Senior Manager, Revenue Accounting

Extraordinary Care. Extraordinary Careers.

With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.

Our unique business model combines the personal touch of locally operated pharmacies with the robust support of our Atlanta-based corporate team, ensuring best-in-class pharmacy care for our customers.

Why Guardian Pharmacy? We’re reimagining medication management and transforming care.

Who We Are and What We’re About:

Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.

Senior Manager, Revenue Accounting

About the Role

We are seeking a hands-on, detail-oriented Senior Manager of Revenue Accounting to partner with our Director of Revenue Cycle and Controller in managing all aspects of the revenue cycle. This role will ensure accurate and timely reporting, strong compliance, and alignment across billing systems and pharmacy operations.

The Senior Manager will play a critical leadership role—supporting revenue accounting, ensuring SOX compliance, and serving as a collaborative partner to both finance and pharmacy leaders. The right candidate will bring a roll-up-your-sleeves mentality, a strong analytical skillset, and the ability to dig deep into data to uncover the why behind the numbers.

Key Responsibilities

• Oversee daily revenue cycle operations, ensuring accurate and timely billing, collections, and reporting.
• Partner with the Director of Revenue Cycle and Controller on compliance, controls, and process improvement initiatives.
• Support and manage revenue accounting and SOX compliance activities.
• Serve as a subject matter expert in our billing systems and pharmacy operations.
• Investigate and resolve discrepancies by proactively reaching out to Directors of Finance & Administration and other stakeholders.
• Build strong relationships across finance and pharmacy teams to foster collaboration and problem-solving.
• Analyze and present financial and operational data to leadership; recommend actions to improve efficiency and results.

Qualifications

• Bachelor’s degree in accounting, Finance, Business, or related field required; CPA licensure required; advanced degree preferred.
• 7+ years of progressive experience in revenue cycle management, accounting, or finance; healthcare or pharmacy experience strongly preferred.
• Strong knowledge of billing systems, revenue cycle operations, and compliance requirements (including SOX).
• Exceptional attention to detail with the ability to dig into data and identify root causes.
• Proven leadership ability with excellent interpersonal and communication skills.
• Comfort with ambiguity and a proactive, problem-solving mindset.
• Hands-on approach—willingness to get into the details and work directly with stakeholders.

Who You Are

• A natural leader who enjoys working in the data but also knows how to build relationships across teams.
• Detail-oriented, persistent, and curious—always asking why and digging deeper to find solutions.
• A strong communicator who isn’t afraid to pick up the phone to get answers.
• Motivated by collaboration and energized by supporting both finance and pharmacy operations.

What We Offer:

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”
Compensation & Financial

• Competitive pay
• 401(k) with company match

Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)

• Medical, Dental and Vision
• Health Savings Accounts and Flexible Spending Accounts
• Company-paid Basic Life and Accidental Death & Dismemberment
• Company-paid Long-Term Disability and optional Short-Term Disability
• Voluntary Employee and Dependent Life, Accident and Critical Illness
• Dependent Care Flexible Spending Accounts

Wellbeing

• Employee Assistance Program (EAP)
• Guardian Angels (Employee assistance fund)

Time Off

• Paid holidays and sick days
• Generous vacation benefits based on years of service

The Guardian Difference

Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs.

Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.

Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment.

At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.

Join us to discover what your best work truly looks like.