Senior Accountant

PAA/CABS
Charlotte, NC, US
Posted Apr 3, 2026

Description:

SUMMARY: The Senior Accountant supports monthly close and financial reporting, focusing on physician compensation modeling, financial analysis, and operational reporting. This position collaborates with the Accounting, Payroll, and Operations departments to ensure the integrity and promptness of financial data management.

This role is essential during busy close periods, as it demands efficient management of multiple complex processes under tight deadlines.

The ideal candidate demonstrates the ability to manage multiple priorities under recurring deadlines (especially during close periods), apply strong analytical thinking and structured problem\-solving to complex issues, maintain high attention to detail while understanding downstream impacts and the bigger picture, work independently by taking ownership of processes and driving items to completion, and communicate clearly, both in writing and verbally, to explain financial concepts.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Duties include but are not limited to:

Physician Compensation

  • Build and maintain monthly physician compensation models based on productivity and contractual terms.
  • Validate compensation calculations and ensure accuracy prior to payroll processing.
  • Partner with Payroll to ensure alignment between compensation models and payroll system outputs.
  • Maintain documentation of compensation methodologies and assumptions.
  • Month\-End Close \& Financial Reporting

  • Prepare and update financial statements by profit center following payroll posting.
  • Support the monthly close process, including journal entries, reconciliations, and variance analysis.
  • Ensure accuracy and completeness of financial data used in internal reporting.
  • Hospital Income Guarantee (HIG) Reconciliations

  • Prepare and maintain monthly HIG reconciliations.
  • Analyze trends and identify variances across locations and providers.
  • Ensure supporting documentation is complete and audit ready.
  • Financial Reporting \& Analysis:

  • Prepare monthly financial summaries and supporting schedules.
  • Populate and update executive\-level reporting packages, including slide decks and summaries.
  • Perform variance analysis and provide clear explanations of financial results.
  • Oversee the development and upkeep of the financial forecasting and budgeting model.
  • Other duties include but are not limited to:

  • Compiles all information for the annual audit and preparation of tax returns with outside CPA firm.
  • Identify opportunities to improve efficiency in financial processes and reporting.
  • Assist in building scalable processes as the organization continues to grow.
  • Cross train in key areas to support team redundancy and risk mitigation.
  • Performs other duties as assigned or required.
  • MINIMUM QUALIFICATIONS

    To perform this job successfully an individual must be able to perform each essential duty to a satisfactory standard. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

    Education: Bachelor’s degree in accounting or finance

    Experience: 5\+ years of progressive accounting experience, including month\-end close, internal financial reporting, and variance analysis under tight deadlines. Preferred experience with complex compensation models (physician/incentive compensation) in a healthcare setting, with demonstrated cross\-functional partnership (Accounting, Payroll, and Operations departments) and strong analytical problem\-solving skills. A combination of education and pertinent work experience may be considered.

    Technical Skills: Skilled in advanced Excel functions, such as creating complex formulas, conducting data analysis, and managing large datasets. Familiarity with NetSuite and Adaptive Insights is a plus.

    Communication Skills: Demonstrates outstanding proficiency in both verbal and written communication.

    Reasoning Ability: Ability to prioritize and manage workload independently while meeting recurring deadlines. Applies sound judgment to analyze financial information, identify trends/variances, and troubleshoot discrepancies, escalating issues and recommending solutions as appropriate.

    PHYSICAL DEMANDS AND WORK ENVIRONMENT

    The physical demands described here are representative of those that must be met by any employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

    Hybrid work environment, requiring 2 to 3 days in the office. During this job, employees often spend long stretches sitting, using their hands to manage computers, phones, and other office devices. They must also communicate clearly in person, over the phone, and through virtual meeting platforms. The employee may occasionally be required to stand, walk, bend, reach, or lift/move light office materials. Visual acuity sufficient for reading financial reports and working on a computer is required.

    Requirements: About Providence Anesthesiology Associates

    Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned practice compromised of over 150 anesthesiologists. Founded in 1991, PAA provides anesthesia and perioperative care at numerous healthcare facilities throughout North and South Carolina, serving more than 246,000 patients annually.

    Why work for PAA?

  • PAA continues to experience impressive growth and success. Our anesthesiologists are among the most elite in their field.
  • Our physicians are committed to providing the best culture and experience to their employees. Awarded one of the Top Workplaces, PAA’s core values include commitment, accountability, performance, integrity, transparency, adaptability, and leadership. We do what’s right and don’t compromise.
  • What’s in it for you?

  • Strong workplace culture. We care about each other as people. We build relationships and connections beyond the time spent on the job. We offer a supportive, highly team\-oriented work environment.
  • We provide competitive total rewards including salary, benefits – Day 1, retirement, profit sharing, life insurance, paid time off, holidays, education reimbursement, employee recognition for birthdays and anniversaries, fun team building events, and more.
  • We want you to succeed and our employer to employee relationship is proven to help you reach your goals and the goals of PAA.
  • What else should you know?

  • Providence Anesthesiology Associates is an equal opportunity employer and does not tolerate discrimination based on any protected status.
  • PAA participates in E\-Verify. E\-Verify is an internet\-based system that compares the information you provide on the Form I\-9 with information from the Social Security Administration and Department of Homeland Security records.

Job Details

Job Type

admin_data_entry

How to Apply

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Original job posting from: Indeed_linkedin

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