Senior Accountant

Onco360 • Houston, TX • Full Time • $65,000–$65,000 / year

Posted on Sat, Sep 26, 2026

Onco360 is looking for a Senior Accountant. Remote position may be possible for the right candidate with previous 340B experience. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary of $65,000 and up Our benefits include: · Medical; Dental; Vision · 401k with a match · Paid Time Off and Paid Holidays · Quarterly Incentive Bonus · Tuition Reimbursement · Company paid benefits – life; and short and long-term disability A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. Senior Accountant Role Summary: Highly analytical and detail-oriented individual needed to ensure the accuracy of financial transactions related to the 340B program with the ability to analyze data, identify issues and provide recommendations. Responsible for recording and reviewing claim level transactions, reconciling large data sets, researching and solving for issues and providing quality control over 340B reporting in an Excel environment. Major Responsibilities for the Senior Accountant:

Retrieve claim level data from multiple third-party administrators, review for accuracy and reconcile to internal data within Excel reports.
Calculate and record accounting entries from claim level data for dispense fee revenue, costs of goods sold, inventory receivables, accruals and payables for 340B based on contractual obligations and current pricing files.
Consolidate large Excel data sets for analysis, reporting and reconciliation to the general ledger.
Track and update inventory receivable details for all monthly claims and replenishments by NDC and entity and create manual inventory receivable aging monthly by NDC and entity via excel.
Track and process invoices, verifying claim level support and calculations per contractual obligations and ensuring offsetting inventory receivables are matched.
Understand, track and solve for 340B claim level transactions variances between external reports provided in various formats and internal Excel files.
Analyze and summarize monthly results and communicate to Accounting Manager.
Prepare monthly reconciliation of balance sheet accounts.
Effectively communicate with internal and external partners who work in non-financial roles to solve for 340B issues.
Participate in development and documentation of policies and procedures to maintain and strengthen internal controls and identify and assist in development of process improvement opportunities.
Provide outside auditors with assistance; gather necessary account information and documents to perform annual audit.

Position Qualifications for the Senior Accountant:

Education/Learning Experience
- Required: Degree in accounting or commensurate experience
Work Experience
- Required: 3+ years experience in accounting, month end close, data reconciliation
- Desired: Experience with medical or pharmacy claim data; experience with inventory reporting
Skills/Knowledge
- Required: Advanced Excel skills, experienced in manual reconciliations of large datasets, highly detail oriented, excellent organizational and communication skills, strong analytical and problem-solving skills
Behavior Competencies
- Required: Self starter, initiative, strong internal customer focus, interpersonal skills, dependable, organized

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Advertised pay for Senior Accountant in Greater Houston: a median of $85,000 across 48 priced postings. This posting advertises $65,000 to $65,000, 24% below that median. Explore the market

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