ROLE SUMMARY
KNU-Health is seeking a detail-oriented and proactive Senior Accountant to support the VP of Finance in managing day-to-day financial operations for multiple pharmacy clients. This is a full-time, remote-friendly role based in or near the Mobile, Birmingham, Atlanta, or New Orleans metropolitan areas.
This is a high-impact, hands-on role that sits at the intersection of healthcare, accounting, finance, pharmacy operations, and client services. The Senior Accountant will own the full accounting cycle across multiple covered entity pharmacy clients - managing the general ledger, preparing and reviewing journal entries, reconciling accounts, and ensuring timely and accurate month-end closings. Responsibilities include managing accounts payable and receivable processes, preparing client financial statements, analyzing variances, and providing insights on trends impacting revenue, expenses, and 340B program performance.
The ideal candidate is a self-starter who thrives in a fast-paced startup environment, is comfortable working across multiple client accounts simultaneously, and can build and maintain organized, well-documented work product with minimal supervision.
KEY RESPONSIBILITIES
Accounts Receivable & Cash Collections
- Monitor and reconcile third-party payer receipts against bank deposits and pharmacy dispensing records
- Track A/R aging by client and payer; follow up on unpaid, underpaid, or denied claims
- Post cash receipts and apply payments in QuickBooks Online (QBO) for multiple client entities
- Reconcile A/R balances to cash receipts, our reconciliation software, and the general ledger monthly
Accounts Payable & Operating Expenses
- Process vendor invoices and manage bill pay for pharmacy clients through client bank accounts
- Reconcile wholesaler statements (Morris & Dickson and others) to purchase records and PioneerRx
- Ensure all client operating expenses are coded correctly and paid on time
- Track reimbursable expenses and prepare supporting documentation for monthly client invoices
Pharmacy Financial Bookkeeping
- Post monthly journal entries for pharmacy revenue, COGS, and A/R based on PioneerRx transaction reports
- Maintain accurate QBO general ledger for each client entity
- Record drug purchases, inventory movements, and 340B inventory activity
- Independently prepare monthly bank and balance sheet reconciliations
- Complete the monthly close process and preparation of client financial statements (P&L, Balance Sheet, Cash Flow)
- Serve as primary day-to-day accounting contact for assigned pharmacy clients
Reporting & Analysis
- Independently prepare monthly client financial packages and management reports
- Help maintain and update financial dashboards and tracking workbooks
- Pull and organize data from PioneerRx reports to support journal entry preparation and KPI reporting
- Support variance analysis and provide commentary on monthly results
QUALIFICATIONS
Required
- 5 - 7 years of accounting experience, preferably in public accounting or a multi-client services environment
- Bachelor's degree in Accounting or Finance
- Ability to work independently with minimal supervision and own a full client accounting cycle end-to-end
- Experience preparing financial statements independently, not just supporting
- Strong Microsoft Excel skills - comfortable working with large data sets
- Strong workpaper organization skills - able to prepare structured Excel workbooks and supporting schedules that are clearly labeled, logically organized, and easy for a reviewer to follow and trace
- High attention to detail and ability to manage multiple priorities across multiple client accounts
- Strong communication skills - ability to clearly document work and flag issues proactively
Preferred
- Experience in healthcare, pharmacy, or medical billing environments
- Proficiency in QuickBooks Online (QBO) or similar accounting software
- Familiarity with 340B drug programs or pharmacy operations
- Experience with PioneerRx or other pharmacy dispensing systems
Pay: $75,000.00 - $100,000.00 per year
Benefits:
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Work from home
Education:
Experience:
- professional work: 4 years (Required)
Work Location: Remote
