Accounting Manager

Vaco is assisting its healthcare client in its search for an Accounting Manager. This position reports to the CFO.
Position Summary
The Accounting Manager oversees accounting operations for a multi-entity healthcare organization, including operating entities and related real estate entities across multiple locations. This role ensures accurate financial reporting, effective intercompany accounting, and consistent accounting practices across the organization. The Accounting Manager partners with leadership to support budgeting, KPI reporting, and informed decision-making.

Key Responsibilities



Accounting & Multi-Entity Management

• Oversee daily accounting operations for multiple legal entities, including healthcare operating entities and real estate entities
• Manage month-end and year-end close processes across all entities
• Prepare and review journal entries, accruals, prepaids, intercompany transactions, and account reconciliations
• Maintain fixed asset records, depreciation schedules, and capital expenditure tracking
  
  

Healthcare, Real Estate & Location Oversight

• Ensure accurate accounting for patient service revenue, adjustments, and collections
• Coordinate accounting for leases, rent income/expense, and property-related costs
• Reconcile activity between operating companies and real estate entities
• Support location-level financial reporting and performance analysis
  
  

Reporting, Compliance & Controls

• Prepare consolidated and entity-level financial reports for leadership
• Prepare and maintain KPI reports for healthcare operations, real estate entities, and individual locations
• Analyze KPI trends and variances and provide actionable insights to leadership
• Ensure compliance with internal accounting policies and applicable local, state, and federal requirements
• Support external audits, reviews, and financial inquiries
• Maintain confidentiality and compliance with HIPAA as it relates to financial data

Leadership & Process Improvement

• Manage, mentor, and review the work of accounting staff
• Support budgeting, forecasting, and variance analysis across entities and locations
• Improve accounting processes, systems, and internal controls to support organizational growth
  
  

Qualifications

• Bachelor's degree in Accounting, Finance, or a related field
• 5 years of progressive accounting experience, preferably in healthcare or multi-entity environments
• Prior supervisory or management experience
• Strong understanding of accounting principles and financial reporting
• Experience with intercompany accounting and multi-location reporting
• Proficiency with accounting systems and advanced Excel skills
• CPA, CMA, or similar certification preferred
• Public accounting experience preferred
  
  

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.