Senior Accountant @ Aston Carter

This Senior Accountant role focuses on leading key components of the monthly close, financial reporting, and payroll processes in a hands-on, fast-paced environment. The position manages general ledger activities, balance sheet reconciliations, and fixed asset accounting while supporting budgeting, audits, and grant-related reporting. The Senior Accountant also plays a critical role in maintaining accurate financial records, improving accounting processes, and overseeing payroll for a multi-location organization.

Responsibilities

• Support the monthly financial close process by preparing and posting journal entries and maintaining complete supporting documentation.
• Prepare monthly balance sheet reconciliations, investigate discrepancies, and ensure timely resolution of variances.
• Assist with the preparation and review of monthly financial statements, including performing variance analysis and providing clear explanations of results.
• Prepare patient fee and accounts receivable schedules and related journal entries, ensuring accuracy and completeness.
• Review cash receipt activity to confirm that all transactions are properly coded and posted to the general ledger.
• Maintain fixed asset records by preparing monthly depreciation entries, performing fixed asset subledger reconciliations, and ensuring proper capitalization and recording of assets.
• Assist with periodic fixed asset inventories and audits, including documentation and reconciliation of asset listings.
• Partner with leadership, including the CFO, on annual budgeting and budget revisions, providing financial insights and support.
• Enter, update, and maintain budget information within the financial system to ensure accurate and current budget data.
• Provide departmental reporting and ad hoc financial analysis to support operational and strategic decision-making.
• Support the annual external financial audit by preparing schedules, documentation, year-end entries, and reconciliations.
• Assist with grant-related financial reporting, including preparation of restricted funding documentation and support for compliance requirements.
• Maintain and improve accounting policies, procedures, and process documentation to support consistency and internal controls.
• Identify opportunities to streamline accounting processes and enhance the timeliness and accuracy of financial reporting.
• Provide backup support for Accounts Payable as needed, including invoice processing and payment support.
• Own and support payroll processing for approximately 155 employees across two clinic locations in Wisconsin, ensuring accurate and timely payroll.
• Assist with additional accounting and finance responsibilities as needed, contributing to a collaborative and flexible finance team.
• Support the transition of HRIS, payroll, and accounting technology by participating in system implementations or conversions as required.

Essential Skills

• Bachelors degree in Accounting, Finance, or a related field.
• At least 5+ years of progressive accounting experience.
• Strong general ledger and month-end close experience, including preparation and posting of journal entries.
• Proven experience preparing account reconciliations, including balance sheet reconciliations and bank reconciliations.
• Experience supporting financial reporting, including preparation and review of financial statements.
• Experience supporting external financial audits through preparation of schedules, documentation, and reconciliations.
• Demonstrated ability to work independently with limited supervision and quickly take ownership of responsibilities.
• Strong analytical skills with the ability to interpret financial data and perform variance analysis.
• Excellent organizational skills with the ability to manage multiple priorities and meet deadlines.
• Effective problem-solving skills with a focus on accuracy and continuous improvement.
• Comfort working in a hands-on accounting environment where both strategic and transactional tasks are required.
• Proficiency with Microsoft Excel, including use of pivot tables.
• Experience with core accounting functions such as general ledger, financial reporting, balance sheet management, accounts payable, accounts receivable, fixed assets, and payroll.

Additional Skills & Qualifications

• Healthcare industry accounting experience.
• Experience working in a private equity environment.
• Nonprofit accounting experience, including familiarity with restricted funding and grant reporting.
• Experience using Sage accounting software.
• Experience with ADP or similar payroll systems.
• Masters degree or other advanced accounting education.
• Experience supporting accounting, ERP, HRIS, or payroll system implementations or conversions.
• Familiarity with patient fee and accounts receivable processes.
• Experience maintaining and improving accounting policies and procedures.
• Ability to identify and implement process improvements to streamline accounting operations.

Work EnvironmentThis position operates in a professional, onsite office environment with standard business hours Monday through Friday. The role is 100% onsite and offers scheduling flexibility within approximately 7:00 AM4:00 PM or 8:00 AM5:00 PM. The organization is actively transitioning its HRIS, payroll, and accounting technology, providing exposure to modern systems and process improvements. Core technologies used include Sage for accounting, ADP for payroll, and Microsoft Excel for reporting and analysis. The work setting emphasizes collaboration, accountability, and accuracy, with a hands-on approach to both transactional and analytical accounting tasks.

Job Type & LocationThis is a Permanent position based out of Appleton, WI.

Pay and BenefitsThe pay range for this position is $63000.00 - $77000.00/yr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Medical insurance

Dental insurance

Vision insurance

Health Savings Account

Flexible Spending Account

403(b) retirement plan

Company retirement contribution/match of up to 4%

Life insurance

Disability insurance

Employee Assistance Program

Paid time off

Paid holidays

Opportunities for advancement

Application DeadlineThis position is anticipated to close on Nov 6, 2026.

Workplace TypeThis is a fully onsite position in Appleton,WI.

About Aston Carter

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email [email protected] for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.