Job Description
Job DescriptionSalary:
Accountant
Department: Finance
Reports To: Controller
Classification: Full-Time | Exempt
Location: In-Person / Onsite
Join a Mission-Driven Organization That Changes Lives
At Vigilance Health, we provide Population Health and Care Management services that improve outcomes for patients across diverse communities.
Our Purpose:
To Change Peoples Lives no matter what their circumstances.
Our Mission:
To improve health outcomes through Patient Engagement, Patient Activation, and Patient Empowerment.
We are not a typical healthcare organization. We have fire. We are driven. We create solutions. We are partners. We are coaches.
If you are an Accountant who wants your work to directly support life-changing healthcare outcomes, this is the opportunity for you.
Position Overview
The Accountant plays a critical role in ensuring accurate, timely, and compliant financial operations across the organization. This individual owns core accounting processes, reconciliations, and financial reporting, while providing meaningful insights that strengthen revenue performance and leadership decision-making.
This role is ideal for someone who thrives in ownership, precision, and continuous improvement and who wants to help build strong financial systems in a growing healthcare organization.
What Success Looks Like (1218 Months)
- Month-end close is completed accurately and on time with minimal rework.
- 100% of balance sheet accounts are reconciled monthly with full documentation.
- Reconciliation and accounting processes are standardized and consistently followed.
- Payment and denial trends are clearly analyzed and shared with leadership.
- Financial reporting is reliable, consistent, and audit-ready.
- Leadership receives accurate, actionable financial insights.
- The Controller is freed up to focus on higher-level strategy.
- Continuous improvements and automation opportunities are identified and implemented.
Key Responsibilities
Core Accounting & Reconciliation
- Own the monthly reconciliation of all balance sheet accounts (bank, credit cards, AR, AP, payroll, accruals, prepaids, etc.)
- Prepare and post journal entries
- Investigate and resolve reconciling items
- Maintain organized reconciliation schedules and documentation
- Support month-end and year-end close
Reporting, Payments & Denials Analysis
- Collect and analyze payment and denial data
- Identify reimbursement trends, risks, and improvement opportunities
- Provide regular reporting to the CEO, Controller, and Billing Management
- Partner with Billing to improve revenue cycle performance
Financial Reporting & Analysis
- Prepare financial statements and supporting schedules
- Assist with variance analysis and forecasting
- Support budgeting and ad hoc financial projects
Compliance & Controls
- Ensure adherence to GAAP and internal controls
- Maintain audit-ready documentation
- Support external audits
Process Improvement
- Document and improve accounting SOPs
- Identify automation and efficiency opportunities
Collaboration
- Partner cross-functionally with Finance, Billing, and leadership
- Proactively communicate risks and opportunities
Key Performance Indicators
- Month-end close completed by deadline
- 100% monthly balance sheet reconciliations
- Accuracy and timeliness of reporting
- Reduction in unidentified reconciling items
- Reduction in unexplained denials
- Minimal post-close adjustments
- Clean audit findings
What You Bring
Core Competencies
- Strong GAAP knowledge
- Advanced Excel skills (pivot tables, lookups, data analysis)
- Exceptional attention to detail
- Analytical mindset with strong problem-solving skills
- Organized, deadline-driven, and proactive
- Clear and confident communicator
Education & Experience
- Bachelors degree in Accounting, Finance, or related field (required)
- 35 years of accounting experience (healthcare or revenue cycle experience strongly preferred)
- Proven experience with month-end close and reconciliations
- Experience with accounting systems and professional-level Excel usage
Preferred Certifications
- CPA or CPA candidate preferred
- CMA or related certification a plus
Who You Are (GWC)
- Gets It: You understand accounting fundamentals and how revenue-cycle performance impacts financial health.
- WANTS It: You are motivated by building clean, accurate financial systems.
- CAPACITY: You can manage multiple priorities with precision and ownership.
Why Vigilance Health?
- Mission-driven healthcare impact
- High-accountability, high-growth environment
- Opportunity to build and strengthen financial systems
- Leadership access and visibility
- A culture rooted in fire, drive, partnership, solutions, and coaching
If youre ready to own your role, improve systems, and contribute to meaningful healthcare outcomes wed love to meet you.
Apply today and help us change lives.