Accountant (US Healthcare) - EST Hours (Remote)

ISTA Personnel Solutions South Africa is a global BPO - not a recruitment agency - partnering with a USA-based client in the wellness industry.

Our client is a dynamic wellness organisation experiencing rapid growth and seeking a technical financial professional to elevate their back-office operations. We are seeking an Accountant with advanced analytical and reporting capabilities to support their financial planning and strategic decision-making. This is a back end, technical role focused on analysis and insights - not clerical or transactional work. You'll be equally comfortable managing complex spreadsheets, variance analysis, and financial modelling whilst supporting leadership with actionable financial intelligence.

Important: Applicants must have strong accounting experience and advanced Excel capability - candidates without it will not be considered.

PLEASE NOTE:

• Working Hours: This role requires you to work USA hours Mon – Fri from 9 am to 6 pm EST (3:00 PM to 00:00 AM South African time); however, these hours are subject to change depending on daylight savings.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.
• Work Environment: This is a fully remote working role.
• Public Holidays: You will be required to work on all South African public holidays (compensated as per BCEA).

Key Responsibilities:

• Own the full-cycle general ledger and monthly close process
• Prepare journal entries, reconciliations, and maintain the trial balance
• Manage balance sheet accounts, including accruals, prepaids, fixed assets, and lease accounting
• Prepare and analyze monthly P&L variance reports, providing clear insights into financial performance
• Handle expense allocations across departments, locations, and cost centers
• Support cash flow forecasting and budget vs. actual analysis
• Assist with ad-hoc financial modeling and reporting for leadership decision-making
• Partner cross-functionally to ensure accurate and timely financial reporting
• Continuously improve accounting processes and systems

Requirements:

• Several years of progressive accounting experience
• Strong knowledge of full-cycle accounting processes
• Proven experience with:
• Monthly close and general ledger management
• P&L variance analysis
• Cash flow forecasting and basic FP&A support
• Advanced Excel skills (pivot tables, complex formulas, financial modeling)
• Tech-savvy with the ability to learn and adapt to new accounting systems
• Strong attention to detail and analytical thinking
• Excellent communication skills with the ability to explain financial data clearly

Advantageous:

• Experience working with multi-entity or multi-location businesses
• Exposure to US-based companies or international clients
• Experience with modern accounting platforms and automation tools

Who You Are:

• A proactive and resourceful problem-solver
• Detail-oriented while maintaining a big-picture mindset
• A strong communicator who can translate numbers into insights
• Collaborative, positive, and eager to grow within a fast-paced environment

If you are not contacted within 14 working days, please consider your application unsuccessful.