Vanta Diagnostics is a rapidly growing, CAP- and CLIA-certified national laboratory delivering targeted molecular diagnostics designed to improve both clinical and economic outcomes. Our work empowers healthcare providers with actionable insights that support better decision-making and provide therapies that truly change patients’ lives.  Known for our industry-leading turnaround times, we ensure results move quickly from the lab to the provider.

Headquarters in Charleston, South Carolina, Vanta is expanding and actively seeking high-performing sales professionals to join our team. We’re looking for individuals who not only excel in their craft, but who also live our core values every day, ethics, service, and a genuine passion for helping providers achieve better outcomes, one patient at a time.

We are looking for a dynamic Senior Accountant to join our growing finance team. The Senior Accountant is responsible for supporting the month‑end close process, financial reporting, account reconciliations, and technical accounting for a fast‑paced diagnostic laboratory environment. This role plays a critical part in ensuring accurate financial records, compliant revenue recognition, proper cost allocation, and timely reporting. The Senior Accountant partners closely with Operations, Revenue Cycle, Compliance, and FP&A to ensure the financial statements reflect the true performance of the business.

Key Responsibilities

Month‑End Close & Financial Reporting

• Lead components of the monthly, quarterly, and annual close process, ensuring accuracy and timeliness.
• Prepare and review journal entries, accruals, prepaids, fixed asset entries, and balance sheet reconciliations.
• Maintain the general ledger and support consolidation processes as needed.
• Assist in the preparation of monthly financial statements and management reporting packages.

Revenue & Accounts Receivable Accounting

• Support revenue recognition for laboratory services, ensuring compliance with ASC 606.
• Reconcile revenue, AR, denials, payer adjustments, and write‑offs in coordination with the Revenue Cycle team.
• Monitor changes in reimbursement patterns and validate financial impacts.

Cost Accounting & Operational Support

• Reconcile cost of goods sold, consumables, reagents, and inventory activity.
• Partner with laboratory operations to validate cost‑per‑test, usage variances, and supply allocation.
• Maintain fixed asset schedules, depreciation, and capital expenditure tracking.

Compliance, Controls & Audit Support

• Maintain internal controls and support compliance with GAAP, healthcare regulations, and company policies.
• Support external auditors during annual audits, providing schedules, documentation, and explanations.
• Participate in process improvement initiatives to streamline financial workflows.

System & Process Improvement

• Assist in optimizing the ERP environment (NetSuite preferred), including chart of accounts, workflows, and reporting.
• Support automation projects across Finance, RCM, and Operations.
• Collaborate with FP&A to improve data integrity and streamline cross‑functional processes.