Senior Accountant
OrthoArkansas • Little Rock, AR • Full Time
Posted on Sat, Nov 14, 2026
2026 Senior Accountant
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OrthoArkansas' core values:
- KINDNESS: People are happier after interactions with you because you are kind and pleasant.
- INTEGRITY: Always doing the right thing, especially when no one is looking.
- CONSCIENTIOUSNESS: Strive for excellence in all that you do, paying special attention to the details that make a difference in patient care and teamwork.
- KNOWLEDGE: Be a lifelong learner.
Position Overview:
The Senior Accountant at OrthoArkansas starts with great old-school accounting. You'll own a set of our entities from end to end: the close, reconciliations, intercompany, and the financial statements. That part of the job is real and it stays real. What the role grows into is the AI side. With training we provide, our CFO/CEO, Controller, and our in-house AI developer alongside you, you'll learn the tools, experiment with them on real accounting work, and then build the AI agents that take over the transactional work on the books you own. Once they're running, you oversee them: read what they produce, catch what they miss, and make them better.
OrthoArkansas is a physician-owned orthopedic group: about 40 surgeons, 550 employees, ten clinics, two surgery centers, and eight related entities including a captive insurer, a real estate company, and a management company. We're rebuilding our accounting function around AI agents instead of headcount, and we're building a small team of accountants who want to grow with it. We don't expect you to arrive knowing how to do any of the AI part. We expect a great accountant who is curious about it, wants to learn it, likes to tinker, and is excited to help build an accounting function that works this way. We'll spend the time and the money to get you there.
Key Responsibilities:
- 1. Monthly Close & Financial Statements: Own the monthly close for your entities: journal entries, balance sheet reconciliations, intercompany, and entity financial statements. Serve as backup for the Controller: when the Controller is out, you can keep the close moving.
- 2. Physician Financials: Manage physician financial mechanics: monthly statements, productivity bonuses, and the reconciliations behind distributions.
- 3. AI & Automation: Over time, and with our support, build and maintain the AI agents that automate your part of the close. Run new agents in parallel until they're proven, then oversee them every cycle: read what they produce, catch what they miss, and make them better.
- 4. Year-End & Documentation: Prepare year-end schedules and packages for our outside CPA review, tax work, and the profit-sharing plan audit. Write down every process and every agent you own, so someone else could run it.
- 5. Additional Responsibilities: Perform other related duties as assigned to support the accounting goals and strategic initiatives of OrthoArkansas.
Qualifications:
Education & Experience:
- 4–7 years of accounting experience. Industry doesn't matter; we'll teach you ours.
- Multi-entity and intercompany experience preferred.
- CPA or CPA-track a plus.
Skills & Abilities:
- A great accountant first: You own your work end to end and don't need someone checking every step.
- AI-curious: You've started using AI in your own work because you wanted to, and you want to go much deeper. We'll teach the building; you bring the curiosity and the habit.
- Good judgment on exceptions: you know when something is wrong, and you escalate rather than improvise.
- You like teaching, and you can explain the numbers to someone who isn't an accountant.
Software Skills:
- Intermediate: Microsoft Excel, ERP (we run Acumatica)
- Basic: AI tools
What This Job Is Not:
- Not a data-entry seat. The agents will do more of that every month.
- Not a big department. Small, and staying small. No bureaucracy.
- Not a job where someone else does the AI part for you. You'll learn it and build it, with help.
Perks of This Position:
- Impactful & Rewarding Work – Own your entities end to end and help build an accounting function that runs on AI.
- Attractive Compensation & Comprehensive Benefits – Receive a benefits package including medical, life insurance, 401(k) with employer profit-sharing contributions, paid time off, and paid holidays.
- Culture of Excellence – Be part of a team that values kindness, integrity, attention to detail, and continuous learning.
- Professional Growth & Development – Training we provide, with the time and money to get you there, to learn, build, and oversee AI agents.
- Collaborative & Supportive Environment – A small team with no bureaucracy, working alongside our CFO/CEO, Controller, and in-house AI developer.
Additional Details:
Performance Expectations: An accurate, on-time close for your entities, agents proven before they take over and overseen every cycle, and every process and agent written down.
Professional Development: Opportunities to grow in multi-entity accounting, AI tools, and building and overseeing agents.
Join OrthoArkansas as a Senior Accountant and help build an accounting function that runs on AI. This position offers a meaningful opportunity to grow professionally and contribute to a team dedicated to excellence.
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