Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Accountant - US Healthcare Controllership - Hybrid

$101.4k - $169k
Full-time

Cigna Healthcare

Lead controllership role supporting US Healthcare and Investment Accounting, with responsibility for assessing emerging accounting and control matters, strengthening the control environment, and partnering across finance and business stakeholders. The Senior Advisor will provide leadership and judgment over control deficiency assessment, new product and technology control readiness, targeted control implementation, and preemptive control reviews. This role requires strong technical accounting knowledge, practical control design experience, independent judgment, and the ability to communicate actionable recommendations to senior finance leadership.

Responsibilities

  • Lead assessment of control deficiencies related to US Healthcare and Investment emerging issues, including evaluation of root cause, severity, financial reporting impact, remediation requirements, and stakeholder communication with applicable stakeholders.
  • Collaborate on new product launches by assessing control readiness, identifying accounting and reporting risks, partnering with project teams, and ensuring control expectations are embedded before implementation.
  • Drive control implementation for new processes, including design of preventive and detective controls, documentation of control objectives, and coordination of evidence requirements.
  • Perform preemptive control assessments across US Healthcare and Investment activities to identify emerging financial reporting, operational, and compliance risks before deficiencies occur.
  • Develop subject matter expertise in finance technology capabilities and process automation to propose, assess, and support controlled adoption opportunities that enhance effectiveness, efficiency, and reporting quality.
  • Partner with cross-functional stakeholders to translate accounting, operational, and system changes into sustainable control processes and clear ownership models.
  • Prepare concise management updates and recommendations for senior finance leadership, highlighting key risks, control themes, remediation progress, and decisions required.
  • Promote a culture of continuous improvement, accountability, and well-controlled execution across various processes.

Key Stakeholders

  • US Healthcare and Investment stakeholders, SOX, Internal Audit, External Audit, Project teams, and senior finance leadership.

Qualifications

  • Bachelor’s degree with accounting concentration required; CPA or advanced degree preferred.
  • Eight or more years of progressive accounting, finance, controllership, audit, or internal control experience.
  • Strong understanding of US GAAP, financial reporting controls, SOX requirements, and accounting operations in a complex environment.
  • Experience assessing control deficiencies, designing remediation plans, and partnering with internal and external audit stakeholders.
  • Demonstrated ability to evaluate new products, process changes, and system implementations from an accounting and control perspective.
  • Strong analytical skills with the ability to interpret complex business issues, identify financial reporting risks, and develop practical recommendations.
  • Excellent verbal and written communication skills, including the ability to summarize complex matters clearly for senior leadership.
  • Motivated, proactive self-starter who takes ownership, exercises sound judgment, and works effectively in a fast-paced environment with tight deadlines.
  • Experience mentoring, coaching, or leading team members or matrixed project resources preferred.
  • Demonstrated interest in process improvement, technology enablement, and sustainable control design.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 101,400 - 169,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here .

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email View email address on aiapply.co for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Accountant - US Healthcare Controllership - Hybrid in Saint Louis, MO vacancy
  • DOOR, Inc. in St. Louis is seeking a Senior Accountant to support day-to-day accounting, month-end...  ...accurate financials and compliance with US GAAP. The position requires five-plus years...  ...in a fast-paced environment. This hybrid role offers weekday office presence in St... 
    Senior
    Work at office
    Weekday work

    Door, Inc.

    Saint Louis, MO
    1 day ago
  • ## Senior Lead Compliance Auditor (Hybrid) - Internal AuditApplyremote type: Hybridlocations...  ...IIA), Certified Public Accountant (CPA) - American...  ...Professional, Certification in Healthcare Privacy, or comparable designations...  ...after seven years with us.For policies, detailed... 
    Senior
    Work experience placement
    Work at office

    Washington University

    Saint Louis, MO
    3 days ago
  • ACC Recruiters in St. Louis seeks a Senior Accountant to join a growing manufacturing company with exposure to leadership and a path to accounting manager and controllership. The role emphasizes manufacturing accounting, standard cost flow, inventory controls, and GAAP-... 
    Senior

    ACC Recruiters

    Saint Louis, MO
    16 hours ago
  • DOOR is seeking a detail-oriented Senior Accountant in St. Louis, Missouri. You will play a critical role in maintaining accurate financial...  ...of progressive accounting experience. The position offers a hybrid work model—3-4 days in the office and 1-2 days working from home... 
    Senior
    Work at office
    Work from home
    Flexible hours

    DOOR

    Saint Louis, MO
    2 days ago
  •  ...Partners, based in St. Louis, MO, seeks a Senior Accountant to join the COGS team overseeing...  ..., and complex reconciliations within a healthcare framework. The position requires a Bachelor...  ...strong Excel, SAP, and Power BI skills. Hybrid work options are available for... 
    Senior
    Remote job

