Accounting Manager

BJC HealthCare•St. Louis, MO

About The Position

BJC HealthCare is hiring an Accounting Manager to support physician group operations. The role supervises a team of accountants and oversees the month-end close, including journal-entry approval, expense variance analysis, and preparation and review of financial statements. It also reviews balance-sheet reconciliations, regulatory filings such as 990 tax returns and hospital association surveys, and ad hoc projects. The manager communicates financial results and budget variances to leaders, supports annual and internal audits, and manages staff and departmental budgets. The position requires a degree in Accounting and the ability to interact effectively with a diverse range of individuals across the organization. Healthcare and prior physician-group experience are highly preferred. BJC HealthCare is a nonprofit health care organization serving the greater St. Louis, southern Illinois, and southeast Missouri regions. Its Financial Services department provides accounting and financial services for the BJC parent company and other entities, as well as consolidated financial reporting for BJC HealthCare.

Requirements

  • Bachelor’s degree in Accounting.
  • 5–10 years of experience.
  • Ability to effectively interact with a diverse range of individuals across the organization.
  • Proficient understanding of accounting for retirement plans, professional malpractice liability, and self-funded liability programs such as workers’ compensation and health insurance.

Nice To Haves

  • Healthcare experience.
  • Prior physician-group experience.
  • CPA license or certification.
  • 5–10 years of supervisor experience.

Responsibilities

  • Manage the month-end close cycle, including reviewing journal entries and financial statements and ensuring transactions comply with accounting principles and standards.
  • Oversee fixed-asset and accounts-receivable valuation and ensure the balance sheet is reported correctly under generally accepted accounting principles.
  • Communicate financial results to leaders, including explanations of budget variances.
  • Review balance-sheet reconciliations for accuracy and appropriate, auditable supporting documentation; ensure the balance sheet is prepared according to generally accepted accounting principles.
  • Prepare year-end audit schedules, footnotes, and work papers; coordinate timely responses to external-auditor requests and support the financial statements.
  • Provide support for internal audits and review financial controls.
  • Manage and review regulatory reporting, including preparation of 990 tax returns and hospital association surveys.
  • Apply accounting knowledge in retirement plans, professional malpractice liability, and self-funded liability programs such as workers’ compensation and health insurance.
  • Manage staff, including onboarding and hiring, training, workload management, performance evaluations, and professional development planning.
  • Ensure the team’s productivity and actions support departmental operational goals.
  • Develop and adhere to departmental staffing, revenue, and/or expense budgets and respond to business changes that may affect budget goals.

Benefits

  • Comprehensive medical, dental, vision, and life insurance, and legal services, available the first day of the month after hire.
  • Disability insurance paid for by BJC.
  • Annual 4% BJC Automatic Retirement Contribution.
  • 401(k) plan with BJC match.
  • Tuition assistance available on the first day.
  • BJC Institute for Learning and Development.
  • Health Care and Dependent Care Flexible Spending Accounts.
  • Paid Time Off combining vacation, sick days, holidays, and personal time.
  • Adoption assistance.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service