Senior Accountant

Wesley Des Moines

$80K — $115K *
Alamo, TN 38001In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in accounting, finance, or related field.
  • 3-7 years of progressive accounting experience.
  • Strong knowledge of GAAP.
  • Experience in healthcare, senior living, nonprofit, or regulated environments.
  • Advanced proficiency in Excel and financial systems.
  • Ability to manage multiple priorities and meet deadlines.
  • Demonstrated analytical thinking and attention to detail.

Responsibilities

  • Assist with monthly, quarterly & annual close processes.
  • Prepare journal entries, accruals, and other accounting adjustments.
  • Review bank reconciliations and cash activity for accuracy.
  • Produce financial statements in accordance with GAAP.
  • Ensure the integrity of the general ledger and documentation.
  • Support compliance with healthcare regulations and audits.
  • Assist with financial analysis and decision-support reporting.

Benefits

  • Opportunity for professional development and ongoing training.
  • Collaborative work environment that promotes teamwork.
  • Impact the lives of older adults through meaningful work.
  • Potential for internal advancement within a growing organization.
  • Engage in cross-functional projects and strategic initiatives.
Full Job Description
Enrich the lives of older adults through community, choice, and continuing care in the Senior Accountant role. The senior accountant plays a critical role in ensuring the financial integrity, transparency, and compliance of our organization across senior living communities and services. This position is responsible for complex accounting functions, financial analysis, and regulatory compliance, supporting decision-making that directly impacts operational sustainability and resident care. The Senior Accountant partners closely with finance leadership, operations, and clinical teams to ensure accurate financial reporting and adherence to healthcare regulatory requirements. Find your sense of belonging at Wesley!

You will provide continuing care through these responsibilities

Essential functions of this position include the following.

Financial Reporting & Close Process
  • Assist with monthly, quarterly & annual close processes
  • Prepare journal entries, accruals, prepaid, and other accounting adjustments
  • Review monthly bank reconciliations and cash activity across multiple accounts and entities
  • Produce accurate and timely financial statements in accordance with GAAP
  • Ensure integrity of general ledger and supporting documentation
  • Participate in cross-functional projects and strategic initiatives

Regulatory & Healthcare Accounting Compliance
  • Ensure compliance with Washington State healthcare and senior living regulations (e.g., Medicaid/Medicare reporting where applicable)
  • Support cost reporting and audits related to long-term care and assisted living
  • Maintain documentation to support DOH/DSHS audits and financial reviews
  • Assist with internal and external audits, including preparation of schedules and responses

Operational Finance Support
  • Support monthly, quarterly and annual covenant reporting, regulatory reporting, and other financial compliance requirements
  • Assist leadership with financial analysis and decision-support reporting
  • Assist in annual property tax filing, 990 & annual surveys
  • Prepare ad hoc financial reports and presentations for leadership

Budgeting & Forecasting
  • Support the development of budget templates and assisting in the budgeting process
  • Works closely with the Controller and senior accountants to help design standardized tools, facilitate training, and ensure an accurate and efficient budgeting process across departments
  • Model financial scenarios related to census, staffing, and reimbursement changes

Accounts & Systems Oversight
  • Review accounts payable, accounts receivable, and cash management activities for accuracy
  • Ensure proper internal controls and segregation of duties

Internal Controls & Process Improvement
  • Strengthen and maintain internal controls to mitigate financial and compliance risks
  • Identify opportunities for automation, standardization, and process improvement
  • Document accounting procedures and maintain SOPs
  • Participating in process improvement initiatives to increase efficiency and accuracy


Our requirements and qualifications for success

Required
  • Bachelor's degree in accounting, finance, or related field
  • 3-7 years of progressive accounting experience
  • Strong knowledge of GAAP
  • Experience in healthcare, senior living, nonprofit, or regulated environments
  • Advanced proficiency in Excel and financial systems
  • Demonstrated ability to manage multiple priorities and meet deadlines
  • Analytical Thinking: Ability to translate data into insights that support operational decisions
  • Attention to Detail: Prominent level of accuracy in financial reporting and compliance work
  • Collaboration: Works effectively with finance, operations, and clinical leaders
  • Accountability: Follows through on commitments and maintains strong internal controls
  • Continuous Improvement: Identifies and implements process enhancements

Preferred
  • CPA or CPA-eligible
  • Experience with Medicaid/Medicare cost reporting
  • Experience supporting multi-entity or multi-site operations
  • Familiarity with Washington State regulatory environment for healthcare or long-term care


Physical, environmental, and mental requirements
  • Office-based with occasional travel to communities (if applicable)
  • Standard business hours with additional time during close cycles or audits
  • Give full attention to what other people are saying, take time to understand the points being made, ask questions as appropriate, and refrain from interrupting at inappropriate times
  • Ability to sit, stand, or walk at-will throughout shift; lift up to 25 lbs
  • Ability to hear, understand, and distinguish speech and other sounds one-to-one, in groups, and via telephone or computer
  • Ability to perform keyboarding tasks and maintain both near and far vision acuity
  • Ability to maintain concentration and emotional evenness


Salary Range: $80,318.58 to $115,582.48 per year

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