Remote Senior Accountant II

Job Title: Senior Accountant II

About Us:

On a mission to deliver affordable, delightful healthcare for all, First Stop Health provides connected, whole-person virtual care to employers 24/7 through app, website, or phone in all 50 states. First Stop Health prioritizes an engaging and easy-to-use experience, setting people on healthier journeys through care at multiple stages. We are proud to be recognized as one of Fast Company’s Most Innovative Companies.

First Stop Health offers a comprehensive benefits package that includes various health and medical coverage options, dental and vision coverage, disability and life coverage, making healthcare easily accessible. For those that choose to waive medical coverage a monthly medical waiver allowance will be provided.

First Stop Health offers a remote-first work environment and flexible paid time off, including Summer Fridays. Furthermore, the employer match 401k plan and monthly phone stipend demonstrates the company's commitment to employee financial well-being. The First Stop Health membership benefit is another added perk for employees and provides our virtual care solutions -- Urgent Care, Mental Health, and Primary Care -- from their very first day!

Job Description:

We are seeking a detail-oriented and experienced Senior Accountant II to join our Finance team. This role is responsible for the accounting and reporting of payroll, employee benefits, and contracted medical provider payments. Key responsibilities include preparing payroll journal entries, accruals, reconciliations, and benefit-related accounting activities to support the monthly close process. The position maintains oversight of payroll and benefit liabilities, insurance-related expenses, and provider payment processing, ensuring transactions are recorded accurately and timely. The Senior Accountant plays a critical role in maintaining compliance with GAAP and internal policies while providing reliable financial information that supports operational and business decision-making.

Responsibilities:

Payroll & Benefits  

• Accounting for bi-weekly payroll in the general ledger
• Prepare and record all monthly payroll and bonus accruals
• Cost of Goods analysis for salary and hourly wages
• Reconcile payroll and benefit liabilities
• Manage and account for employee medical and auxiliary benefits
• Track and enter COBRA payments
• Accounting for Workers’ Compensation insurance payments and annual reconciliation
• Accounting for 401(k) payments and annual audit and compliance review

Clinical and Contractor Payments

• Process Primary Care doctor payments and send out statements biweekly
• Process Urgent Care doctors and send out statements on a monthly basis
• Process and send out 1099s to vendors annually for payments made

Accounting & Reconciliation  

• Review GL reconciliations against the balance sheet
• Calculate and record capitalized commissions monthly

Reporting & Compliance  

• Update monthly metrics for the Board of Directors Reporting
• Update and notify HR of Office of Inspector General (“OIG”) vendor status monthly

Requirements :

• Bachelor's Degree in Accounting
• 7-10+ years of progressive accounting experience, preferably in both public accounting and corporate environments
• Strong knowledge of GAAP and internal control best practices
• Proficiency with accounting software (e.g., NetSuite, SAP, Oracle, QuickBooks) and advanced Excel skills
• Strong analytical skills, attention to detail, and problem-solving abilities
• Excellent communication skills and ability to work independently and as part of a team

First Stop Health is committed to diversity, equity, inclusion, and belonging. Research shows that women, people of color and other historically underrepresented groups tend to only apply to jobs in which they meet all the job requirements. Unsure if you check every box? Apply. We would love to consider your unique experiences and how you could make First Stop Health even better.

To learn more about First Stop Health, visit and if you require any assistance during the application process or have questions, please don't hesitate to contact our talent acquisition team via email at View email address on talent.com