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Senior Accountant

Senior Care Therapy
Chicago, IL Full Time
POSTED ON 4/14/2026
AVAILABLE BEFORE 10/7/2026

Senior Accountant (Financial Reporting & Close)

Join a fast-growing, multi-entity, physician-owned healthcare services organization where your work directly strengthens the financial foundation behind patient care. As a Senior Accountant (Financial Reporting & Close), you’ll play a key role in delivering accurate, timely, audit-ready financial statements in accordance with U.S. GAAP—bringing clarity, discipline, and insight to a dynamic, private-equity-backed environment.

You will be responsible for core month-end close activities, build and maintain high-quality balance sheet reconciliations, and partner across Finance, AP, Payroll, Revenue Cycle, and Operations to keep close moving smoothly. If you enjoy improving processes, maintaining strong controls, and producing clean support for auditors and leadership, this is a chance to make a measurable impact.

Key Responsibilities:

  • Execute assigned close activities, including journal entries, accruals, allocations, and intercompany entries.
  • Support timely and accurate close for assigned entities or divisions.
  • Analyze results versus prior period and budget/forecast; investigate and resolve variances.
  • Prepare and maintain audit‑ready balance sheet reconciliations, including cash, revenue and accounts receivable, payroll‑related liabilities, accruals, and other key accounts.
  • Resolve reconciling items and maintain clear documentation and audit trails.
  • Partner with Finance, AP, Payroll, Revenue Cycle, and Operations to resolve issues impacting close, reporting, and cash.
  • Support cash management through reconciliations and review of activity.
  • Assist with bank reporting, audits, tax workpapers, and ad hoc requests.
  • Maintain organized support schedules and respond to internal and external inquiries.
  • Contribute to internal controls documentation and compliance with company policies.
  • Support improvements to close calendars, reconciliation standards, and operating procedures.
  • Utilize QuickBooks Online and Live Flow or similar reporting tools.
  • Participate in special projects and process initiatives as needed.

Requirements:

  • Bachelor’s degree in accounting
  • 5 years of experience in general ledger accounting, and month-end close
  • Strong understanding of U.S. GAAP
  • Proficiency with accounting systems
  • Advanced Excel and comfort with reporting systems.
  • Strong organization, follow-through, and communication skills
 

Preferred Qualifications:

  • Background in healthcare accounting and/or a private‑equity‑backed environment.
  • Familiarity with audits, tax support, and internal controls.
  • Involvement in improving close processes and documentation.
  • Exposure to ERP implementations or reporting tool enhancements.

What We Provide:

  • Medical, Dental, Vision, Life Insurance, Short-Term Disability, Long-Term Disability, Ancillary Benefits (Full-Time)
  • 401(k) plan with up to 3% company match
  • PTO & Holiday

Senior Care Therapy, LLC (SCT) is an Equal Employment Opportunity Employer. We are committed to providing an environment of mutual respect where all employment decisions are made on an individual basis without regard to characteristics protected by federal, state, or local law.

Senior Care Therapy, LLC (SCT) believes that supporting a respectful and inclusive workplace is critical to our success. SCT is committed to making our application process to all applicants and will provide reasonable accommodation upon request as required.

Compensation details: 85000-105000 Yearly Salary

Salary.com Estimation for Senior Accountant in Chicago, IL
$81,305 to $98,916
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