Senior Accountant CAS

Nisivoccia LLP; Arlington (TX); On-site; USD 65,000 - 100,000; Full time

Job summary

Nisivoccia LLP is seeking a Senior Accountant for its Client Accounting & Advisory Services (CAS) practice in Arlington, TX. You will manage outsourced accounting for healthcare clients, delivering accurate financial reporting and insightful analysis using cloud-based tools.

Responsibilities include month-end close, financial statement prep, revenue recognition, and collaborating with partners to drive advisory solutions.

Qualifications

• Bachelor’s degree in Accounting or related field required.

Responsibilities

• Manage day-to-day accounting for CAS clients, primarily in healthcare.

Skills

GAAP knowledge

Accrual accounting

Communication skills

Organizational skills

Education

Bachelor’s degree in Accounting or related field

Active CPA license or CPA-eligible

Tools

QuickBooks Online

Bill.com

Karbon

Job description

Description

The Senior Accountant in Client Accounting & Advisory Services (CAS) plays a key role in delivering high-quality outsourced accounting and advisory support to a portfolio of clients, with a focus on healthcare organizations. This position goes beyond traditional bookkeeping and compliance, partnering with clients and internal teams to provide accurate financial reporting, operational insight, and scalable accounting solutions using cloud-based technology.

Key Responsibilities

• Manage day-to-day accounting for a portfolio of CAS clients, primarily in the healthcare industry
• Perform and oversee month-end and year-end close processes on an accrual basis
• Prepare and review monthly financial statements, including balance sheets, income statements, and cash flow reports
• Ensure accurate revenue recognition, expense accruals, and balance sheet reconciliations
• Identify and resolve accounting issues, variances, and inconsistencies
• Serve as a trusted accounting contact for clients, providing clear and actionable financial explanations
• Assist in analyzing financial results and trends to support client decision-making
• Support budgeting, forecasting, and cash flow analysis
• Collaborate with CAS managers and partners to deliver proactive advisory solutions
• Help clients improve accounting processes, internal controls, and financial visibility
• Utilize QuickBooks Online (QBO) as the primary general ledger platform
• Manage accounts payable workflows using Bill.com
• Assist with onboarding new CAS clients, including system setup and workflow design
• Identify opportunities for automation and process improvement
• Support firm initiatives related to cloud accounting, analytics, and workflow standardization
• Healthcare accounting knowledge, including revenue cycle and third-party payor considerations
• Apply understanding of operational measures such as provider productivity
• Coordinate with tax and assurance teams as needed
• Collaborate with CAS managers, partners, and team members
• Contribute to CAS best practices and standard operating procedures
• Participate in ongoing training and professional development

Requirements

• Bachelor’s degree in Accounting or related field
• 5–7 years of accounting experience, preferably in Client Accounting Services department.
• Strong accrual accounting and month-end close experience
• Hands-on experience with QuickBooks Online
• Experience with Bill.com or similar AP automation tools
• Healthcare industry accounting experience
• Strong GAAP knowledge
• Excellent communication and organizational skills

Preferred

• Active CPA license or CPA-eligible
• Experience supporting multiple clients in a CAS environment
• Exposure to budgeting, forecasting, and advisory engagements
• Experience with workflow tools such as Karbon or similar platforms
• Experience with additional cloud accounting, reporting, or automation tools
• M&A and Private Equity experience in the healthcare space