Senior Healthcare Accounting Manager

Senior Accounting Manager

Join Aprio's Managed Services team and you will help clients maximize their opportunities. Aprio is a progressive, fast-growing firm looking for a Senior Accounting Manager to join their dynamic team.

The Senior Manager is responsible for overseeing monthly accounting and financial reporting for a diverse portfolio of healthcare and healthcare adjacent clients, including provider organizations and professional services entities. This role extends beyond traditional oversight to deliver proactive, strategic guidance that supports financial compliance, operational effectiveness, and regulatory requirements unique to the healthcare industry.

In this capacity, the Senior Manager plays a critical leadership role in supervising, mentoring, and developing a high performing team of accounting professionals, fostering technical excellence, accountability, and continuous professional growth.

The ideal candidate brings a strong foundation in accounting or finance, demonstrated leadership capability, and a proven ability to deliver strategic advisory services. Exceptional written and verbal communication skills are essential, along with the ability to build trusted client relationships and drive continuous improvement across service delivery.

Position Responsibilities:

• Oversee a portfolio of healthcare and professional services clients, ensuring a high standard of client service and satisfaction
• Coordinate with team members to ensure the accurate and timely completion of weekly accounting activities, month-end close processes, and financial reporting
• Review and approve month-end and year-end financial statements in accordance with applicable accounting standards and client requirements
• Provide proactive, strategic advisory support related to budgeting, forecasting, and financial planning to help clients achieve organizational objectives
• Serve as a subject matter expert for complex accounting matters, providing guidance to both clients and internal team members
• Lead, mentor, and develop staff, promoting a culture of collaboration, accountability, and continuous learning
• Identify and implement process improvements to enhance efficiency, scalability, and consistency across client engagements
• Ensure compliance with internal controls and best practices to maintain the accuracy and integrity of client financial records
• Collaborate with internal and external stakeholders, including auditors, tax advisors, and other service providers, to support client needs
• Stay informed of emerging healthcare industry trends and regulatory developments and apply relevant insights to client solutions and team operations

Qualifications:

• CPA or equivalent professional credential preferred
• Minimum of seven years of experience in an outsourced accounting or professional services environment
• Demonstrated success in business development and client relationship management
• Experience with QuickBooks Online, Sage Intacct, Xero, NetSuite, BILL, and Fathom preferred
• Ability to effectively collaborate with internal leadership, team members, clients, and external vendors
• Strong project management approach with the ability to manage multiple client engagements consistently
• Ability to work independently, manage competing priorities, and meet established deadlines
• Excellent written and verbal communication skills

Why work for Aprio:

Whether you are just starting out, looking to advance into management or searching for your next leadership role, Aprio offers an opportunity to grow with a future-focused, innovative firm.

Perks/Benefits we offer for full-time team members:

• Medical, Dental, and Vision Insurance on the first day of employment
• Flexible Spending Account and Dependent Care Account
• 401k with Profit Sharing
• 9+ holidays and discretionary time off structure
• Parental Leave – coverage for both primary and secondary caregivers
• Tuition Assistance Program and CPA support program with cash incentive upon completion
• Discretionary incentive compensation based on firm, group and individual performance
• Incentive compensation related to origination of new client sales
• Top rated wellness program
• Flexible working environment including remote and hybrid options

What's in it for you:

• Working with an industry leader: Be part of a high-growth firm that is passionate for what's next.
• An awesome culture: Thirty-one fundamental behaviors guide our culture every day ensuring we always deliver an exceptional team-member and client experience. We call it the Aprio Way. This shared mindset creates lasting relationships between team members and with clients.
• A great team: Work with a high-energy, passionate, caring and ambitious team of professionals in a collaborative culture.
• Entrepreneurship: Have the freedom to innovate and bring your ideas to help us grow to become the CPA firm of choice nationally.
• Growth opportunities: Grow professionally in an environment that fosters continuous learning and advancement.
• Competitive compensation: You will be rewarded with competitive compensation, industry-leading benefits and a flexible work environment to enjoy work/life balance.

EQUAL OPPORTUNITY EMPLOYER

Aprio is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law.

Aprio, LLP and Aprio Advisory Group, LLC, operate in an alternative business structure, with Aprio Advisory Group, LLC providing non-attest tax and consulting services, and Aprio, LLP providing CPA firm services.