Sr. Accountant
At Strive Health, we are driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference.
We are a fast-growing, private equitybacked healthcare organization committed to transforming care delivery through a value-based model that aligns financial performance with patient outcomes. The Senior Accountant will play a key role in executing the monthly close process, managing technical accounting matters, and preparing financial reports with a focus on accuracy, timeliness, and transparency. This role requires an initiative-taking, meticulous professional with strong financial acumen and experience navigating complex transactions in a high-growth, performance-driven environment.
The day to day will include:
- Own and manage month-end and year-end close activities, including journal entries, account reconciliations, and variance analysis
- Prepare complex journal entries for accruals, prepaids, debt, intercompany transactions, leases, noncontrolling interest, software capitalization, shared expense allocations, management fee calculations, and equity-related activity
- Ensure compliance with U.S. GAAP and private equity reporting requirements
- Reconcile and maintain financial schedules related to prepaids, accruals, fixed assets, intangible assets, leases, payroll, equity, debt, intercompany activity, and other general ledger accounts
- Review complicated contracts and assist in interpreting how contract terms impact financial reporting
- Partner with external auditors and tax accountants and prepare required documentation and support
- Identify and implement process improvements to scale accounting operations and reporting efficiencies
- Maintain strict adherence to internal controls and private equity portfolio-level expectations
- Prepare reporting requirements for private equity stakeholders and lenders
- Identify and implement process enhancements to improve efficiency and accuracy
Minimum qualifications:
- Bachelor's degree in Accounting, Finance, or related field
- 2+ years of progressive accounting experience
- 2+ years' experience in ERP systems (e.g., NetSuite, Sage Intacct) and Excel (pivot tables, lookups)
- 2+ years' experience in U.S. GAAP accounting, including ASC 842 (leases)
- 2+ years' experience in management fee calculations for managed services agreements
- Ability to travel and be onsite to meet business needs
Preferred qualifications:
- MBA or CPA license or active CPA candidate
- Prior experience in a multi-location healthcare provider (e.g., ASC, DSO, MSO, urgent care, behavioral health) or private equity-backed environment
- Familiarity with ASC 350 (internal-use software), 606 (revenue for contracts), 718 (equity compensation), 810 (noncontrolling interest)
- Familiarity with healthcare payer contracts, claims data, and risk-based revenue models
About you:
- High attention to detail and strong organizational skills
- Ability to manage multiple priorities in a high-growth environment
- Excellent communication skills and a collaborative mindset
- Problem-solving orientation with a focus on continuous improvement
- Ability to work autonomously and lead cross-functional projects
- Experience working on complex issues where analysis of situations or data requires in-depth evaluation of variable factors
Annual salary range: $74,000 - $90,000
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all the qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.