    EyeCare Partners

    Saint Louis, MO
    2 days ago
  • 4M Building Solutions in St. Louis, MO is seeking a Senior Accountant to join our Finance team. You will prepare financial statements, manage...  ...and forecasting, and help ensure GAAP compliance. This hybrid role includes four remote days and one in-office day per week... 
    Senior
    Work at office
    Remote work
    1 day per week

    4M Building Solutions

    Saint Louis, MO
    4 days ago
  •  ...it means to be an advisor and accountant to today’s businesses and...  ...engineering, not-for-profit, healthcare, manufacturing and distribution...  ...Several publications have ranked us among the top accounting...  ...are currently seeking a Tax Senior to join our team as we expand... 
    Senior
    Summer work
    Work at office
    Remote work
    Flexible hours

    Grassi

    Saint Louis, MO
    1 day ago
  • Novogradac & Company LLP is seeking a Senior Accountant to join a fast-growing firm. The role involves managing tax and other assignments with...  ...where applicable. Some positions may offer remote or hybrid work depending on business needs. #J-18808-Ljbffr Novogradac
    Senior
    Remote job

    Novogradac

    Saint Louis, MO
    3 days ago
  • Allegro Living, LLC is seeking a Staff Accountant to oversee accounting functions for development...  ...projects from its St. Louis base. The hybrid role involves three days in the office...  ...month-end close for designated communities, #J-18808-Ljbffr Allegro Senior Living, LLC
    Senior
    Work at office
    Remote work

    Allegro Senior Living, LLC

    Saint Louis, MO
    3 days ago
  •  ...reporting processes. Candidates should possess a Bachelor's degree in Accounting with a preference for a Master's degree and CPA certification....  ...from a Big 4 firm, is crucial. The position offers a hybrid work environment, allowing remote work on Mondays and Fridays while... 
    Senior
    Work at office
    Remote work
    Monday to Friday
    Weekday work

    Ledgent Technology

    Saint Louis, MO
    2 days ago
  •  ...the St. Louis metro area. The position is hybrid - working Wednesdays in our Chesterfield...  ...with benefits. Job Summary The Senior Accountant serves as a key member of the Finance &...  ...accurate results. Please read more about us at At IMPACT Group, we believe that diversity... 
    Senior
    Full time
    Work at office
    Remote work
    Relocation
    Flexible hours

    UNESCO Institute for Statistics

    Chesterfield, MO
    4 days ago
  •  ...provide assistant controller-level support to healthcare clients, helping them navigate complex...  ...be worked remotely from anywhere in the US.ResponsibilitiesWHAT YOU'LL DOManage day-...  ....Guide the review and approval of account classifications.Review balance sheets for... 
    Senior
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    Wipfli

    Clayton, MO
    1 day ago
  •  ...Why Us? At Par Health, we believe great healthcare is built on getting the essentials right. We...  ...continuous improvement, accountability, and teamwork. Elevating...  ...Description Summary The Senior Accountant is...  ...position operates in a hybrid work environment based in... 
    Senior
    Work at office
    Local area

    Par Health

    Hazelwood, MO
    1 day ago
  • A leading consulting firm is seeking a Senior Level Health Payer Technology Medicare Consultant based in St. Louis, Missouri. The candidate...  .... The ideal applicant will have substantial experience in the US Healthcare Payer market, including program management and familiarity... 
    Senior

    RA

    Saint Louis, MO
    1 day ago
  •  ...through change. This critical role performs accounting, administration, analysis, and reporting in compliance with US GAAP and statutory requirements globally. The...  ...position is key in building a high performing controllership function that influences and enables profitable... 
    Senior
    Local area

    Sunnen Products Company

    Saint Louis, MO
    1 day ago
  • $65.1k - $117k

    CLA is seeking a Senior to join our CAAS (Healthcare Industry) group in the St. Louis, Chicago, or Oak Brook area. This role focuses on client service...  ...healthcare clients. The position requires 2 years of accounting experience and a Bachelor's degree. Compensation varies... 
    Senior

    CliftonLarsonAllen

    Saint Louis, MO
    4 days ago
  • Senior Clinical Account Executive - Express Scripts - Hybrid (Health Plans) 1 day ago Be among the first 25 applicants This is a Hybrid position (3 days per...  ...incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted to locations that... 
    Senior
    Work at office
    Local area
    Work from home
    Shift work
    3 days per week

    Express Scripts Pharmacy Benefit Services

    Saint Louis, MO
    1 day ago
  • Friendship Village STL is seeking a Senior Accountant responsible for overseeing key accounting functions and ensuring accurate financial reporting for a nonprofit healthcare organization. The role requires a Bachelor's degree in accounting, CPA preferred, and five or... 
    Senior

