Accounting Manager

LCMC Health•Houston, TX

About The Position

LCMC Health is seeking an Accounting Manager to oversee critical accounting operations that support its healthcare system. The role may focus on Revenue Accounting, Expense Accounting, or Clinic Accounting and is responsible for financial integrity, accurate reporting, team leadership, and continuous process improvement. The Accounting Manager leads month-end and year-end close, general ledger activities, journal entries, reconciliations, financial statement preparation, and compliance with GAAP and applicable regulatory requirements. Depending on the specialty area, the position may oversee revenue recognition, receivables and payer activity; accounts payable, fixed assets, inventory, and expense analysis; or clinic financial operations, billing interfaces, and site-level performance reporting. The position also prepares and analyzes financial reports, supports budgeting and forecasting, supervises and develops accounting professionals, improves processes and systems, strengthens internal controls, and coordinates internal and external audit support. It is a full-time, 40-hour-per-week day-shift role at LCMC Health - Westpark.

Requirements

  • At least 5 years of progressive accounting experience.
  • Two years in a supervisory or management role is preferred.
  • Demonstrated experience with general ledger, financial reporting, and month-end close processes.
  • Bachelor’s degree in Accounting, Finance, or equivalent is required.
  • Strong knowledge of GAAP and financial reporting requirements.
  • Proficiency with financial accounting software and ERP systems, such as Workday.
  • Advanced Microsoft Excel skills, including Pivot Tables, VLOOKUPs, and complex formulas.
  • Strong analytical, problem-solving, and organizational abilities.
  • Strong leadership, communication, and interpersonal skills.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Nice To Haves

  • Prior experience in a healthcare system or hospital environment is highly desirable.
  • Master’s degree or CPA certification preferred.
  • Two years in a supervisory or management role preferred.

Responsibilities

  • Lead month-end and year-end close processes to ensure timely and accurate financial reporting.
  • Manage general ledger activities, journal entries, account reconciliations, and financial statement preparation.
  • Ensure compliance with GAAP and applicable regulatory requirements.
  • Review and approve financial transactions, maintaining proper coding and documentation.
  • For Revenue Accounting: manage revenue recognition; analyze accounts receivable and contractual adjustments; reconcile third-party payer activity; and oversee grant-related receivables.
  • For Expense Accounting: manage accounts payable operations; oversee fixed assets and inventory valuation; and conduct expense analyses to support cost-control initiatives.
  • For Clinic Accounting: support clinic-specific financial operations; monitor patient billing interfaces; track clinic revenue and expenses; and deliver performance reporting for individual clinic sites.
  • Prepare and analyze financial statements and management reports.
  • Identify budget variances and provide meaningful insights.
  • Assist with annual budgeting and forecasting activities.
  • Deliver ad-hoc financial analyses to support strategic decisions.
  • Supervise, coach, and mentor accounting professionals; foster a collaborative, high-performing team; conduct performance evaluations and provide feedback; delegate responsibilities and manage workload.
  • Identify opportunities to streamline accounting processes and support financial system enhancements and implementations.
  • Strengthen internal controls to safeguard assets and ensure data accuracy.
  • Coordinate and support internal and external audits, providing documentation, analysis, and explanations as needed.
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