Overview The Senior Accountant is responsible for supporting the monthly, quarterly, and annual financial close processes and ensuring accurate and timely financial reporting for the healthcare system. This position plays a key role in general ledger oversight, reconciliations, audit support, regulatory reporting, and compliance with GAAP and healthcare-specific accounting standards. The Senior Accountant partners closely with Treasury, Revenue Cycle, Accounts Payable, and operational departments to ensure financial integrity and strong internal controls. Responsibilities Financial Reporting & Close Process Prepare and review monthly journal entries, including accruals, reclasses, and allocations. Perform detailed general ledger account reconciliations (cash, investments, debt, net patient revenue, fixed assets, payroll, etc.). Assist in preparation of monthly financial statements and variance analyses. Ensure compliance with U.S. GAAP and healthcare-specific accounting guidance. Support consolidation of multiple entities, including hospitals, physician practices, and joint ventures. Identify and implement accounting process improvements. Assist with ERP system optimization. Qualifications Education: Bachelor’s degree in business, with a concentration in Accounting or Finance required. Experience: Three (3) to five (5) years of professional accounting or finance experience required. Healthcare financial management experience is highly desirable. Knowledge and Skills: Demonstrated knowledge of hospital finance and patient financial data systems, including both mainframe and PC-based applications. Strong communication skills, with demonstrated proficiency in preparing and delivering presentations.