Accounting Manager

Dover Health; St. Louis (MO); On-site; USD 85,000 - 125,000; Full time

Job summary

Dover Health is seeking an Accounting Manager to lead the organization’s accounting function, ensure accurate financial records, and maintain regulatory compliance. This role supervises the accounting team, oversees month‑end and year‑end closes, and delivers timely financial reports to support operational decision‑making.

You will partner with departments to monitor cash flow, develop budgets, and drive internal controls across home health, hospice, and pharmacy operations.

Qualifications

• Bachelor’s degree in Accounting or related field.
• 7+ years of accounting experience; healthcare experience preferred.
• CPA license required.
• Experience with general ledgers and financial statements is required.
• Strong analytical, organizational, and communication skills.
• Experience with NetSmart, HomeCare Homebase, and Sage is strongly preferred.

Responsibilities

• Oversee and direct all accounting functions for multiple agencies, including AP/AR, payroll, and GL maintenance.
• Manage month-end and year-end close processes and deliver financial statements.
• Prepare, review, and analyze financial statements, budgets, and forecasts.
• Monitor cash flow and oversee daily cash management activities.
• Assist in budgeting and forecasting in collaboration with department heads.
• Collaborate with billing/revenue cycle teams to optimize reimbursement and collections.
• Lead internal and external audit activities and ensure timely submission of reports.
• Develop and maintain internal controls to safeguard assets and data integrity.
• Provide strategic financial insights to leadership and operational managers.

Skills

Leadership

Regulatory compliance

Financial reporting

Cash flow management

Audits

Cross-functional collaboration

Education

Bachelor’s degree in Accounting

CPA license

Tools

NetSmart

HomeCare Homebase

Sage

Job description

Position Summary

The Accounting Manager leads the accounting function across the organization, ensuring accurate financial records, compliance with healthcare regulations, and timely delivery of financial reports. This role manages and develops the accounting team, overseeing month-end and year-end close, reimbursement processes, and regulatory reporting. The Accounting Manager assists in the critical analysis of financial performance against budgets and works with regional and operational teams to understand business trends, identify key drivers of performance, and implement measurable strategies that improve efficiency, strengthen internal controls, and deliver strong financial outcomes that support the organization’s stability and growth.

Essential Duties

• Oversee and direct all accounting functions for multiple agencies, including accounts payable and receivable, payroll, and general ledger maintenance, ensuring accuracy, timeliness, and compliance with healthcare regulations and company standards.
• Manage and execute the month-end and year-end close processes, delivering accurate and timely financial statements to support operational and strategic decision-making.
• Prepare, review, and analyze financial statements, budgets, forecasts, variance reports, identifying trends, risks, and opportunities to enhance financial performance.
• Monitor and manage cash flow, reconcile bank accounts, and oversee daily cash management activities to ensure adequate liquidity for operations.
• Assist in the development of budgets and forecasts in collaboration with department heads, aligning financial planning with organizational goals and service delivery requirements.
• Collaborate with billing and revenue cycle teams to resolve claim denials, optimize reimbursement, and ensure timely collections from all payers.
• Guide the preparation, review, and timely issuance of internal and external reports, including balance sheets, income statements, statements of cash flows, cash flow projections, payroll/PTO accruals, and other supporting reports produced on a monthly, quarterly, and annual basis.
• Develop, implement, and maintain a comprehensive internal control framework, including policies, procedures, and testing processes to safeguard agency assets, ensure data integrity, and mitigate risks specific to home health, hospice, and pharmacy financial operations.
• Exercises independent judgment and discretion in overseeing pharmacy inventory accounting practices, analyzing variances and trends, and evaluating their impact on cost of goods sold to inform financial reporting and business decisions.
• Ensure compliance with federal, state, and payer-specific regulations by preparing and submitting accurate Medicare/Medicaid cost reports and reimbursement documentation.
• Lead all internal and external audit activities and serve as the primary contact for auditors, surveyors, and regulatory agencies, ensuring all required financial and compliance documentation is complete, accurate, and submitted within required timelines.
• Advise and partner with agency leadership, department heads, and operational managers by providing clear financial insights, trend analysis, and data-driven recommendations to support strategic planning, operational efficiency, and regulatory compliance.
• Direct, mentor, and develop accounting team members through ongoing coaching, performance goal setting, skills training, and regular evaluations, fostering a high-performing and collaborative department culture.
• Collaborate across all departments working closely with operations and clinical leadership to align financial performance with patient care goals.
• Maintain current knowledge of healthcare reimbursement regulations, adjusting processes as needed and communicating updates to leadership and affected departments.
• Maintain confidentiality of patient and company financial data at all times.
• Other duties as assigned.

