Position Summary: We are searching for a Staff Accountant II to join our accounting team supporting our dialysis and substance abuse treatment operations. This role is ideal for a hands-on accounting professional with advanced technical skills, a talent for regulatory filings, and a proactive approach to process improvement. You’ll take ownership of higher-level accounting functions. Key Responsibilities: • Manage and perform complex general ledger account reconciliations, journal entries, and month-end/quarter-end close activities. • Prepare, review, and file personal property tax returns, CAT Q and workers’ compensation filings, and ensure compliance with all regulatory requirements. • Oversee and maintain corporate registrations, business licenses, and related documentation for all company entities. • Utilize Microsoft Dynamics 365 Business Central for transaction processing, and process enhancements. • Partner with auditors during annual audits and support ad hoc projects related to compliance, budgeting, or process improvement. • Identify opportunities for automation, efficiency, and internal control enhancements. Qualifications: • Bachelor’s degree in Accounting. • 3+ years of progressive accounting experience, ideally in healthcare or substance abuse treatment. • Strong working knowledge of multi state and local tax compliance, and business registrations. • Advanced proficiency in Microsoft Excel and hands-on experience with Microsoft Dynamics 365 Business Central. • Demonstrated ability to manage multiple projects, meet deadlines, and work independently. • Excellent analytical, organizational, and communication skills. • High attention to detail and a strong commitment to accuracy. • CPA or progress toward CPA is a plus, but not required.