Senior Accountant – Healthcare Client Accounting

Location: Multiple Locations Throughout Michigan
Employment Type: Full-Time
Work Arrangement: Hybrid / Flexible (subject to confirmation)
Salary Range: $75,000–$100,000 annually (proposed range, subject to confirmation)

About the Opportunity

An established and growing public accounting and advisory firm is seeking a Senior Accountant – Healthcare to join its expanding Client Accounting Services team in Michigan.

This position offers the opportunity to work directly with a diverse portfolio of healthcare organizations, particularly physician and dental practices, providing accounting, financial reporting, and advisory support.

The ideal candidate enjoys managing multiple client relationships, solving complex accounting challenges, and helping organizations improve their financial operations.

Key Responsibilities

• Manage accounting engagements for a portfolio of small to mid-sized healthcare clients, including physician and dental practices.

• Oversee month-end close activities, general ledger accounting, and financial reporting.

• Prepare and review bank, credit card, loan, and balance sheet reconciliations.

• Review standard journal entries and prepare complex adjusting entries.

• Analyze financial activity, investigate discrepancies, and identify significant variances.

• Oversee accounts payable, customer invoicing, accounts receivable, and collections activities.

• Prepare and review monthly financial statements and management reporting packages.

• Maintain depreciation and amortization schedules.

• Perform budget-to-actual variance analyses and assist with budgeting and forecasting.

• Support cash flow projections and financial planning activities.

• Prepare and file complex 1099 reporting.

• Assist with grant accounting, invoicing, and financial reporting when applicable.

• Serve as a primary point of contact for client accounting questions and financial matters.

• Identify opportunities to improve accounting processes, reporting accuracy, and operational efficiencies.

• Provide guidance and mentorship to junior accounting professionals.

Required Qualifications

• Bachelor's degree in Accounting, Finance, or a related field, or equivalent experience.

• Minimum of 4 years of progressive accounting experience.

• Experience working with healthcare organizations, particularly physician and/or dental practices.

• Strong understanding of general ledger accounting, reconciliations, month-end close, and financial statement preparation.

• Ability to independently manage multiple accounting responsibilities and deadlines.

• Strong analytical, organizational, and problem-solving skills.

• Excellent communication and client relationship management skills.

• Ability to communicate financial information clearly to non-accounting professionals.

Preferred Qualifications

• Experience in public accounting, Client Accounting Services (CAS), or outsourced accounting.

• Experience managing multiple client engagements simultaneously.

• CPA designation or other advanced accounting certification.

• Experience with cloud-based accounting systems, automation tools, and financial reporting software.

• Experience supporting budgeting, forecasting, and cash flow management.

• Experience mentoring or reviewing the work of junior accounting staff.