Description

The Accounting Manager leads the accounting function across the organization, ensuring accurate financial records, compliance with healthcare regulations, and timely delivery of financial reports. This role manages and develops the accounting team, overseeing month-end and year-end close, reimbursement processes, and regulatory reporting. The Accounting Manager assists in the critical analysis of financial performance against budgets and works with regional and operational teams to understand business trends, identify key drivers of performance, and implement measurable strategies that improve efficiency, strengthen internal controls, and deliver strong financial outcomes that support the organization’s stability and growth.

Essential Duties

• Oversee and direct all accounting functions for multiple agencies, including accounts payable and receivable, payroll, and general ledger maintenance, ensuring accuracy, timeliness, and compliance with healthcare regulations and company standards.
• Manage and execute the month-end and year-end close processes, delivering accurate and timely financial statements to support operational and strategic decision-making.
• Prepare, review, and analyze financial statements, budgets, forecasts, variance reports, identifying trends, risks, and opportunities to enhance financial performance.
• Monitor and manage cash flow, reconcile bank accounts, and oversee daily cash management activities to ensure adequate liquidity for operations.
• Assist in the development of budgets and forecasts in collaboration with department heads, aligning financial planning with organizational goals and service delivery requirements.
• Collaborate with billing and revenue cycle teams to resolve claim denials, optimize reimbursement, and ensure timely collections from all payers.
• Guide the preparation, review, and timely issuance of internal and external reports, including balance sheets, income statements, statements of cash flows, cash flow projections, payroll/PTO accruals, and other supporting reports produced on a monthly, quarterly, and annual basis.
• Develop, implement, and maintain a comprehensive internal control framework, including policies, procedures, and testing processes to safeguard agency assets, ensure data integrity, and mitigate risks specific to home health, hospice, and pharmacy financial operations.
• Exercises independent judgment and discretion in overseeing pharmacy inventory accounting practices, analyzing variances and trends, and evaluating their impact on cost of goods sold to inform financial reporting and business decisions.
• Ensure compliance with federal, state, and payer-specific regulations by preparing and submitting accurate Medicare/Medicaid cost reports and reimbursement documentation.
• Lead all internal and external audit activities and serve as the primary contact for auditors, surveyors, and regulatory agencies, ensuring all required financial and compliance documentation is complete, accurate, and submitted within required timelines.
• Advise and partner with agency leadership, department heads, and operational managers by providing clear financial insights, trend analysis, and data-driven recommendations to support strategic planning, operational efficiency, and regulatory compliance.
• Direct, mentor, and develop accounting team members through ongoing coaching, performance goal setting, skills training, and regular evaluations, fostering a high-performing and collaborative department culture.
• Collaborate across all departments working closely with operations and clinical leadership to align financial performance with patient care goals.
• Maintain current knowledge of healthcare reimbursement regulations, adjusting processes as needed and communicating updates to leadership and affected departments.
• Maintain confidentiality of patient and company financial data at all times.
• Other duties as assigned.

Qualifications, Education And/or Experience

• Bachelor’s degree in Accounting, Finance, or related field is required.
• Minimum of seven (7) years of accounting experience; experience in healthcare preferred but not required.
• CPA license is required
• Experience working with general ledgers (creating journal entries, establishing accruals, preparation of financial statements) is required.
• Strong analytical skills and the ability to interpret and present financial data are required; must have strong attention to detail.
• Excellent organizational, problem-solving, and communication skills are required.
• Demonstrated ability to manage multiple tasks and deadlines in a fast-paced environment.
• Experience with NetSmart, HomeCare Homebase, and Sage is strongly preferred
• Commitment to Dover Health’s mission and values.

Working Conditions

• This position may involve a range of physical activities, including those outlined in the Essential Duties, but is not limited to them. This position may need to walk or stand for extended periods.
• While performing the duties of this job, the employee is?occasionally required to stand/move, communicate, and identify written information.?The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl and lift and/or move up to twenty (20) pounds independently.
• This position requires the employee to be present at the corporate office daily. The role involves working at a desk for most of the workday.
• This position may need to move through areas of the corporate office or other worksites of the organization.
• Occasional travel may be required for inventory counts, recruitment events, training events, or site visits, depending on the organization’s needs.11
• This position involves juggling multiple projects simultaneously, which requires strong time management and organizational skills. There may be deadlines for hiring specific roles or initiatives.
• This role involves actively participating in all staff activities aimed at fostering teamwork, unity, and morale. The individual will contribute as a collaborative team player, working alongside colleagues to create a supportive and cohesive work environment.
• Individuals in this position are required to stay current on all training and ongoing education initiatives. They are expected to actively pursue self-improvement and embrace opportunities for continuous learning to enhance their skills and knowledge in providing exceptional service.

We are an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, we will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer.

Dover Health considers the health and safety of its patients, family members, and team members as its highest priorities. All offers of employment are contingent upon the successful completion of a background check and drug screening, participation in required health assessments (such as TB testing or physical evaluations), and the use of designated personal protective equipment (PPE) as required by company policy and applicable law.