Job Description

POSITION OVERVIEW

Harbor Health is seeking an experienced Sr. Accounting Manager to join our finance team as we scale our payvider operations. This newly created role will report to the Controller and play a critical part in building scalable accounting processes across our multi-entity structure, which includes our health insurance plan, medical entities, and ACO operations. The ideal candidate thrives in startup environments, brings strong technical accounting expertise, and can establish foundational processes while managing day-to-day accounting operations. This remote position requires someone who can work independently, make sound judgments, and contribute to the financial infrastructure supporting our mission to transform healthcare delivery in Austin.

POSITION DUTIES & RESPONSIBILITIES

Accounting Operations & Financial Close

• Oversee monthly, quarterly, and annual financial close processes across multiple legal entities
• Manage general ledger accounting activities including journal entries, account reconciliations, and variance analysis
• Ensure accurate and timely consolidation of financial statements across health plan, medical, and ACO entities
• Review and approve complex accounting transactions, ensuring compliance with GAAP and regulatory requirements

Process Development & Controls

• Design and implement scalable accounting processes, policies, and procedures to support organizational growth
• Establish and maintain internal controls framework to ensure accuracy and compliance
• Develop and document standard operating procedures for accounting functions
• Identify opportunities for process improvements and automation to increase efficiency

Technical Accounting & Compliance

• Apply technical accounting knowledge to healthcare and insurance industry-specific transactions
• Research and resolve complex accounting issues, including evaluation of new accounting standards

Team Leadership & Collaboration

• Manage and mentor accounting staff, providing guidance on technical issues and professional development
• Partner with Controller on strategic accounting initiatives and financial planning
• Collaborate with cross-functional teams including FP&A, operations, and clinical leadership
• Support external audit processes and coordinate with external auditors

Systems & Reporting

• Oversee accounting systems and ERP platform utilization to optimize functionality
• Develop and enhance financial reporting packages for leadership and stakeholders
• Support implementation of new accounting systems or system upgrades as needed

DESIRED PROFESSIONAL SKILLS & EXPERIENCE

Required:

• Bachelor's degree in Accounting, Finance, or related field; CPA preferred
• 7+ years of progressive accounting experience, with at least 3 years in management roles
• Strong technical accounting knowledge with demonstrated application of GAAP principles
• Proven track record of building accounting processes and controls in growth-stage or startup environments
• Experience with financial statement consolidation and complex reconciliations
• Proficiency with ERP/accounting systems and advanced Excel skills
• Excellent analytical, problem-solving, and organizational abilities
• Strong written and verbal communication skills with ability to explain technical concepts to non-financial stakeholders
• Self-starter who thrives with minimal supervision and can manage competing priorities independently

Preferred:

• Healthcare payor, provider, or payvider accounting experience
• Big Four or public accounting experience
• Experience implementing or optimizing accounting systems in growing organizations
• Multi-entity accounting experience, preferably in healthcare, insurance, or related industries
• Advanced degree (MBA, MAcc) or additional certifications (CMA, CIA)

WHAT WE OFFER

• Opportunity to build foundational accounting processes and controls that will scale with Harbor Health's growth
• Collaborative and dynamic work environment
• An organization made of people who are passionate about changing the healthcare landscape
• Competitive salary and benefits package
• Professional development and growth opportunities with clear path to senior leadership roles
• A transparent and unique culture

About Harbor Health

At Harbor Health, we're transforming healthcare in Austin through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!

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