About The Position

The Clinic Accounting Manager leads financial operations and accounting activities supporting adult hospital clinics. The role is responsible for financial accuracy, net revenue integrity, expense oversight, financial transparency, and performance insights, while leading an accounting team and partnering with stakeholders across the healthcare system. Responsibilities span financial close, general ledger oversight, reconciliations, reporting, GAAP compliance, and review of accounting transactions. Depending on the person’s expertise, the role may focus on revenue accounting, expense accounting, or clinic accounting. The manager also supports reporting, budgeting and forecasting, process and system improvements, internal controls, and audit readiness. This position is a day-shift role. LCMC Health describes its culture as collaborative, mission-driven, and grounded in authenticity, equity, inclusion, and compassionate healthcare. The employer is an equal opportunity employer.

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 skills and ability to collaborate and lead.
  • 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 ERP systems; Workday is a plus.

Responsibilities

  • Lead month-end and year-end close processes.
  • Oversee the general ledger, reconciliations, and financial reporting.
  • Ensure GAAP compliance and accurate financial transactions; review and approve accounting activity for accuracy.
  • 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 opportunities for improvement.
  • Support budgeting and forecasting processes.
  • Lead, coach, and develop the accounting team; provide feedback, mentorship, and support; balance priorities and delegate effectively.
  • Identify opportunities to streamline workflows and improve efficiency; support system enhancements and ERP optimization.
  • Strengthen internal controls and financial accuracy.
  • Partner with auditors and support internal and external audits; ensure documentation, accuracy, and compliance readiness.

Benefits

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