Senior Accountant

Job Description

Job Description

Build What Matters Most—Families, Futures, and Your Career  

Enjoy meaningful work while contributing to an organization that changes lives every day. US Fertility , the nation’s leading partnership of physician-led fertility practices, is redefining what it means to build a career in reproductive medicine. 

Our team members choose to build their career home at US Fertility because of the  hope we inspire in our patients , the  lives we help bring into the world , and the  culture of excellence we foster across our organization . We share a deep commitment to continuously improving the patient experience and advancing research and development in one of the most dynamic and impactful fields of medicine. 

Through our national network of premier fertility centers we combine clinical expertise, scientific innovation, and compassionate care. The work we do building families offers purpose, challenge, and personal reward—and we’re just getting started. 

Opportunity Overview  

We have an immediate opening for a  Senior Accountant to join our team at  US Fertility working a hybrid schedule including two to three days per week in our Rockville, Maryland office. 

• Schedule: Monday through Friday, 8:00 AM to 5:00 PM
• Compensation: $95,000 to $100,000 per year (commensurate with experience)

This role provides the opportunity to grow within a nationally respected organization while remaining closely connected to the patients and teams you support every day. 

How You’ll Contribute  

At US Fertility, collaboration is fundamental to how we work. There is undeniable strength in numbers—and support is always within reach. Whether collaborating with more than 200 highly respected physicians nationwide  or partnering with colleagues who are passionate about solving meaningful problems, you’ll be surrounded by a team committed to shared success. 

In this role, the Senior Accountant will: 

• Own the monthly close process for an assigned portfolio of practices or entities, including preparation of journal entries, supporting schedules, account reconciliations, and variance analysis.
• Analyze revenue and accounts receivable activity, independently research unusual trends, reconciling items, timing, or posting differences, and prepare or recommend appropriate corrective entries.
• Maintain and reconcile revenue-related balances, including accrued, deferred, unapplied, unbilled, bad debt and AR reserve activity, as applicable.
• Develop a strong understanding of assigned practices and proactively identify and investigate transactions, balances, or financial results that do not align with expectations.
• Serve as the accounting owner for assigned practices, partnering with operational, revenue cycle, and finance teams to research and resolve accounting issues with a high degree of independence.
• Maintain the accurate and timely dissemination of financial statements and reports
• Support and facilitate external audit
• Oversee accounts payable operations
• Reconcile and review General Ledger accounts to ensure accuracy, completeness and compliance with GAAP
• Review corporate prepared financial statements for accuracy and prepare month end journal entries
• Review and prepare bank reconciliations
• Establish and maintain systems and internal controls
• Participate in a wide variety of special projects and compile a variety of special reports
• Provide financial support to management and multiple departments
• Review payroll processing
• Maintain and protect operations by keeping all pertinent information confidential
• Manage financial close cycle and variance analysis
• Oversee accounts payable
• Participate in department budget preparation and compliance
• Participate in internal and external audits

What You’ll Bring  

We’re looking for professionals who bring both technical skill and a deep sense of responsibility to the care experience—individuals who thrive in environments where excellence, empathy, and accountability matter. 

Qualifications and Skills Include:  

• Bachelors Degree in Accounting or Finance
• 3 to 5 years of experience in accounting and finance
• Healthcare experience preferred
• CPA preferred

More important than any single credential, however, is the right person . Team members who are most successful at US Fertility embrace our mission, live our values, and remain committed to continuous improvement—for themselves, their colleagues, and the patients we serve.

What We Offer  

US Fertility is proud to provide a  competitive, comprehensive benefits package designed to support our team members—professionally and personally—across all employment types. 

Full-Time Employees (30+ hours/week)  

• Medical, dental, and vision insurance 
• 401(k) with company match 
• Tuition assistance and professional development support 
• Performance-based bonus opportunities 
• Generous paid time off, paid holidays, and paid parental leave 
• Life and disability benefits 
• Fertility Discount Program 
• Employee wellness and recognition programs

Part-Time Employees  

• 401(k) with company match 
• Performance-based bonus opportunities 
• Employee wellness and recognition programs 

Per Diem Employees  

• 401(k) with company match 
• Employee wellness and recognition programs

Our Commitment to Inclusion and Opportunity  

US Fertility and its network partners believe that a  diverse workforce is essential to fulfilling our mission of expanding patient access to the highest standards of fertility care. We are committed to equitable and inclusive hiring practices that ensure our clinical and operational teams reflect and support the diverse communities and patients we serve.

Across our national footprint, US Fertility is a leader in offering  clinical, administrative, and operational career opportunities at locations throughout the United States. We are equally committed to developing individual strengths, promoting from within, and supporting long-term career growth. 

This is a moment of growth, innovation, and impact. Take the next step in your career with US Fertility—and help shape the future of fertility care.