Accountant

Spire Orthopedic Partners

Accounting Manager responsible for monthly close process and P&L analysis for practices in healthcare sector. Collaborating with FP&A and Operations to provide financial insights and support operations.

Posted 7/15/2026full-timeStamford • Connecticut • 🇺🇸 United StatesJuniorMid-Level💰 $63,900 - $95,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in month-end close processes, including journal entries, account reconciliations, and financial reporting in accordance with US GAAP. Strong analytical skills to explain P&L and balance sheet movements while collaborating effectively with cross-functional teams.

Highest-signal resume keywords

Month-End Close ProcessUS GAAP ComplianceAccount ReconciliationFinancial AnalysisCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

General Ledger AccountingJournal EntriesAccount ReconciliationsP&L AnalysisBalance Sheet AnalysisDocumentation SkillsExcel Skills

Soft Skills

Attention to DetailCollaboration

Tools & Technologies

BlackLineSage Intacct

Certifications & Qualifications

Bachelor’s Degree in AccountingCPA Designation

Industry Keywords

HealthcarePhysician PracticeMulti-SitePrivate Equity-Backed Company

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.
2–5 years of accounting or month-end close experience preferred.
CPA designation or progress toward certification is a plus, but not required.
Strong understanding of general ledger accounting, journal entries, account reconciliations, and the relationship between the P&L and balance sheet.
Working knowledge of US GAAP appropriate for level of experience.
Ability to analyze account activity and explain monthly balance sheet and P&L movement.
Strong documentation skills and attention to detail.
Strong communication skills and willingness to work with Accounting, FP&A, Operations, AP, Payroll, Treasury, Revenue Cycle, and external auditors.
Experience with BlackLine or other account reconciliation tools is a plus.
Experience with Sage Intacct or similar accounting systems is a plus.
Intermediate to advanced Excel skills preferred.
Healthcare, physician practice, multi-site, or private equity-backed company experience is a plus, but not required.

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.