Job posting: Senior General Accountant — Confidential Healthcare Client, Puerto Rico

PeopleLift · On behalf of a confidential client

Senior General Accountant

Healthcare Industry · Puerto Rico · Full-Time with Benefits

Puerto RicoHealthcareFull-TimeSenior LevelBenefits Included

Employment Type: Full-Time, Permanent

Location: Puerto Rico (On-site)

Industry: Healthcare

About this opportunity

PeopleLift is recruiting on behalf of a confidential healthcare organization in Puerto Rico seeking a seasoned Senior General Accountant to join their finance team. This is a full-time, permanent opportunity with a comprehensive benefits package at a well-established institution committed to delivering quality patient care across the island. If you are a detail-driven accounting professional with healthcare industry experience and a passion for financial integrity, we want to hear from you.

Key responsibilities

• Manage full-cycle general accounting functions including journal entries, account reconciliations, and month-end and year-end close processes.
• Prepare accurate and timely financial statements in compliance with GAAP and applicable healthcare industry regulations.
• Oversee accounts payable and accounts receivable functions, ensuring proper coding and timely processing aligned with healthcare billing standards.
• Monitor and reconcile general ledger accounts, identifying and resolving discrepancies with precision and urgency.
• Support internal and external audit processes by preparing required documentation, schedules, and variance analyses.
• Assist in the preparation of annual budgets and multi-year financial forecasts in collaboration with department leadership.
• Ensure compliance with Puerto Rico Treasury Department (Hacienda) requirements, federal tax obligations, and applicable CMS/Medicaid/Medicare billing regulations.
• Analyze financial performance data and deliver actionable insights and reports to senior management.
• Maintain and improve internal controls and accounting procedures to safeguard organizational assets.
• Collaborate cross-functionally with clinical, operations, and HR teams to support budgeting and cost-center reporting needs.

Skills & experience

• Minimum 5 years of progressive accounting experience, with at least 2 years in a healthcare, hospital, or medical services environment strongly preferred.
• Bachelor's degree in Accounting, Finance, or a related field required; CPA license (ICPA — Puerto Rico) is a significant advantage.
• Solid working knowledge of GAAP, healthcare revenue cycle principles, and Puerto Rico and U.S. federal tax regulations.
• Proficiency in accounting software (e.g., QuickBooks, SAP, Oracle, or similar ERP/healthcare financial systems); advanced Microsoft Excel skills required.
• Familiarity with Medicare, Medicaid, and/or private health insurance billing, reimbursement processes, and cost reporting is highly desirable.
• Strong analytical skills with the ability to interpret complex financial data and communicate findings clearly to non-financial stakeholders.
• High degree of accuracy, integrity, and confidentiality in handling sensitive financial and patient-adjacent data.
• Excellent organizational skills with the ability to manage competing deadlines in a fast-paced healthcare environment.
• Bilingual proficiency in Spanish and English (written and verbal) required.

Benefits

Medical insurance
Dental & vision coverage
Retirement / 401(k) plan
Paid time off & holidays
Professional development
Competitive salary

This search is being managed exclusively by PeopleLift. Please submit your resume in English or Spanish along with a brief summary of your healthcare accounting experience. All inquiries will be handled with strict confidentiality.

Equal Opportunity Employer
PeopleLift and its confidential client are Equal Opportunity Employers committed to providing equal employment opportunities to all applicants and employees without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other characteristic protected by applicable federal, state, or local law — including Title VII of the Civil Rights Act of 1964, the Age Discrimination in Employment Act (ADEA), the Americans with Disabilities Act (ADA), and all applicable Puerto Rico employment statutes. We are dedicated to fostering a diverse, equitable, and inclusive workplace.

Our client is an EEOC Employer and encourages all minority groups to apply.

By applying to this job, as part of our typical recruiting process, from time to time, we may contact you regarding positions that we feel are a good fit for you or engage with you during the recruiting process via SMS text message. Message and data rates may apply, depending on your mobile phone service plan. At any time you can get more help by replying HELP to these texts, or you can opt-out completely by replying STOP. Our Terms of Service are available at www.peoplelift.com.