Senior Accountant Nashville

Job Title: Senior Accountant

Location: Nashville, TN

Department: Finance

Reports To: Controller or Director of Finance

Employment Type: Full-Time

About the Organization

We are a mission-driven healthcare organization committed to delivering high-quality care and improving patient outcomes across Middle Tennessee. Our finance team plays a critical role in supporting operational excellence and strategic growth.

Position Summary

The Senior Accountant is responsible for managing key accounting functions including general ledger maintenance, financial reporting, and compliance. This role ensures accurate and timely financial data to support decision-making and regulatory requirements.

Key Responsibilities

• Prepare and review monthly, quarterly, and annual financial statements.

• Maintain and reconcile general ledger accounts.

• Assist with budgeting, forecasting, and variance analysis.

• Support month-end and year-end close processes.

• Ensure compliance with GAAP and healthcare-specific financial regulations.

• Coordinate with external auditors and support audit preparation.

• Monitor and manage fixed assets and capital expenditures.

• Assist with internal controls and process improvements.

• Collaborate with cross-functional teams including operations, billing, and compliance.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field (Master’s or CPA preferred).

• Minimum 3–5 years of accounting experience, preferably in healthcare or a multi-entity environment.

• Strong knowledge of GAAP and healthcare financial regulations.

• Proficiency in accounting software (e.g., NetSuite, Sage Intacct, or similar).

• Excellent analytical, organizational, and communication skills.

• Ability to work independently and manage multiple priorities.

Preferred Skills

• Experience with ERP systems and healthcare billing platforms.

• Familiarity with cost accounting and reimbursement models.

• Knowledge of HIPAA and other healthcare compliance standards.

Compensation & Benefits

• Competitive salary based on experience.

• Comprehensive benefits package including health, dental, vision, and retirement plans.

• Professional development opportunities.

Pay Details: $65,000.00 to $75,000.00 per year

Search managed by: Kayla Dalton

Equal Opportunity Employer/Veterans/Disabled

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.