Step into a high-impact Lead Accountant role where you own complex revenue recognition, build better systems, and tighten internal controls across a fast-growing behavioral health organization. This is a fully remote, CPA-track position for someone who enjoys living in the details and shaping how the numbers flow from operations to the financials.
About Sandstone Care
Sandstone Care provides evidence-based treatment for teens and young adults struggling with substance use, mental health, and co-occurring disorders. They operate a growing network of programs and levels of care, with a mission anchored in clinical excellence and real-world outcomes. As they scale, they are investing heavily in strong financial infrastructure, disciplined reporting, and people who can bridge operations, systems, and GAAP-level accounting.
Schedule
- Full-time, remote role
- Standard business hours, Monday through Friday
- Collaboration with Finance, Payor Contracting, FP&A, Operations, and external partners
- Occasional deadlines tied to month-end, quarter-end, audits, and key projects
What You’ll Do
- Design and support data flows between the EHR, RCM, and Financial Reporting System to ensure accurate and timely financial reporting.
- Identify and implement electronic data feeds and automation to reduce manual journal entries and improve data integrity.
- Work with internal teams and third parties to build scalable integration solutions for invoices, cash receipts, and adjustment entries.
- Review contracts and system configurations to ensure correct accounting treatment under ASC 606.
- Develop and implement best practice revenue recognition procedures, including gross charges, contractual allowances, patient payments, bad debt, and reserves.
- Establish, maintain, and document a formal Revenue Recognition Policy in line with ASC 606.
- Perform recurring reserve analyses and ensure audit-ready documentation for all revenue-related estimates.
- Reconcile revenue from RCM systems to the GL and financial statements, validating completeness and accuracy of net revenue.
- Partner with Payor Contracting, FP&A, and Operations to evaluate the financial impact of new agreements and system or process changes.
- Standardize manual entry processes and internal controls to reduce errors and enhance consistency.
- Create and maintain SOPs for revenue recognition, lease accounting, system integrations, and reconciliations.
- Support external audits through schedules, documentation, and timely responses to auditor requests.
- Assist in drafting and updating accounting policies and procedure documents as the organization grows.
What You Need
- Bachelor’s degree in Accounting or Finance.
- CPA certification or active CPA track required.
- 5+ years of accounting experience, including technical accounting and systems exposure.
- Background in public accounting, private equity–backed, or healthcare environments strongly preferred.
- Deep understanding of U.S. GAAP, including ASC 606; familiarity with ASC 842 and internal controls.
- Experience with ERP systems such as Sage Intacct and related automation or integration tools.
- High proficiency in Excel and comfort with financial reporting tools and data reconciliation.
- Strong analytical, problem-solving, and project management skills.
- Clear, professional communication skills with the ability to partner across technical and non-technical teams.
- Ability to thrive in a fast-paced, multi-system environment and manage competing priorities.
- Willingness to complete and pass a comprehensive background check, including criminal records and motor vehicle reports.
Benefits
- Annual salary range: $105,000–$115,000, depending on experience.
- Merit-based growth opportunities and a structured total rewards package.
- 401(k) program with 5% company match and a competitive vesting schedule.
- Generous PTO package designed to support work/life balance.
- High-quality medical, dental, and vision insurance with majority of premiums paid by the company.
- Robust Employee Assistance Program with counseling, legal, financial, and wellness resources.
- Collaborative, mission-driven culture focused on improving behavioral health outcomes.
Roles at this level that blend technical GAAP work, systems, and fully remote flexibility do not stay open long, so move quickly if this aligns with your experience and goals.
If you are ready to own revenue recognition, tighten controls, and help build a scalable finance function inside a mission-driven organization, this is your next step.
Happy Hunting,
~Two Chicks…