Senior Accountant

Nvspecialtycare; Reno (NV); On-site; USD 70,000 - 90,000; Full time

Job summary

Sierra Nevada Specialty Care is seeking a Senior Accountant to oversee financial operations across multiple entities in Reno, NV. This full-time role emphasizes strategic decision-making while collaborating closely with executive leadership. Ideal candidates will have 3-5 years of accounting experience, strong analytical skills, and proficiency in QuickBooks and Excel. A bachelor's degree in Accounting or Finance is required; CPA is preferred. The position offers promotional opportunities and contributes to critical financial strategy.

Qualifications

• 3–5 years of accounting experience (AP/AR, general ledger, full-cycle accounting).
• Experience with budgeting, forecasting, and financial analysis preferred.
• Strong analytical and problem-solving skills.

Responsibilities

• Oversee all accounting, finance, and business office functions.
• Prepare and analyze financial statements, budgets, and forecasts.
• Lead budgeting processes and identify trends, risks, and opportunities.
• Ensure compliance with tax regulations and financial reporting standards.

Skills

Accounting experience (AP/AR, general ledger, full-cycle accounting)

Budgeting experience

Financial analysis

Strong proficiency in QuickBooks

Excel proficiency

Education

Bachelor’s degree in Accounting, Finance, or related field

CPA preferred

Tools

QuickBooks

Excel

Job description

Senior Accountant (Full-Time)
Sierra Nevada Specialty Care
Reno, NV

Are you a strategic, hands‑on accounting professional who wants a seat at the table? At Sierra Nevada Specialty Care, this isn’t just a reporting role. You’ll work directly with executive leadership and play a key part in shaping the financial direction of a growing healthcare organization.

We’re looking for someone who can think beyond the numbers, bring structure to complexity, and confidently partner with leadership across multiple business entities.

Why This Role Stands Out

• Direct exposure to executive leadership (COO/CEO)
• High‑impact role with visibility across the organization
• Opportunity to influence financial strategy and long‑term growth
• Promotional opportunities for high performers

What You’ll Do

As our Senior Accountant, you’ll lead and oversee financial operations across multiple entities while helping guide strategic decision‑making.

• Oversee all accounting, finance, and business office functions
• Prepare and analyze financial statements, budgets, and forecasts
• Lead budgeting processes and identify trends, risks, and opportunities
• Ensure compliance with tax regulations and financial reporting standards
• Monitor cash flow and support capital planning efforts
• Develop and maintain internal controls to safeguard company assets
• Partner with leadership to evaluate business strategies and financial feasibility
• Manage relationships with CPAs, financial institutions, and vendors
• Support audits, regulatory reporting, and compliance initiatives
• Contribute to special projects and organizational growth initiatives

What We’re Looking For

We’re seeking someone who is both detail‑oriented and forward‑thinking, with the ability to manage multiple priorities and communicate effectively across teams.

Experience

• 3–5 years of accounting experience (AP/AR, general ledger, full‑cycle accounting)
• Experience with budgeting, forecasting, and financial analysis preferred
• Audit and financial reporting experience preferred
• Strong proficiency in QuickBooks, Excel, and reporting tools
• Healthcare or medical billing experience is a plus

Education

• Bachelor’s degree in Accounting, Finance, or related field
• Equivalent experience considered (8+ years in lieu of degree)
• CPA preferred but not required

What Sets You Apart

• Strong analytical and problem‑solving skills
• Ability to operate both strategically and tactically
• High level of integrity and confidentiality
• Comfortable working in a fast‑paced, evolving environment

Work Environment

This is an on‑site position in a professional medical office setting. The role is primarily sedentary with occasional movement throughout the clinic.