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Senior Accountant

OrthoNY
Syracuse, NY Full Time
POSTED ON 4/13/2026
AVAILABLE BEFORE 6/8/2026

The Senior Accountant plays a critical role in ensuring the accuracy, integrity, and timeliness of the organization’s financial reporting. This position is responsible for leading key components of the month-end close process, maintaining general ledger integrity, and supporting financial analysis across a multi-entity environment.

The Senior Accountant serves as a subject matter expert in accounting operations, supports audit readiness, and partners cross-functionally to drive financial discipline and operational efficiency.

RESPONSIBILITIES     

Financial Close & General Ledger

    Lead and execute month-end, quarter-end, and year-end close processes 

    Prepare and review journal entries and account reconciliations 

    Ensure accuracy of general ledger activity across multiple entities or locations 

    Analyze and resolve reconciliation discrepancies and variances 

Financial Reporting

    Prepare monthly financial statements and supporting schedules 

    Conduct variance analysis and provide insights to Finance and Operations leadership 

    Support budgeting and forecasting processes 

    Assist in developing financial reporting packages for leadership and/or private equity stakeholders 

Audit & Compliance

    Coordinate and support external and internal audits 

    Ensure compliance with GAAP and internal accounting policies 

    Maintain strong internal controls and documentation standards 

Operational & Cross-Functional Support

    Partner with departments (Operations, Revenue Cycle, HR, etc.) to ensure accurate financial reporting 

    Support revenue recognition, expense tracking, and cost allocations 

    Assist with multi-site or multi-entity accounting structures 

Leadership & Process Improvement

    Mentor and provide guidance to Staff Accountants or junior team members 

    Identify and implement process improvements and automation opportunities 

    Support system implementations or enhancements (ERP, reporting tools)

    IT Perform balance sheet account reconciliations and investigate discrepancies.    

QUALIFICATIONS     

Education:

    Bachelor’s degree in accounting, Finance, or related discipline or equivalent professional experience is required.

    CPA, strongly preferred

Experience:

    4 years progressive accounting experience

    Experience in a high-growth healthcare or multi-entity organization, preferred

    Proficiency in Excel including pivot tables, formulas, and financial analysis.

    Experience with ERP or accounting systems (e.g., NetSuite, Sage, Oracle, Workday, or similar).

Performance Requirements:

    Strong attention to detail and accuracy.

    Ability to manage multiple priorities and meet deadlines.

    Analytical problem-solving skills.

    Strong communication and collaboration skills.

    High level of integrity and professionalism with confidential financial information.

    High accountability and performance orientation    

Salary : $85,000 - $105,000

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