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Senior Healthcare Accountant

Vaco
$80,000.00 - $110,000.00 / yr
401(k), retirement plan
United States, Kentucky, Mount Sterling
Jan 24, 2026
Position Overview

The Director of Operations is responsible for overseeing and optimizing the day-to-day operational performance of the healthcare organization. This leader will partner closely with clinical, financial, and administrative teams to ensure efficient operations, high-quality patient care, regulatory compliance, and scalable growth. The ideal candidate brings strong healthcare operations experience, a data-driven mindset, and a collaborative leadership style.

Key Responsibilities
  • Lead and manage operational functions across clinical and non-clinical departments to ensure efficient, compliant, and patient-centered care delivery

  • Partner with clinical leadership to improve workflows, staffing models, and patient throughput while maintaining quality and safety standards

  • Develop, implement, and monitor operational KPIs related to access, utilization, productivity, patient experience, and financial performance

  • Oversee staffing, scheduling, and capacity planning to align resources with patient demand

  • Drive process improvement initiatives using Lean, Six Sigma, or similar methodologies

  • Ensure compliance with healthcare regulations, accreditation standards, and payer requirements (e.g., CMS, HIPAA, Joint Commission)

  • Collaborate with finance leadership on budgeting, forecasting, and cost-containment initiatives

  • Support growth initiatives, including new service lines, locations, acquisitions, or integrations

  • Lead, mentor, and develop operations managers and cross-functional teams

  • Act as a key liaison between executive leadership, clinical teams, and external partners

Qualifications
  • Bachelor's degree required; Master's degree in Healthcare Administration, Business Administration, or related field preferred

  • 7-10+ years of progressive healthcare operations experience, with leadership responsibility

  • Strong understanding of healthcare delivery models, clinical workflows, and regulatory requirements

  • Proven experience managing multi-site or complex healthcare operations preferred

  • Demonstrated success driving operational improvements and managing change

  • Strong analytical skills with experience using operational and financial data to guide decisions

  • Excellent communication, leadership, and stakeholder management skills

Preferred Experience
  • Experience in provider-based organizations, physician practice management, hospitals, or PE-backed healthcare platforms

  • Familiarity with EHR systems, revenue cycle processes, and payer contracting

  • Lean, Six Sigma, or similar process improvement certification

Why Join Us
  • High-impact leadership role with visibility to executive leadership

  • Opportunity to shape strategy, scale operations, and improve patient outcomes

  • Competitive compensation, bonus potential, and comprehensive benefits

If you'd like, I can:

  • Tailor this to hospital vs. physician practice vs. behavioral health

  • Make it more hands-on or more strategic

  • Adjust for a PE-backed / growth-stage healthcare company

  • Add metrics-driven language or growth path details

Just tell me the flavor you want.


senior healthcare account job description

Got it - here's a clean, flexible Senior Healthcare Accountant job description. It's written to work for hospitals, provider groups, managed care, or PE-backed healthcare organizations, and can be dialed more technical or more operational if needed.

Senior Healthcare Accountant

Location: [City, State / Hybrid / Remote]
Reports to: Accounting Manager / Controller

Position Overview

The Senior Healthcare Accountant is responsible for supporting accurate financial reporting, month-end close, and compliance activities within a healthcare environment. This role requires a strong understanding of healthcare accounting, reimbursement models, and regulatory requirements, and will partner closely with finance and operational leaders to support sound financial decision-making.

Key Responsibilities
  • Lead and support month-end and year-end close processes, including journal entries, account reconciliations, and financial statement preparation

  • Prepare and review balance sheet reconciliations, ensuring accuracy and compliance with GAAP

  • Support accounting for healthcare-specific transactions, including revenue recognition, patient accounts, and reimbursement estimates

  • Assist with Medicare, Medicaid, and third-party payer reporting and cost reports

  • Collaborate with revenue cycle, operations, and clinical teams to analyze financial performance and variances

  • Support internal and external audits, including preparation of schedules and documentation

  • Assist with budgeting, forecasting, and financial analysis

  • Maintain and improve accounting policies, procedures, and internal controls

  • Participate in system implementations, process improvements, and special projects

Qualifications
  • Bachelor's degree in Accounting or Finance required

  • 4-7+ years of accounting experience, with healthcare industry experience strongly preferred

  • CPA or CPA-eligible preferred

  • Strong knowledge of GAAP and healthcare reimbursement models

  • Experience with healthcare ERP and EHR systems (e.g., NetSuite, Oracle, Workday, Epic) a plus

  • Advanced Excel skills and strong analytical capabilities

  • Excellent communication skills and ability to work cross-functionally

Preferred Experience
  • Experience in hospitals, physician practice management, managed care, or PE-backed healthcare organizations

  • Familiarity with cost reporting, reimbursement methodologies, and regulatory compliance

  • Public accounting experience with healthcare clients is a plus

Why This Role
  • High-visibility role supporting healthcare financial operations

  • Opportunity to grow into management or specialized healthcare finance roles

  • Competitive compensation, benefits, and career development opportunities

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.

By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco by Highspring and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") respects your privacy and are committed to providing transparent notice of our policies.

  • California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
  • Virginia residents may access our state specific policies here.
  • Residents of all other states may access our policies here.
  • Canadian residents may access our policies in English here and in French here.
  • Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:

  • the individual's skill sets, experience and training;
  • licensure and certification requirements;
  • office location and other geographic considerations;
  • other business and organizational needs.

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.

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