Senior Accounting Manager

Location: Remote (Texas preferred)

About Us

Health Admins is a leading force in healthcare administration, on a journey to become a premier technology-driven healthcare platform. Our vision is anchored in a commitment to Getting Better Every Step of the Way. We are dedicated to providing innovative, efficient solutions that elevate the healthcare experience for the members and clients we serve. We are currently seeking a driven and experienced Senior Accounting Manager who acts with professional discipline and shares our passion for continuous improvement to join our team.

What We Are Looking For

Our ideal candidate will play a crucial role in managing our accounting environment, optimizing its performance, and driving continuous improvements to support our business goals and enhance our service delivery.

Every Team Member is Driven by a Commitment to Live out These Values:

• Operate as an Owner




• Act with Professional Discipline




• Pursue Progress Through Change




• Treat Service as a Privilege

Employees are expected to embrace our core values by being “A Hero in Action.” These values lay the foundation for the way we engage with each other and with our clients. They form the guardrails for our decision making and approach to problem solving.

Position Overview

Health Admins is experiencing rapid growth. As the organization scales, the Accounting Department requires elevated leadership capacity to ensure financial operations keep pace with this growth — maintaining accuracy, compliance, and integrity across an increasingly complex multi-entity environment.

The Senior Accounting Manager is a critical leadership hire who will work directly alongside the Controller to manage the full scope of accounting operations. This role is accountable for the multi-entity month-end close process, systems integration support during and after M&A activity, audit readiness, regulatory and tax compliance, and financial due diligence support. In addition, Finance at Health Admins plays a hands-on operating role — managing billing and collections processes, overseeing escrow accounts, handling exception management, and maintaining the accounting records for our Third-Party Administration (TPA) customers.

This is a high-visibility, high-impact role that requires a credentialed accounting professional with a public accounting pedigree, deep technical knowledge, and the leadership presence to manage a team and a growing set of responsibilities in a fast-moving, acquisition-driven company.

Key Responsibilities

1. Multi-Entity Month-End Close Management

Lead and manage the consolidated month-end close process across all legal entities, ensuring accuracy, timeliness, and alignment with GAAP.

2. Audit Readiness & Compliance

Ensure Health Admins maintains a state of continuous audit readiness and full compliance with applicable accounting standards and regulatory requirements.

3. M&A Due Diligence & Integration Support

Serve as the accounting subject-matter expert across the M&A lifecycle — from target evaluation through post-close integration.

4. Systems Integration & Accounting Technology

Act as the accounting representative in systems integration and ERP projects, ensuring financial data integrity is preserved and accounting workflows are properly configured.

5. Tax Compliance

Coordinate multi-entity, multi-jurisdiction tax compliance, working with external advisors to ensure timely and accurate filings.

6. Billing, Collections & Escrow Operations

Oversee Finance's role as an operating function in the billing, collections, and escrow management lifecycle.

7. TPA Customer Accounting

Maintain complete, accurate, and client-ready accounting records for all TPA customers administered by Health Admins.

8. Team Leadership & Development

Build, manage, and develop an accounting team capable of supporting the company's growth trajectory.

Required Qualifications

• Active CPA license (required)

• Big 4 public accounting firm experience (required).

• Minimum 10+ years of total accounting experience, including public accounting tenure plus post-public industry experience.

• Demonstrated experience managing multi-entity month-end close processes across multiple legal entities.

• Hands-on experience supporting financial due diligence or post-acquisition accounting integration in an M&A-active environment.

• Experience owning or coordinating external audit processes — workpaper preparation, auditor liaison, PBC schedule management.

• Demonstrated experience with tax compliance coordination across multiple entities and/or multiple state jurisdictions.

• Experience in financial operations roles that include billing, collections, escrow management, or accounts receivable at scale.

• Advanced Excel proficiency; experience with ERP systems (QuickBooks, NetSuite, Sage Intacct, or equivalent).

• Bachelor's degree in Accounting (required); graduate degree in Accounting, Finance, or Business Administration is a plus.

• Strong analytical, organizational, and communication skills — able to present complex accounting issues clearly to non-accounting stakeholders and executive leadership.

Preferred Qualifications

• Healthcare Payer, TPA, Health Plan, or Health Sharing Ministry (HCSM) industry experience

• Experience managing accounting for Third-Party Administration (TPA) operations and client fund accounting.

• Prior experience in a PE-backed or high-growth company undergoing an M&A rollup or platform-building strategy.

• Experience with sell-side or buy-side financial due diligence engagements as an accounting lead.

• Background managing escrow accounts or trust accounting in a regulated or fiduciary environment.

• Experience implementing or integrating accounting systems as part of an M&A integration or ERP migration project.

• Familiarity with Salesforce, QuickBooks, Enrollment 123, or merchant processing systems in a financial context.

• Prior management experience leading an accounting team of 2+ direct reports.

What We Offer

• Competitive salary and benefits package




• Dynamic and innovative work environment




• Opportunities for professional growth and development




• Remote work flexibility

Equal Opportunity Statement

We are deeply committed to building a workplace and global community where inclusion is not only valued but prioritized. We are proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, family status, marital status, sexual orientation, national origin, genetics, neuro diversity, disability, age or veteran status, or any other non-merit based or legally protected grounds. We are committed to providing reasonable accommodation to qualified individuals with disabilities in the employment application process.