Senior Accountant

Job Description

Day-to-Day Responsibilities

Insight Global is seeking a Senior Accountant to join the Internal Financial Reporting team for a large healthcare system based out of Linthicum, MD. This role supports monthly financial reporting, cash accounting, reconciliations, variance analysis, and collaboration with executive leadership for a specific hospital entity. The team serves as a highly visible group that partners closely with senior leadership, operational teams, and auditors.

Responsibilities include, but are not limited to:

• Support and lead month-end close activities, including journal entries, accruals, prepaids, and reconciliations.

• Prepare draft and final monthly financial statements for assigned hospital entities.

• Perform variance analysis of actuals versus budget and prior periods; prepare commentary for leadership.

• Participate in monthly executive financial review meetings:

○ One team reviews revenue

○ This role focuses on expense-side analysis

• Perform and review balance sheet reconciliations in accordance with GAAP and UMMS policies.

• Prepare and post cash journal entries with appropriate supporting documentation.

• Perform bank and cash account reconciliations for complex accounts; assist staff with smaller accounts.

• Research and clear unidentified deposits and withdrawals.

• Perform GL reconciliations of cash accounts to source systems (EPIC) and bank statements.

• Utilize AutoRec and other tools to streamline reconciliation processes.

• Prepare cash analytics and dashboards to support leadership decision-making.

• Coordinate with Internal and External Financial Reporting teams as needed.

• Support regulatory filings including HSCRC annual filings and IRS Form 990 preparation.

• Assist with annual consolidated financial audits, internal audits, and decision support budgeting.

• Ensure compliance with UMMS internal controls over financial reporting (ICFR).

• Support ambulatory care accounting, including limited close entries and meetings during the first few days of close.

• Develop and implement process improvements and standardization initiatives.

Provide guidance and mentorship to accounting staff as needed.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

Must Haves:

• Bachelor’s degree in Accounting, Finance, or a related field.

• 4+ years of professional accounting or auditing experience.

• Knowledge of debits, credits, journal entries, and how accruals works

• Strong Excel skills.

• Strong analytical, multitasking, and problem-solving skills

• Deadline oriented Plusses:

• Certified Public Accountant (CPA)

• Hospital or healthcare accounting experience

• Experience with EPIC or similar healthcare financial systems

• Strong communication skills and executive-facing experience

Experience preparing and presenting financial statements