Accounting Manager

The Accounting Manager is responsible for managing the daily accounting operations of a hospital or health system, ensuring accurate financial reporting, regulatory compliance, and strong internal controls. This role partners closely with revenue cycle, patient financial services, and operational leadership to support financial performance and organizational goals. The ideal candidate will have experience in hospital accounting, third-party reimbursements, and healthcare financial reporting requirements.

Key Responsibilities:

• Oversee the month-end, quarter-end, and year-end close processes, ensuring timely and accurate financial reporting.
• Manage general ledger activity, account reconciliations, journal entries, and financial statement preparation.
• Supervise and develop accounting staff, providing leadership, training, and performance management.
• Ensure compliance with GAAP, healthcare regulations, and organizational policies.
• Collaborate with revenue cycle and patient financial services teams to monitor net patient revenue, contractual allowances, and reimbursement trends.
• Support the preparation of Medicare and Medicaid cost reports and other regulatory filings.
• Coordinate internal and external audits, including financial statement audits and regulatory reviews.
• Assist with budgeting, forecasting, and variance analysis to support hospital leadership decision-making.
• Strengthen internal controls and identify opportunities for process improvements and efficiencies.
• Partner with department leaders across clinical and administrative functions to support financial initiatives.
• Support system implementations, upgrades, and financial reporting tools as needed.

Qualifications:

• Bachelor’s degree in Accounting or Finance required.
• CPA preferred.
• 5+ years of progressive accounting experience, with hospital or health system experience strongly preferred.
• Prior leadership or supervisory experience required.
• Strong knowledge of GAAP and healthcare financial reporting.
• Understanding of hospital reimbursement methodologies, including Medicare, Medicaid, and commercial payors.
• Experience with hospital financial systems and ERP platforms.
• Advanced Excel and strong analytical skills.
• Excellent communication and leadership abilities.

Preferred Qualifications:

• Experience with Medicare cost reports or regulatory reporting.
• Familiarity with healthcare compliance and audit requirements.
• Experience working in a multi-entity or consolidated health system environment.

Compensation & Benefits (Example):

• Salary range: $100,000 – $125,000 (based on experience)
• Performance bonus eligibility
• Comprehensive health benefits
• Retirement plan with employer match
• Generous PTO and holidays
• Professional development and career growth opportunities

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.Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membe…