Director of Accounting
Iowa Radiology P C • West Des Moines, IA • Full Time
Posted on Sat, Jun 13, 2026
We are seeking a skilled and dedicated Director of Accounting to join our healthcare team. Iowa Radiology is a patient-centered practice that promotes a more compassionate approach to medicine. We provide our employees the ability to bring their authentic selves to work every day, providing compassionate care for our patients in a collaborative, supportive work environment.
We want YOU to join the Iowa Rad family!
We truly care about our employees, their health and well-being, and their career goals and aspirations. The ideal candidate will play a crucial role in helping us continue to be the premier provider of radiologic services in Iowa by providing high-quality imaging services, ensuring patient safety, and delivering accurate diagnostic information.
- Manage day-to-day accounting operations, including general ledger, accounts payable, accounts receivable, payroll, fixed assets, and cash management.
- Oversee monthly, quarterly, and annual financial close processes to ensure timely and accurate reporting.
- Manage accounts payable/accounts receivable, payroll and financial reporting transactions.
- Prepare and review financial statements and journal entries in accordance with GAAP.
- Ensure proper account reconciliations and resolution of accounting discrepancies.
- Create and implement policies and procedures to identify, resolve, and document accounting issues.
- Create procedures to make the close and reporting processes more efficient and accurate.
- Maintain and strengthen internal control systems and accounting policies.
- Ensure compliance with GAAP, internal accounting processes, and federal, state, and local regulations.
- Coordinate external audits and function as the primary liaison with auditors.
- Support implementation of accounting standards and regulatory changes.
- Assist with tax compliance and reporting requirements.
- Assist with budgeting, forecasting, and variance analysis.
- Monitor departmental budgets and identify variances.
- Perform analysis on financial results, trends, costs and budgets and provides recommendations to senior leadership.
- Develop financial models and management reports as needed.
- Evaluate and improve accounting processes, systems, and workflows.
- Support internal controls and recommend process improvements.
- Lead ERP implementations, upgrades, or financial system enhancements.
- Identify opportunities for automation and increased efficiency.
- Support organizational growth through scalable accounting practices.
- Participate in operations leadership team meetings and lead dashboard discussions.
- Mentor junior accountant and provide guidance on best practices.
- Other duties as assigned.
- Bachelor’s degree in accounting, Finance, or related field.
- CPA Certification preferred.
- Minimum 8+ years of progressive accounting experience.
- Strong knowledge of GAAP, financial reporting, and internal controls.
- Experience working with external auditors.
- Experience with ERP systems and advanced accounting software.
- Proficient in Microsoft Excel and other financial modeling tools.
- Excellent communication skills.
- Detail-oriented with strong analytical and problem-solving abilities.
- Ability to manage multiple priorities in a fast-paced environment.
- Exceptional organizational and project management capabilities.
- Continuous speaking, hearing, and visual effort.
- Must have the ability to communicate effectively and work independently.
- Continuous mental and visual concentration requiring attention-to-detail and accuracy.
- Working conditions are typical to a normal office or individual home office environment.
- Must possess manual dexterity to operate computer and other office equipment.
- Ability to perform repetitive tasks associated with technology use (phone, computer, applications, and software).
- Must be able to bend, stoop, kneel, or crouch as part of job functions.
- Ability to lift and carry up to twenty-five (25) pounds when necessary
Competitive Benefits Package including but not limited to:
- Health, Dental, and Vision Insurance
- Life Insurance
- Short-term and Long-term Disability Insurance
- Paid Time Off and Paid Holidays
- 401k Retirement Plan
- Referral Program