Senior Accountant

We are seeking an experienced InterimSenior Accountant to support a healthcare organization’s Revenue Accounting team. This position will focus on complex revenue accounting, capitation accounting, reconciliations, journal entries, month-end close activities, financial analysis, and audit support.

Key Responsibilities Prepare monthly journal entries across multiple revenue streams. Perform complex revenue reconciliations and investigate discrepancies. Analyze revenue results and provide insights and recommendations to Accounting leadership. Support month-end close, including revenue accruals, membership reporting, and reconciliation activities. Perform actual-to-budget and actual-to-forecast revenue analysis, including rate/volume and per-member analysis. Prepare supporting schedules and documentation for external, internal, and regulatory audits.

Maintain data integrity between revenue systems and the general ledger. Analyze balance sheet, income statement, and cash flow impacts related to revenue activity. Develop queries, analytical tools, and models to support financial analysis. Partner cross-functionally with Accounting, FP&A, Actuarial, Enrollment/Reconciliation, and Data Warehouse teams. Assist with healthcare-specific revenue streams, including Medicare/CMS, DHCS, premium billing, risk score accruals, and revenue recovery activities.

Qualifications Bachelor’s degree in Accounting, Finance, or related field. 4+ years of Accounting, Finance, or related experience. 2+ years of revenue accounting experience preferred. Healthcare Industry Required. Strong understanding of journal entries, general ledger accounting, reconciliations, accruals, and financial statements. Advanced Excel skills. Ability to work with large datasets and identify variances and discrepancies. SQL and/or Access query experience is highly desirable.

By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. 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 membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal. Representation Notice By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications.

You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

For residents of Ontario, Canada: Based on Highspring’s discussions with its Client, Highspring’s understanding is that this position for employment is a current vacancy (either through Highspring as a contractor or with the client directly). Privacy Notice Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies. California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.

Virginia residents may access our state specific policies here. Residents of all other states may access our policies here. Canadian residents may access our policies in English here and in French here. Residents of countries governed by GDPR may access our policies here. Additionally, 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. More details about Vaco by Highspring’s use of AI can be found here (https://www.highspring.com/ai-use-notices/).

Further assessment of candidates beyond this initial phase will be conducted by recruiters and hiring managers. Vaco by Highspring does not know and cannot opine on if its client’s use of AI products in hiring.

Pay Transparency Notice Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.