About Us
Optima Dermatology Partners is a rapidly growing, multi-site dermatology group dedicated to revolutionizing skin care. Our mission-driven team is committed to providing exceptional patient care while building the most defensible healthcare services platform in the country. We pride ourselves on a collaborative, engaging, and high-performing culture where your work truly makes a difference.
Position Summary
We are seeking an experienced Senior Accountant to support complex healthcare accounting functions across our growing dermatology platform. This role will be responsible for healthcare revenue recognition, provider compensation calculations, lease accounting, fixed assets, and payroll accounting. The Senior Accountant will partner closely with clinical operations, revenue cycle, payroll, and finance leadership to ensure accurate financial reporting, compliance with U.S. GAAP, and strong internal controls across multiple medical entities.
Key Responsibilities
Healthcare Revenue Recognition
Prepare and review monthly revenue recognition related to professional medical services in accordance with U.S. GAAP
Reconcile revenue between practice management systems, billing platforms, and the general ledger
Analyze payer mix, collections, adjustments, and contractual allowances in coordination with revenue cycle teams
Support audit, compliance, and regulatory requests related to healthcare revenue recognition
Provider Compensation Accounting
Calculate and record bi-weekly and monthly provider compensation, including collections-based, and incentive compensation models
Reconcile provider compensation accruals to payroll and payments
Maintain detailed schedules supporting provider compensation
Partner with operations, payroll, and HR to ensure accurate and timely provider payments
Lease Accounting (ASC 842)
Maintain lease schedules for medical offices, surgical suites, and clinical space in accordance with ASC 842
Record and reconcile right-of-use assets and lease liabilities
Support new site onboarding, lease modifications, renewals, and terminations
Prepare audit-ready documentation and disclosures related to lease accounting
Fixed Assets & Medical Equipment
Maintain fixed asset records for medical equipment, leasehold improvements, and IT assets
Ensure proper capitalization, depreciation, and disposal in accordance with company policy
Reconcile fixed asset subledger to the general ledger monthly
Support physical inventory tracking and audit requests related to medical equipment
Payroll & Benefits Related Accruals
Record payroll journal entries and related accruals, including wages, benefits, bonuses, and payroll taxes
Reconcile payroll-related balance sheet accounts
Partner with payroll and HR teams to resolve discrepancies
Support payroll audits and compliance requirements
Month-End Close & Financial Reporting
Prepare and review journal entries, account reconciliations, and supporting schedules for assigned healthcare entities
Ensure timely and accurate month-end close
Assist with financial statement preparation, variance analysis, and management reporting
Support internal and external audits, including preparation of PBC schedules
Process Improvement & Internal Controls
Identify opportunities to improve accounting processes, documentation, and internal controls in a healthcare environment
Support system integrations between clinical, billing, payroll, and ERP systems
Maintain audit-ready documentation and compliance support
Qualifications
Bachelor's degree in accounting, Finance, or related field
5+ years of progressive accounting experience, preferably in healthcare or multi-entity environments
Strong understanding of U.S. GAAP, including healthcare revenue recognition and ASC 842
Experience with provider compensation or collections-based compensation models
Payroll accounting experience required
Proficiency with ERP/accounting systems such as Sage Intacct, NetSuite, SAP, or similar
Advanced Excel skills
Strong organizational, analytical, and communication skills
Preferred Skills
Experience in medical practice management, physician services, or healthcare platforms
Familiarity with revenue cycle operations and payer dynamics
Process improvement or Lean/Six Sigma experience
Experience supporting audits in a healthcare environment
Compensation & Benefits
Competitive salary and performance-based incentives
Comprehensive benefits package including health, dental, vision, disability, and life insurance
401(k) with company match
PTO and paid holidays
A collaborative, mission-driven healthcare environment supporting work/life balance