Senior Accountant, Finance Operations (Healthcare Technology)

San Diego, CA (On-Site) or Des Moines, IA (Remote with optional office workspace available) $85,000-$115,000, depending on experience, qualifications, and location Help Build and Scale the Finance Operations of a Growing Healthcare Technology Company MedWatchers is a healthcare technology and clinical services organization that partners with health plans, pharmacy benefit managers, pharmacies, and other healthcare stakeholders to improve medication access, adherence, quality outcomes, and member engagement through technology-enabled solutions. We are seeking a hands-on Senior Accountant, Finance Operations to join our growing finance team. Reporting directly to the Senior Director of Finance, this role offers significant ownership, visibility, and the opportunity to help build a scalable finance function. We're looking for someone who embraces modern technology and is excited about using AI-enabled technologies, workflow automation, and other emerging productivity tools to improve efficiency, strengthen analysis, enhance documentation, and support business growth. Responsibilities Manage accounts payable, accounts receivable, invoicing, and expense administration Prepare journal entries and account reconciliations Lead assigned portions of the monthly, quarterly, and annual close process Maintain accurate accounting records and internal controls Assist with audit, tax, and compliance activities Improve workflows through automation, process optimization, and technology-enabled solutions Support administration and optimization of accounting, banking, expense management, and customer invoicing systems Partner with leadership on operational and strategic initiatives Required Qualifications Bachelor's degree in Accounting, Finance, or related field 5+ years of progressive accounting experience Experience with general ledger accounting, reconciliations, and month-end close Demonstrated ability to independently own accounting processes, manage deadlines, and drive issues to resolution Strong Excel skills and understanding of U.S. GAAP Ability to thrive in a fast-paced environment Preferred Qualifications Experience with Xero, QuickBooks, NetSuite, or similar accounting platforms Experience with Ramp or other AP and expense management tools Healthcare, healthcare technology, SaaS, or professional services experience CPA or CPA-track background Experience using AI-enabled technologies, workflow automation platforms, and modern productivity tools to improve accounting processes and operational efficiency Experience leading process improvement, automation, or systems implementation initiatives Why MedWatchers? High-impact role with significant ownership and visibility Opportunity to help build and improve finance operations in a growing organization Collaborative and entrepreneurial culture Exposure to finance, operations, technology, and business strategy Opportunity to expand responsibilities and grow alongside the company Benefits Include: Medical, Dental & Vision Insurance 401(k) with Company Match Student Loan Assistance Paid Time Off (10 days + 1 float day) and Company Holidays (10 days) Life Insurance FSA Long Term Disability Insurance Referral program Apply if you're an accountant who enjoys taking ownership, improving processes, leveraging modern technology, and helping a growing organization scale.