Accounting Manager

Spire Orthopedic Partners

Practice Accounting Manager overseeing monthly accounting close and financial analysis for Spire Orthopedic Partners. Collaborating with FP&A and Operations in a dynamic healthcare environment.

Posted 7/15/2026full-timeStamford • Connecticut • 🇺🇸 United StatesMid-LevelSenior💰 $93,500 - $140,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in month-end close processes, journal entry review, and account reconciliations while applying US GAAP principles. Capable of analyzing financial statements and collaborating effectively with cross-functional teams to enhance accounting processes and reporting quality.

Highest-signal resume keywords

Month-End Close ProcessUS GAAP ComplianceJournal Entry ReviewFinancial Statement AnalysisAdvanced Excel Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Account ReconciliationTrial Balance AnalysisP&L AnalysisVariance ExplanationFinancial Reporting

Soft Skills

Strong Communication SkillsOrganizational SkillsAttention to DetailAbility to Manage Deadlines

Tools & Technologies

BlackLineSage Intacct

Certifications & Qualifications

Bachelor’s Degree in AccountingCPA Designation

Industry Keywords

Healthcare AccountingBig-4 ExperiencePrivate EquityMulti-Site OperationsPhysician Practice

About the role

Key responsibilities & impact

Own the monthly close process for the Practice service line, including review of full trial balances and P&Ls for assigned Practice entities.
Prepare, review, and approve journal entries in accordance with US GAAP and company policies.
Review monthly account reconciliations and ensure balances are properly supported, documented, and cleared timely.
Analyze monthly P&L and balance sheet activity, including explaining significant account fluctuations, unusual trends, and key drivers of results.
Serve as a primary Accounting contact and lead conversations for Practice-related questions from FP&A, Operations, and management.
Partner with FP&A on monthly operating reviews, 3-statement model support, actuals explanations, and close-to-forecast tie-outs.
Coordinate with Operations to better understand Practice trends, activity drivers, and business changes that may impact monthly accounting results.
Provide oversight and coaching to Practice accounting staff/senior accountant resources.
Support review of Practice-related areas such as accruals, AP activity, cash activity, fixed assets, inventory, leases, payroll-related entries, revenue entries, and other close activities.
Proactively identify process gaps, documentation needs, and opportunities to improve close efficiency and financial reporting quality.
Maintain strong support documentation for journal entries, reconciliations, variance explanations, and audit requests.
Assist with internal and external audit requests, including preparation of schedules and support.
Collaborate with cross-functional teams, including Accounting, FP&A, Operations, Revenue Cycle, Treasury, AP, Payroll, and external auditors.
Support continued development of accounting processes, controls, and reporting cadence as Spire continues to grow.

Requirements

What you’ll need

Bachelor’s degree in Accounting, Finance, or a related field required
CPA designation or progress toward certification preferred, but not required
5+ years of accounting experience, preferably including month-end close, journal entry review, account reconciliations, and financial statement analysis
Prior healthcare, Big-4, physician practice, multi-site, or private equity-backed company experience preferred, but not required
Strong understanding of US GAAP and ability to apply accounting concepts to recurring close matters
Experience reviewing journal entries, reconciliations, and supporting documentation
Ability to analyze full trial balances and P&Ls and explain monthly account movement clearly
Strong communication skills and ability to partner with FP&A, Operations, and management.
Strong organizational skills, attention to detail, and ability to manage multiple deadlines during the close process
Experience with BlackLine or other account reconciliation tools is a plus.
Experience with Sage Intacct or similar accounting systems is a plus.
Advanced Excel skills preferred.

Benefits

Comp & perks

Excellent growth and advancement opportunities
Dynamic environment
Access to a diverse network of practitioners
Broad infrastructure of tools and programs to enhance the employee experience
Competitive Compensation
Generous PTO
Benefits package: health, dental, vision, 401(k), etc.