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ACCOUNTANT-SENIOR
Company : Covenant Health
Location : Knoxville, TN, 37922
Job Type : Full Time
Date Posted : 2 January 2026
Overview
Senior Accountant, Accounting & Finance
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health Overview:
Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year.
Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
The Senior Accountant is responsible for the compilation, analysis, and reporting of financial data. Responsible for the development, implementation and maintenance of computer systems in analysis and reporting activities. Responsible for preparation of annual budgets using computerized system. Provides work leadership and guidance for less experienced members of finance staff. Organizes and/or serves on committees as appropriate. Interfaces with all levels of leadership.
Recruiter: Suzie McGuinn || apply@covhlth.com
Responsibilities
- . Responsible for preparation of annual budgets. Works closely with managers and coordinates the work of other accountants in this process. Within budget guidelines, capable of understanding and analyzing statistical and other operational data to determine appropriate budgets for revenue, salary and other expense. Observes and analyzes variances and participates in resolution.
- Responsible for preparing and entering the most complex monthly journal entries into the computerized accounting system. Works with IT to develop, maintain and improve current systems, organizes meetings, committees, and agendas to initiate reviews of and improvements in system control, procedure flow, enhancements, etc. Prepares reports, summaries, and presentations on results.
- Prepares most complex analysis and reviews work of less experienced accountants. Participates in making related financial and business decisions and in management judgment on financial integrity of various cost centers. Performs intensive studies and analysis. Studies and analyzes trends and projections for activities and functions within departments.
- Prepares audit request workpapers and assist less experienced staff.
- Reviews monthly financial reports and prepares initial review data for Director or Manager. Works with department managers and facility leadership to analyze and resolve variances. Prepares reports, summaries and presentations on results.
- Responsible for special non-routine projects and for studying and initiating a variety of new projects in Finance. Coordinates project work and provides direction and leadership. Consults with and serves as resource to Director or Manager.
- Interfaces with a broad range of leadership to advise and consult on business/financial activities and special studies and analyses. Frequently works with outside auditors and bankers and other members of the business community.
- Provides work leadership and direction for less experienced accountants and accounting support personnel. Serves as backup for directors or managers. Coordinates and directs special projects and studies.
- Participates in educational workshops for managers on: budget preparation and variance monitoring; financial operations; reports and analyses; schedules; and related matters.
- Responsible for keeping abreast of developments in financial services. Attends professional/society/business meetings. Participates in in-house training and development activities including service on system-wide administrative and operational committees. Maintains a high degree of on-the-job developmental activities as regards tax, reporting changes, and reimbursement.
- Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
- Performs other duties as assigned.
Qualifications
Minimum Education:
B.S. in Accounting or Finance (or related business degree) from an accredited academic program or Associate’s Degree in Accounting/Business and 10+ years of experience in an accounting position.
Minimum Experience:
Minimum of 5 years of relevant experience. Requires an extensive knowledge of general accepted accounting principles and technique.
Licensure Requirement:
None
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Frequently asked questions
Senior Accountants in Knoxville’s healthcare sector often lead budget development by analyzing operational data alongside managers. They ensure budgets align with organizational goals while monitoring variances closely, which is critical for integrated systems like Covenant Health's multi-facility network.
Proficiency with computerized accounting systems and tools that support comprehensive financial analysis and reporting is key. At Covenant Health, experience improving system controls and generating audit-ready reports is highly regarded for senior accounting positions.
Senior Accountants in healthcare can advance toward managerial roles, financial directors, or specialized fields like cost accounting or grant management, especially when working in large networks such as Covenant Health that emphasize leadership and cross-department collaboration.
Senior Accountants at Covenant Health engage with diverse leadership levels and mentor junior finance staff, fostering a collaborative atmosphere. The community-owned healthcare system promotes continuous learning and active participation in quality and financial improvement initiatives.
Covenant Health encourages ongoing education through workshops, in-house training, and attendance at professional meetings, ensuring Senior Accountants stay current on tax regulations, reporting standards, and reimbursement changes relevant to the healthcare finance sector.
Senior Accountants in Knoxville’s healthcare industry typically earn between $70,000 and $90,000 annually, depending on experience and qualifications. Covenant Health’s senior roles offer competitive compensation aligned with regional market trends and extensive job responsibilities.
While no licensure is required, certifications such as CPA or CMA can boost credibility. Local healthcare employers, including Covenant Health, value professionals who demonstrate expertise in GAAP, budgeting, and financial systems relevant to hospital and outpatient service environments.
Knoxville’s healthcare sector is growing with high demand for skilled Senior Accountants. Competition is moderate but favors candidates with strong analytical skills, healthcare finance experience, and leadership abilities, making Covenant Health an attractive employer for seasoned professionals.
Handling complex budget variances, coordinating multi-departmental financial reporting, and integrating computerized systems for accurate data analysis are common challenges. Senior Accountants must also navigate regulatory changes impacting healthcare reimbursements within a large integrated network.
The Senior Accountant role at Covenant Health is traditionally a full-time day shift position with 80 hours per pay period. While flexibility may be limited due to workload and coordination needs, the organization focuses on work-life balance within its structured scheduling.