Hospital Accounting Manager

Accounting Manager - Hospital

Direct Hire | Full-Time | Onsite

Schedule: Monday – Friday, 8:00 AM – 4:30 PM (Exempt; flexibility beyond 40 hours required)

Compensation: $90,000 – $130,000 annually

Position Overview

We are seeking an experienced Accounting Manager to oversee day-to-day financial accounting operations across multiple entities. This leadership role supervises a team of 10–15 accounting professionals and is responsible for ensuring accurate financial reporting, strong internal controls, and compliance with generally accepted accounting principles (GAAP). The ideal candidate brings strong reconciliation expertise, healthcare accounting exposure, and proven leadership experience in a complex financial environment.

Key Responsibilities

• Oversee daily accounting operations, including journal entries, bank reconciliations, balance sheet reconciliations, accounts payable, cash management, fixed assets, and general ledger activity.
• Review monthly financial statements for accuracy, completeness, and reasonableness.
• Evaluate financial reporting processes and recommend operational improvements.
• Participate in annual operating and capital budget processes.
• Coordinate general ledger interfaces to ensure proper posting and reporting.
• Lead month-end and year-end close validation.
• Prepare tax filings or required reporting for assigned entities (including franchise and personal property renditions).
• Coordinate and support annual external audits, including preparation of workpapers and auditor requests.
• Oversee fixed asset accounting and annual physical inventory.
• Support capital project accounting and property/equipment tracking throughout the year.
• Develop, maintain, and enhance accounting systems and procedures.
• Provide financial reporting and analysis support to executive leadership.
• Respond to departmental financial inquiries and provide budget-related guidance.
• Lead special projects and process improvement initiatives as assigned.

Leadership Responsibilities

• Supervise, mentor, and develop a team of 10–15 accounting staff.
• Organize workflow and manage daily priorities across multiple functional areas.
• Select, train, evaluate, and provide ongoing coaching to team members.
• Foster a collaborative, professional, and accountable work environment.

Required Qualifications

• Bachelor’s degree in Accounting.
• Supervisory experience in an accounting environment.
• Strong knowledge of GAAP and financial reporting.
• Advanced reconciliation experience.
• Proficiency in Excel and Microsoft 365 applications (PowerPoint included).
• Ability to work independently and manage multiple competing deadlines.
• Strong written and verbal communication skills.
• Experience working within complex financial systems.

Preferred Qualifications

• CPA certification (preferred).
• Healthcare accounting experience (5+ years preferred; candidates with some healthcare exposure will be considered).

What We’re Looking For

• A hands-on accounting leader who balances detail orientation with strategic thinking.
• A mentor committed to team development and long-term growth.
• A professional seeking stability and long-term career progression.
• Someone comfortable working in a dynamic environment with evolving priorities.

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