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About the Role

Withum's Outsourced Accounting Systems and Services (OASyS) team is seeking an Outsourced Accounting Manager – Healthcare to lead client engagements and oversee a team delivering outsourced accounting and advisory services to healthcare organizations. You will serve as a trusted partner to client leadership, driving high-quality financial operations, timely reporting, and process improvements.

Responsibilities

Manage and mentor a team of professionals; assign work, review deliverables, and support development through coaching and feedback
Oversee accounts payable workflows, including review/approval of vendor and contractor payments and maintenance of appropriate supporting documentation
Review and approve payroll processing and related filings in collaboration with client HR/payroll providers
Lead the month-end close process, including reviewing proposed journal entries, ensuring timely reconciliations, and maintaining an accurate general ledger
Review and approve all proposed journal entries (e.g., revenue, payroll, accruals, reclasses) and confirm appropriate supporting detail
Review balance sheet reconciliations and resolve variances, including cash, AR, prepaid, fixed assets, accruals, and other key accounts
Prepare and/or review monthly financial reporting packages (financial statements, KPI dashboards, and written narratives)
Support budgeting, cash flow forecasting, and performance analytics; help clients translate results into actionable operational decisions
Partner with client leadership (owners, administrators, controllers, practice managers) as the day-to-day point of contact; proactively communicate status, risks, and recommendations
Coordinate and facilitate external reviews and annual financial statement audits; manage auditor requests and support timely issuance of deliverables
Evaluate and strengthen internal controls; streamline close and reporting processes; help implement best practices across AP, AR, payroll, and general ledger activities
Oversee accounts receivable and revenue-related processes in partnership with client billing teams, including review of AR aging, payment posting trends, and reasonableness of revenue recognition inputs
Maintain accurate departmental, provider, and location-level reporting (as applicable) and support management reporting needs such as service-line profitability and compensation-related schedules

Requirements

Bachelor’s degree in accounting or finance required
CPA preferred and/or MBA equivalent
5–7+ years of progressive accounting experience, including leadership and review responsibilities
Demonstrated client service experience (outsourced accounting, advisory, public accounting, or consulting) with the ability to manage multiple priorities and deadlines
Outstanding written and verbal communication skills, including the ability to present financial results and recommendations to non-finance stakeholders
Preferred experience with Sage Intacct and/or QuickBooks Online; strong proficiency in Excel (pivot tables, lookups, and data validation)
Experience working with for-profit healthcare organizations (e.g., physician and/or dental practices, surgical centers, ancillary service providers) and comfort with healthcare financial operations (payroll, AP, AR, close, reporting)
Strong knowledge of month-end close, GAAP-based financial statements, account reconciliations, and internal controls; continuous-improvement mindset
Proven ability to lead teams, collaborate cross-functionally, and build trusted relationships with clients and internal stakeholders
Involvement in their community and desire to “give back”

Skills

Sage Intacct
QuickBooks Online
Excel (pivot tables, lookups, and data validation)
Month-end close
GAAP-based financial statements
Account reconciliations
Internal controls
Client service
Team leadership
Cross-functional collaboration
Communication (written and verbal)

Location

East Brunswick, NJ
Red Bank, NJ
Princeton, NJ
Whippany, NJ
New York, NY
Buffalo, NY

Work Type

Hybrid

Experience Level

5-7+ years of progressive accounting experience

Education Level

Bachelor's degree in accounting or finance
CPA preferred
MBA equivalent preferred

Salary/Compensations

$125,000-145,000

Benefits

Competitive benefits package
Bonus program (for eligible roles) based on individual and firm performance

About the Company

Withum is a place where talent thrives - where who you are matters. It’s a place of endless opportunities for growth. A place where entrepreneurial energy plus inclusive teamwork equals exponential results.
Withum’s brand is a reflection of our people, our culture and our strength. Withum has become synonymous with teamwork and client service excellence. The cornerstone of our success can truly be accredited to the dedicated professionals who work here every day, whose mission is to help our clients grow and thrive - to be in a position of strength. But our commitment goes beyond our clients as we continue to live the Withum Way, promoting personal and professional growth for all team members, clients, and surrounding communities.

Equal Opportunity

WithumSmith+Brown, PC is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, (including pregnancy), genetic information, marital status, domestic partnership status, familial status, affectional or sexual orientation, gender identity, citizenship status, national origin, disability or handicap, veteran status, weight, height, or any other classification protected by federal, state, or local law.