Accounting Manager

Spectrum Medical Care Center • Phoenix, AZ

13d • $110,000 - $125,000

About The Position

Spectrum Medical Care Center provides primary and specialty healthcare to LGBTQ+ individuals and people living with HIV/AIDS in Arizona. The Accounting Manager reports to the Controller and leads day-to-day accounting, including the monthly close, for Spectrum Medical Care Center and PrideCare Rx, its separate for-profit pharmacy entity. This hands-on position maintains accurate, timely, audit-ready books, reviews work, resolves issues, and improves accounting processes as the organization grows. The role partners with leaders across clinical, pharmacy, revenue cycle, HR, and operations.

The Accounting Manager oversees close and financial reporting, core accounting operations, healthcare and nonprofit accounting, pharmacy accounting, controls, audit and compliance support, and process improvement. The position also acts as backup to the Controller when needed. Spectrum plans to move into a new 22,000-square-foot facility in central Phoenix in Q2 2027.

Requirements

• Bachelor's degree in Accounting, Finance, or a related field.
• At least 5 years of progressive accounting experience.
• Strong working knowledge of GAAP, month-end close, reconciliations, and financial reporting.
• Hands-on experience with QuickBooks Online, Sage Intacct, or a comparable ERP.
• Advanced Excel skills, including lookups, pivot tables, and reconciliations.
• Valid driver’s license.
• Must be able to obtain an Arizona Fingerprint Clearance Card during the background check process.
• Clear written and verbal communication, including the ability to explain numbers to non-accountants.
• Strong organization and attention to detail, with the ability to manage multiple deadlines.
• Comfort improving and documenting processes.
• Comfort using AI tools in day-to-day work and judgment to review and verify their output.
• Ability to handle confidential financial and payroll data with discretion.
• Demonstrated cultural competency and commitment to an inclusive, stigma-free workplace.

Nice To Haves

• Familiarity with nonprofit accounting, 340B, multi-entity accounting involving nonprofit and for-profit entities, ASC 842, grant accounting, or retail pharmacy and inventory accounting.
• Experience with audits and Form 990 preparation.
• Experience with payroll platforms and accounts payable automation tools.
• Experience working with LGBTQ+ communities, people living with HIV, or other underserved populations.

Responsibilities

• Own the monthly close calendar and ensure the close finishes on time.
• Review journal entries, reconciliations, and accruals; confirm balance-sheet accounts are supported.
• Prepare monthly financial statements and budget-versus-actual reporting for leadership.
• Support the annual budget, forecasting, and financial analysis.
• Explain variances clearly to non-finance partners.
• Oversee the general ledger, accounts payable, accounts receivable, and payroll accounting.
• Maintain the chart of accounts across entities and keep intercompany activity clean.
• Manage fixed assets, prepaid expenses, and capitalization policy.
• Apply lease accounting under ASC 842.
• Account for 340B program activity as the covered entity, including contract pharmacy reconciliations.
• Work with revenue cycle on patient revenue, contractual adjustments, and cash application.
• Track grant and restricted funds and support grant reporting and compliance.
• Own accounting for PrideCare Rx, including close, general ledger, accounts payable, reconciliations, and financial statements.
• Manage pharmacy inventory accounting, including costing, physical counts, and cost of goods sold.
• Reconcile wholesaler purchases, third-party payer reimbursements, and 340B administrator activity.
• Account for intercompany activity between Spectrum and PrideCare Rx and keep the nonprofit and for-profit books separate.
• Support for-profit tax filings with outside advisors.
• Report pharmacy results and key metrics to leadership.
• Maintain internal controls and document key processes.
• Prepare schedules and support for the annual audit and Form 990.
• Help with sales, payroll, and other tax filings as needed.
• Improve processes and automate where appropriate, including use of AI tools for reconciliations, analysis, and reporting.
• Act as backup to the Controller when needed.

Benefits

• Comprehensive medical, dental, and vision insurance, eligible on the first day of the month following the start date.
• Company-paid life insurance policy of $50,000.
• Company-paid parental leave.
• Optional voluntary life/AD&D, accident, cancer protection, hospital, and short-term disability insurance.
• 403(b) plan with a 3% company match, eligible after the first pay period.
• 120 hours of vacation annually, accrued bi-weekly from date of hire and available to use after the first day of employment.
• 40 hours of paid sick leave, accrued bi-weekly from date of hire and available to use after the first day of employment.
• Nine annual paid holidays.
• Carryover of up to 80 hours of PTO into the following calendar year.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager