Senior Accountant

We’re not just behavioral health people—we’re crisis people.

Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery.

Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. Our commitment remains consistent, to improve access, inspire hope, and provide the right support.

Our values shape our decisions, define our culture, and foster continuous learning and growth.

• We accept people as they are, creating safe spaces where they feel valued and respected.
• We inspire hope by walking with people side-by-side, showing them grace and compassion.
• We act with intention, holding ourselves and each other accountable, and doing the right thing.
• We work as one team, trusting and supporting each other.
• We embrace change and innovation, striving to find better ways to fulfill our mission.

We are on a mission to change the face of behavioral health. Help us save lives and make a difference.

What You'll Do:

The Senior Accountant assists in the preparation of financial statements and supporting documentation. This position is responsible for recording complex journal entry transactions, supporting the financial close, analyzing variances against budget, and reconciling balance sheet accounts. They perform complex, detailed, and disciplined work using standard methodologies in analysis, documentation, implementation and support of accounting and finance procedures. The Senior Accountant is detail oriented, analytical, organized, self-sufficient, and has excellent communication skills.

• Review monthly financial results compared to budget and provide variance analytics.
• Manage the monthly market billing process, ensuring timely and accurate preparation, review, and distribution of invoices in accordance with contractual agreements and funding requirements.
• Monitor and maintain accounts receivable balances, including collection activities, customer follow-up, aging analysis, and resolution of billing discrepancies to support timely cash collections.
• Prepare, maintain, and support grant-related financial reporting and documentation, ensuring compliance with grant agreements, funding requirements, and applicable regulatory guidelines.
• Serve as the primary accounting liaison for government agencies and funding partners, responding to financial inquiries, coordinating reporting requests, and fostering strong working relationships with external stakeholders.
• Collaborate with operational and government partner teams to ensure accurate billing, revenue recognition, grant compliance, and timely resolution of financial matters impacting market operations.
• Prepares complex journal entries with supporting documentation as assigned.
• Coordinate with Revenue Cycle Department to ensure monthly revenue is accounted for correctly and maintain A/R reconciliations.
• Reconcile assigned balance sheet reconciliations in line with best practice and internal controls.
• Conducts all necessary analysis and research to facilitate month-end close.
• Provides information and assistance to facilitate the completion of annual financial statement audits.
• Maintains systems and controls that verify the integrity and accuracy of all financial systems, processes, and data.
• Develops, establishes, and maintains a work priority system to ensure daily and heavy workloads are fulfilled.
• Is a resource to Staff Accountant for complex issues.
• Maintains strict confidentiality regarding all employee and financial information.
• Performs all other duties as assigned.