Healthcare Accounting & Financial Reporting Manager - Plano, TX (Hybrid)

Title: Healthcare Accounting/Financial Reporting Manager

Location: Plano, TX (Hybrid - Can work remote 2 days a week)

Salary: $120,000 - $150,000

Job Summary We are seeking a talented Healthcare Accounting/Financial Reporting Manager to join our client's leadership team on a direct-hire basis in Plano, TX. This critical role will lead the organization's board-level and external financial reporting processes, drive the month-end close, and deliver clear, insightful financial narratives to senior leadership and stakeholders. The ideal candidate will combine strong technical accounting expertise with the ability to translate complex data into actionable business insights in a dynamic, growth-oriented healthcare environment.

Key Responsibilities

• Lead the preparation of accurate monthly, quarterly, and annual financial reporting packages, including detailed Management Discussion & Analysis (MD&A) narratives that explain performance drivers.
• Partner with regional finance leaders, operational teams, and the executive team to develop comprehensive board presentations, KPI dashboards, variance analyses, and performance commentary.
• Oversee and support the month-end close process, ensuring timely, GAAP-compliant financial statements with thorough variance analysis and documentation.
• Manage debt covenant compliance, lender reporting requirements, and liquidity forecasting in alignment with credit facility agreements.
• Coordinate with internal teams and external auditors to prepare consolidated financial schedules, audit support documentation, and respond to information requests.
• Provide ad-hoc financial modeling, analysis, and reporting to support strategic decision-making, budgeting, and performance reviews.
• Identify and implement process improvements to enhance the efficiency and quality of financial reporting and internal controls.
• Present financial results and insights to senior leadership, highlighting trends, risks, and forward-looking considerations.

Qualifications

• Bachelor’s degree in Accounting, Finance, or a closely related field (required); Master’s degree or MBA strongly preferred.
• CPA license strongly preferred.
• Minimum of 5 years of progressive experience in financial reporting, technical accounting, and analysis — healthcare services or multi-entity environment experience is highly valued.
• Hands-on experience preparing board-level materials, supporting annual audits, and managing consolidated reporting.
• Strong working knowledge of debt covenants, leverage ratios, and lender compliance reporting.
• Advanced proficiency in Microsoft Excel (modeling, pivot tables, Power Query) and PowerPoint.
• Experience with Sage Intacct (or similar multi-entity ERP systems) for general ledger, consolidation, and financial statement design is required.
• Demonstrated ability to synthesize large volumes of data into executive-ready insights and narratives.
• Excellent communication, collaboration, and leadership skills with the ability to influence cross-functional teams.

What Our Client Offers Our client provides a competitive salary (targeting around $142K base), performance incentives, comprehensive benefits, paid time off, and a collaborative, growth-focused culture that values transparency, teamwork, and professional development in a fast-paced healthcare services organization.

This is a 2 day a week hybrid role based in Plano, TX, with the opportunity to contribute to a high-growth company backed by strong physician partnerships.

If you are a detail-oriented accounting professional with a passion for storytelling through numbers and want to play a key role in a mission-driven healthcare organization, we encourage you to apply.

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