Senior Accountant

Confidential; Schaumburg (IL); Hybrid; USD 90,000 - 110,000; Full time

Job summary

Confidential is seeking a Senior Accountant to support multi-site healthcare operations, including acquisition integration and robust accounting processes.

This role blends GAAP accounting, financial reporting, and collaboration with clinics and pharmacies. You will lead consolidations, assist with system onboarding, and strengthen internal controls within a growth-focused organization.

Qualifications

• 5–10 years of progressive accounting experience required.
• Advanced Excel skills required.
• Strong analytical, organizational and communication skills.
• Healthcare, multi-site and M&A experience highly desirable.

Responsibilities

• General accounting & reporting: GL, journal entries, reconciliations, month-end close, GAAP statements.
• Acquisition & integration: consolidate entities post-acquisition and onboard into systems.
• Revenue cycle collaboration: coordinate with revenue cycle teams on patient services and pharmacy revenues.
• Compliance & internal controls: HIPAA, Medicare/Medicaid, PBM relationships, and internal controls.
• Operational & strategic support: budgeting, forecasting, variance analysis, and process improvements.

Skills

Advanced Excel

Analytical skills

Organizational skills

Communication skills

M&A integration

Multi-site experience

Education

Bachelor's degree in Accounting or related field

Job description

Senior Accountant – Multi-Site Healthcare

Hybrid- 1 day a week in office

A growing, innovative healthcare organization is seeking a Senior Accountant to play a key role in supporting its expansion and mission-driven care delivery model. This is an opportunity to join a dynamic finance team in a role that blends core accounting responsibilities with acquisition integration, operational support, and process improvement initiatives.

Why This Role Stands Out

• Mission-driven organization improving patient outcomes in a specialized healthcare segment
• Opportunity to work on M&A integrations and multi-entity consolidations
• Collaborative, values-based culture with leadership committed to innovation and growth
• Exposure to both corporate and operational finance functions, supporting clinics and pharmacy operations

Key Responsibilities

• General Accounting & Reporting – Perform general ledger accounting, journal entries, reconciliations, and month-end close. Prepare and analyze GAAP-compliant financial statements, maintain fixed asset ledgers and depreciation schedules, and support external audits.
• Acquisition & Integration – Assist with consolidating multiple entities post-acquisition, onboarding new entities into financial systems, aligning accounting practices, and reconciling opening balances.
• Revenue Cycle Collaboration – Partner with revenue cycle teams to ensure accurate recording of patient service revenues and pharmacy sales. Analyze payer mix, aging, and collections to support accruals and revenue recognition. Track denials, write-offs, and cash collections.
• Compliance & Internal Controls – Ensure compliance with healthcare financial regulations (HIPAA, Medicare/Medicaid, PBM relationships) and maintain strong internal controls as the company scales.
• Operational & Strategic Support – Provide financial insight and reporting to clinic and pharmacy leadership, assist with budgeting, forecasting, variance analysis, and process improvements in accounting workflows.

Qualifications

• Bachelor’s degree in Accounting or related field (required)
• 5–10 years of progressive accounting experience, with advanced Excel skills
• Healthcare industry experience preferred; multi-site and M&A integration experience highly desirable
• Strong analytical, organizational, and communication skills; able to work independently and handle complex projects