Accounting Manager - Clinic Team

LCMC Health•New Orleans, LA

About The Position

The Clinic Accounting Manager leads financial operations and reporting across adult hospital clinics, ensuring net revenue integrity, expense oversight, financial transparency, and accurate financial transactions. The role leads and develops an accounting team and partners with clinic stakeholders and organizational leaders to support sound financial decisions. Responsibilities span financial close, general ledger management, reconciliations, financial reporting, and GAAP compliance. Depending on the employee’s area of expertise, the position may focus on revenue accounting, expense accounting, or clinic accounting. The manager also supports budgeting and forecasting, audit readiness, process improvement, system enhancements, and ERP optimization.

Requirements

  • Bachelor’s degree in Accounting, Finance, or a related field.
  • At least 5 years of progressive accounting experience.
  • Strong knowledge of GAAP and financial reporting.
  • Advanced Excel skills, including pivot tables, VLOOKUPs, and formulas.
  • Analytical, detail-oriented, and highly organized.
  • Strong communication and collaboration skills.
  • Ability to thrive in a fast-paced, deadline-driven environment.

Nice To Haves

  • CPA or master’s degree.
  • Leadership experience.
  • Healthcare or hospital accounting experience.
  • Experience with Workday.

Responsibilities

  • Lead month-end and year-end close processes.
  • Oversee the general ledger, reconciliations, and financial reporting; ensure GAAP compliance and accurate transactions; and review and approve accounting activity.
  • For revenue accounting, drive revenue recognition and accounts receivable analysis, manage payer reconciliations and contractual adjustments, and support grant-related receivables.
  • For expense accounting, oversee accounts payable, fixed assets, and inventory, and deliver insights supporting cost-control initiatives.
  • For clinic accounting, partner with clinics on billing interfaces and financial performance, and track and report site-level revenue and expenses.
  • Prepare and analyze financial statements and leadership reports; identify trends, variances, and improvement opportunities; and support budgeting and forecasting.
  • Lead, coach, and develop the accounting team; provide feedback, mentorship, and support; and balance priorities and delegate effectively.
  • Identify opportunities to streamline workflows and improve efficiency; support system enhancements and ERP optimization; and strengthen internal controls and financial accuracy.
  • Partner with auditors and support internal and external audits; ensure documentation, accuracy, and compliance readiness.

Benefits

  • Opportunities to grow leadership and technical skills.
  • Meaningful work that impacts patient care.
  • Collaborative, mission-driven culture.
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