Sr. Accountant

What We Strive For 

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. 

Benefits & Perks 

• Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. 
• Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
• Time Off & Leave – Paid holidays, flexible vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
• Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. 
  

What You’ll Do   
We are a fast-growing, private equity–backed healthcare organization committed to transforming care delivery through a value-based model that aligns financial performance with patient outcomes. The Senior Accountant will play a key role in executing the monthly close process, managing technical accounting matters, and preparing financial reports with a focus on accuracy, timeliness, and transparency. This role requires an initiative-taking, meticulous professional with strong financial acumen and experience navigating complex transactions in a high-growth, performance-driven environment. 

The Day to Day   

• Own and manage month-end and year-end close activities, including journal entries, account reconciliations, and variance analysis
• Prepare complex journal entries for accruals, prepaids, debt, intercompany transactions, leases, noncontrolling interest, software capitalization, shared expense allocations, management fee calculations, and equity-related activity
• Ensure compliance with U.S. GAAP and private equity reporting requirements
• Reconcile and maintain financial schedules related to prepaids, accruals, fixed assets, intangible assets, leases, payroll, equity, debt, intercompany activity, and other general ledger accounts
• Review complicated contracts and assist in interpreting how contract terms impact financial reporting
• Partner with external auditors and tax accountants and prepare required documentation and support
• Identify and implement process improvements to scale accounting operations and reporting efficiencies
• Maintain strict adherence to internal controls and private equity portfolio-level expectations
• Prepare reporting requirements for private equity stakeholders and lenders
• Identify and implement process enhancements to improve efficiency and accuracy 

Minimum Qualifications 

• Bachelor’s degree in Accounting, Finance, or related field
• 2+ years of progressive accounting