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Senior Accountant-Healthcare

Vaco
$90,000.00 - $110,000.00 / yr
United States, New Jersey, Mount Arlington
Feb 24, 2026


Senior Accountant-

Ideal opportunity for someone who has worked in a multiple entity healthcare or hospital organization supporting client accounting services

* Perform and oversee month-end and year-end close processes on an accrual basis
* Prepare and review monthly financial statements, including balance sheets, income statements, and cash flow reports,

support budgeting, forecasting, and cash flow analysis, manage AP workflows
* Ensure accurate revenue recognition, expense accruals, and balance sheet reconciliations
* Identify and resolve accounting issues, variances, and inconsistencies
* Serve as a trusted accounting contact for clients, providing clear and actionable financial explanations
* Assist in analyzing financial results and trends to support client decision-making
* Help clients improve accounting processes, internal controls, and financial visibility
* Utilize QuickBooks Online (QBO) as the primary general ledger platform
* Apply understanding of operational measures such as provider productivity
* Coordinate with tax and assurance teams as needed
* Hands-on experience with QuickBooks Online
* Active CPA license or CPA-eligible
* Healthcare industry accounting experience

Qualifications
* Bachelor's degree in Accounting or related field
* 5-7 years of accounting experience, preferably in Client Accounting Services department


37.5 hour work week and oppty to earn overtime.
Salary to 110k

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.

By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco by Highspring and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") respects your privacy and are committed to providing transparent notice of our policies.

  • California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
  • Virginia residents may access our state specific policies here.
  • Residents of all other states may access our policies here.
  • Canadian residents may access our policies in English here and in French here.
  • Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:

  • the individual's skill sets, experience and training;
  • licensure and certification requirements;
  • office location and other geographic considerations;
  • other business and organizational needs.

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.

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