**Description** Hourly Wage Estimate: $43.28 - $64.94 / hour Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Senior Accountant today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Come join our team as a Senior Accountant. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The Senior Accountant performs detailed accounting functions, financial analysis, and provides various general accounting services for the financial operations of the organization and each of its clients. MSO is responsible for multiple general ledgers and monthly financial reporting packages. Reconcile accounts, prepare budgets, maintain budget to actual reports and support Controller with related accounting duties. DUTIES INCLUDE BUT NOT LIMITED TO: + Lead monthly financial close, ensure journal entries and reporting is in accordance with Generally Accepted Accounting Principles (GAAP) and Audit Standards. Prepares financial statements, variance analysis, and account reconciliations with minimal direction from Controller. + Responsible for IBNR for each of the MSO clients. Responsible for the integrity and accuracy of the related calculations and processes. + Ensures the accuracy of all revenue received by health plans for all IPA clients on a monthly basis, validating payments or accruals align with each healthplan contract including capitation, risk pool arrangements, P4P settlements and all contractual arrangements of the MSO clients. Prepares and records revenue entries in accordance with IPA policies and GAAP. + Monitor and ensure compliance to Department of Managed Health Care (DMHC) Risk Bearing Organization (RBO) requirements for MSO clients. + Preparing budget to actual variance report, analyzing variances for each client and PPMSI and remediating drivers of variances when applicable. + Responsible to ensure payments to providers are in adherence with provider agreements. Monitoring FFS payments for trends as well as capitation payments based on contractual requirements and accurate reflection in the general ledger in accordance with GAAP. + Provider expense analysis for monthly financial results and coordination with other departments on remediation of identified drivers. Requires cross functional understanding of claims, authorization, configuration, and system flow of data into our financial reports. + Participating in the preparation of external and internal audit schedules and preparing other required backup for annual and regulatory audits. + Prepare policy and procedure updates for responsible processes, in conjunction with Controller ensuring segregation of duty and adequate internal controls exist in all processes + Participates in the annual budget process based on historical trends and assumptions. + Identifying and implementing process improvements with emphasis on system enhancements that ensure segregation of duties and reconciliation processes remain intact ensuring the accuracy and compliance of our financial reporting. + Filing and maintenance of financial and corporate documents in compliance with legal requirements. + Participate in annual regulatory submissions such as 1099 filing ensuring the accuracy of all data elements, reconciles to general ledger disbursements, and outgoing cash for all clients and PPMSI. + Providing a high level of customer service within finance and to other business partners in conjunction with strong written and verbal communication skills + Performing other accounting and finance related projects as needed KNOWLEDGE, SKILLS AND ABILITIES: + Excellent knowledge of generally accepted accounting practices and principles + Experience working in financial software such as Sage100, Microsoft Excel, MS Office Suite, Adobe, or other programs in an integrated computer environment + Possess strong written, verbal and interpersonal communication skills utilizing utmost discretion with sensitive and confidential information. + Demonstrated ability to effectively make independent judgment with minimal guidance or supervision, including the ability to make decisions about applications of policies and procedures to work, organize time and set priorities to meet established deadlines and to shift priorities and workload frequently to accommodate new and/or urgent tasks EDUCATION: + Bachelor Degree (B.A.) from four-year College or University required EXPERIENCE: + At least 5 years’ experience in accounting/finance role with increasing responsibilities and demonstrated ability to work with minimal direction required. Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services) is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Senior Accountant opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!** We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.