Role: Senior Accountant
Location: Lehi, UT (in office)
Position Summary
We are seeking a high-performing Senior Accountant with a strong public accounting foundation who wants to move beyond audit and help build a rapidly growing, multi-site healthcare organization. This role partners closely with the Controller and offers broad exposure to financial reporting, operational accounting, month-end close, process improvement, systems, cash management, fixed assets, new entity setup, and special projects across related business ventures.
The ideal candidate is a real up-and-comer: smart, hungry, highly analytical, exceptional in Excel, technically strong, and excited by the opportunity to help scale a business rather than simply maintain one. Healthcare experience is helpful, but not required. A public accounting background, strong work ethic, and leadership potential matter more.
Key Responsibilities - Core Accounting & Close
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Own key aspects of the monthly, quarterly, and annual close process, ensuring accuracy, timeliness, and clean supporting documentation.
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Prepare and review journal entries, balance sheet reconciliations, intercompany activity, accruals, and multi-entity consolidations.
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Analyze financial results and explain key drivers to the Controller and leadership team.
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Support preparation of management reporting packages, executive summaries, cash reporting, and financial analysis.
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Maintain fixed asset records, depreciation schedules, capitalization support, and related reporting.
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Coordinate with external auditors during annual audit and interim fieldwork.
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Help maintain ASC 606 revenue recognition and ASC 842 lease accounting workbooks and supporting schedules.
Reporting, Analytics & Business Support
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Assist in building more detailed clinic-level, provider-level, department-level, and entity-level reporting over time.
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Support cash collection tracking across clinics and help improve visibility into collections trends and operating performance.
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Partner with operations, payroll, HR, AP, and other departments on accounting-related questions and one-off projects.
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Support development of budgeting, forecasting, and variance analysis capabilities as the finance function matures.
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Translate operational activity into usable financial insight for leaders who may not live in the numbers every day.
Process Improvement, Systems & Special Projects
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Identify and implement improvements to close processes, reconciliations, reporting workflows, and accounting controls.
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Assist with ERP, payroll, accounting, and reporting system improvements or future system implementations.
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Support setup and accounting development for new entities and affiliated ventures, including real estate, leasing, hospitality, and other investment activities.
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Assist with company purchasing and vendor-related processes, including Amazon account administration and supplies oversight where needed.
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Create and maintain clear accounting policies, desktop procedures, and repeatable workflows as the company scales.
Leadership & Growth Potential
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Provide review, coaching, and support to accounting staff over time as the team grows.
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Help oversee AP, mail, supplies, and cross-functional accounting workflows as needed.
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Model high standards for accuracy, accountability, urgency, and continuous improvement.
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Demonstrate readiness to grow into broader Accounting Manager, Assistant Controller, or Controller-track responsibilities.
Qualifications - Required
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Bachelor's degree in Accounting.
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2+ years of public accounting experience required; Big 4 audit experience strongly preferred. Top national or strong regional public accounting experience will also be considered.
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CPA preferred; CPA-track candidates actively pursuing certification will be considered.
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Strong understanding of U.S. GAAP and financial statement reporting.
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Advanced Excel skills, including PivotTables, XLOOKUP, complex formulas, reconciliations, and large data sets. VBA is a plus but not required.
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Excellent analytical, organizational, and problem-solving skills.
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Ability to manage multiple priorities in a fast-paced, high-growth environment.
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High integrity and discretion when handling confidential financial, payroll, and business information.
Qualifications - Preferred
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Healthcare, multi-site, or multi-entity accounting exposure.
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Experience with Business Central, NetSuite, or similar ERP systems.
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Exposure to revenue cycle, billing, patient collections, or insurance payment reporting.
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Experience supporting high-growth companies, new entity setup, acquisitions, or location expansion.
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Experience with ASC 606, ASC 842, consolidations, fixed assets, and audit support.
Serenity Healthcare is an Equal Opportunity Employer. Employment is contingent upon successful completion of a criminal background check and drug screen.