    Friendship Village STL

    Saint Louis, MO
    4 days ago
  • $100k

    Benskin Talent Partners is seeking a Senior Accountant for a hybrid role in the St. Louis, MO area. You will own month-end close, prepare financial...  ...GAAP knowledge, and advanced Excel skills. CPA and/or healthcare experience is a plus. Competitive base salary with a bonus... 
    Senior

    Benskin Talent Partners

    Chesterfield, MO
    4 days ago
  • Accounting Career Consultants in St. Louis is seeking an experienced accounting professional to enhance its team. This role emphasizes flexible work arrangements and a people-first culture, committed to talent development and employee recognition. Ideal candidates will... 
    Senior
    Flexible hours

    Accounting Career Consultants

    Saint Louis, MO
    16 hours ago
  • The Senior Accountant at IMPACT Group is a key member of the Finance & Accounting team, responsible for complex accounting, accurate financial...  ...improvements. Based in the St. Louis area, the role is hybrid: Wednesdays in the Chesterfield, MO office and four days remote... 
    Senior
    Work at office
    Remote work

    UNESCO Institute for Statistics

    Chesterfield, MO
    4 days ago
  • Par Health is seeking a Senior Accountant to oversee general accounting activities supporting manufacturing operations. You will drive the monthly...  ...3 years of accounting experience, and strong GAAP knowledge. Hybrid work based in Hazelwood, MO offers collaboration across sites... 
    Senior

    Par Health

    Hazelwood, MO
    3 days ago
  • Kforce Inc. is seeking a Senior Accountant to join its in-office accounting team in the Saint Louis, MO area. The role offers broad exposure to financial reporting, month-end close, audits, tax compliance, and policy development in a dynamic multi-entity setting. The successful... 
    Senior
    Work at office

    Kforce Inc

    Saint Louis, MO
    3 days ago
  •  ...across disciplines, review 2D/3D drawings, manage budgets and schedules, and mentor junior staff. The role requires a BS in Mechanical Engineering and 7+ years of relevant experience. A hybrid schedule is available to support work-life balance. #J-18808-Ljbffr McClure
    Senior

    McClure

    Saint Louis, MO
    3 days ago
  •  ...defining opportunity. This role requires a hybrid work arrangement. At Wipfli, hybrid is...  ...and effectively use current tax and accounting software applications Research tax related...  ..., or participate in our recruiting process, please send us an email. Wipfli
    Senior
    Work at office
    Local area

    Wipfli

    Saint Louis, MO
    4 days ago
  • CLA is seeking a Senior to join our CAAS (Healthcare Industry) group in either our Chicago, St. Louis, or Oak Brook office. You will develop client relationships, oversee essential accounting processes, and support multi-client engagements across healthcare entities. The... 
    Senior
    Work at office

    CLA (CliftonLarsonAllen)

    Saint Louis, MO
    3 days ago
  • Dierbergs Markets is seeking an experienced Senior Accountant to own the monthly close, manage journal entries, reconciliations and PBCs, and...  ...coordinate audits, and drive GAAP process improvements in a hybrid work environment. A CPA with 5+ years’ experience, Oracle PeopleSoft... 
    Senior

    Dierbergs Markets

    Chesterfield, MO
    3 days ago
  •  ...will your job look like? The Senior Manager, Payroll is a member of the MTM Accounting and Finance team who implements...  .... This position will be a hybrid position in our Lake St. Louis...  ...MTM’s People & Culture. About Us MTM Health is a healthcare and transportation management... 
    Senior
    Casual work
    Work at office
    Local area

    MTM

    Saint Louis, MO
    4 days ago
  •  ...Senior Accountant DOOR is seeking a highly detail-oriented and hands-on...  ...helping ensure compliance with US GAAP and company policies....  ...)? This role will be a Hybrid position working 3-4 days per...  ...to enroll domestic partners. Healthcare and flexible spending accounts... 
    Senior
    Temporary work
    Work at office
    Flexible hours
    2 days per week
    3 days per week
    1 day per week

    DOOR Systems, Inc.

    Saint Louis, MO
    2 days ago
  •  ...assessment, and delivery, and coordinate audit findings with senior leadership. The role emphasizes training, mentoring,...  ...both onsite and virtually. CPA certification is highly desirable; strong US GAAP/GAAS expertise and 5+ years public accounting are #J-18808-Ljbffr Sikich LLC
    Senior
    Local area

    Sikich LLC

    Saint Louis, MO
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Accountant - US Healthcare Controllership - Hybrid. Be the first to apply!