporting.


• Prepare monthly financial statements, variance analyses, and supporting financial reports for leadership.


• Supervise, mentor, and develop accounting staff while promoting accountability and continuous improvement.


• Support annual audits, tax return preparation, shareholder reporting, and other regulatory requirements.


• Identify opportunities to improve accounting processes, internal controls, and operational efficiencies.


• Maintain compliance with Generally Accepted Accounting Principles (GAAP), company policies, and applicable regulatory requirements.


• Collaborate with the Controller, CEO, and other departments to support organizational financial objectives.


• Perform other duties and special projects as assigned.

Qualifications

• Bachelor's degree in Accounting.


• Seven (7) or more years of accounting experience.


• Healthcare and multi-entity accounting experience preferred.


• Strong knowledge of Generally Accepted Accounting Principles (GAAP).


• Advanced proficiency in Microsoft Excel and QuickBooks.


• Ability to successfully perform the essential functions of the position.


• Strong written and verbal communication skills.


• Demonstrated leadership, organizational, and analytical abilities.

Mental and Emotional Requirements

• Must be able to organize and prioritize multiple deadlines and projects simultaneously.


• Must exercise independent judgment and discretion in accounting and supervisory matters.


• Must be able to make sound decisions under pressure, particularly during month-end close.


• Must manage stress appropriately and maintain accuracy in a deadline-driven environment.


• Must be able to work independently and collaboratively with employees, vendors, physicians, and leadership.


• Must maintain confidentiality and exercise professional judgment when handling sensitive financial information.