Senior Accountant (8405)

Direct Hire
Saint Louis, Missouri, United States

Senior Accountant

Position Overview: The Senior Accountant plays a critical role in overseeing core accounting functions, ensuring financial accuracy, regulatory compliance, and operational efficiency across the organization. This position leads key components of the month-end close process, financial reporting, payroll accounting, and system integrations while supporting strategic initiatives and process improvements. The ideal candidate is detail-oriented, analytical, and experienced in managing complex accounting environments, including multi-entity or multi-site operations.
 
Key Responsibilities
General Accounting & Close Management
  • Lead the month-end close process, including preparation and review of journal entries, account reconciliations, and financial statements (balance sheet, income statement, and cash flow).
  • Analyze and reconcile general ledger accounts to ensure accuracy, completeness, and GAAP compliance.
  • Prepare and review non-routine and complex journal entries related to acquisitions, revenue cycle activity, and other strategic initiatives.
  • Ensure timely and accurate financial reporting in accordance with established deadlines.
Financial Reporting & Analysis
  • Perform detailed variance analysis (budget vs. actual), providing actionable insights and commentary to senior leadership.
  • Facilitate quarterly balance sheet reviews to ensure financial integrity and identify risk areas.
  • Support leadership with ad hoc financial analysis and reporting as needed.
Payroll Accounting & Benefits Oversight
  • Manage payroll accounting functions, including preparation and reconciliation of payroll-related journal entries and accruals (401(k) profit sharing, bonuses, PTO, and related liabilities).
  • Serve as the primary liaison for payroll vendor (Insperity) matters, including issue resolution and system coordination.
  • Partner with HR to onboard newly affiliated practices, ensuring payroll and benefits systems align with contractual obligations and tax regulations.
Process Improvement & Automation
  • Identify and implement process improvements to enhance efficiency, strengthen internal controls, and improve reporting accuracy.
  • Lead automation initiatives, including treasury enhancements to support daily cash reconciliation.
  • Leverage data warehouse capabilities to automate workflows, support financial assumptions, reconcile accounts receivable, and explain financial results.
Integrations & System Implementation
  • Support integration efforts for newly affiliated practices, ensuring seamless onboarding into shared accounting systems and processes.
  • Assist with system transitions and ERP enhancements to improve scalability and financial visibility.
Audit & Compliance
  • Ensure compliance with federal, state, and local regulations related to accounting, payroll, and financial reporting.
  • Maintain and strengthen internal controls in preparation for internal and external audits.
  • Serve as the primary point of contact for annual financial statement, benefit plan, and worker’s compensation audits.
  • Ensure accounting policies and procedures remain current with regulatory and GAAP standards.
 
Qualifications
Required:
  • Bachelor’s degree in Accounting, Finance, or related field
  • 3+ years of progressive general accounting experience
  • Strong knowledge of GAAP
  • Advanced Microsoft Excel skills (pivot tables, XLOOKUP/VLOOKUP, INDEX/MATCH, data analysis functions)
  • Strong analytical, organizational, and problem-solving skills with the ability to manage multiple priorities
Preferred:
  • CPA or PMP certification
  • Experience with multi-site or multi-entity payroll environments
  • Healthcare industry experience
  • Proficiency in ERP systems such as SAGE Intacct and BILL
 
Core Competencies
  • Accountability and ownership of financial processes
  • High degree of accuracy and attention to detail
  • Effective written and verbal communication
  • Leadership and mentorship capabilities
  • Strong project management and time management skills
  • Proactive problem-solving mindset

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