Pharmacy1st Health is building the clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Our model combines primary care, pharmacy services, and chronic disease management under one roof, creating a new, lower-cost site of care for underserved communities.

We operate across multiple states and are rapidly expanding a network of rural clinics co-located with pharmacies. Our goal is to deliver scalable, high-quality care while improving access, outcomes, and cost efficiency.

About Pharmacy1st Health

Pharmacy1st Health is building the clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Our model combines primary care, pharmacy services, and chronic disease management under 1 roof, creating a new, lower-cost site of care for underserved communities.

We are rapidly expanding across multiple states and building a durable, cash flow-generative healthcare platform. As we scale, we are looking for a detail-oriented Accountant to help strengthen our finance and accounting operations.

Role Overview

The Associate Accountant will support the day-to-day accounting function at Pharmacy1st Health. This is a hands-on role for someone early in their accounting career who is organized, accurate, and eager to learn how finance works inside a fast-growing healthcare company.

You will assist with bookkeeping, reconciliations, accounts payable, accounts receivable, expense tracking, month-end close, and financial reporting. You will work closely with the finance team to ensure our accounting records are accurate, timely, and well-organised.

This is a strong opportunity for someone who wants to build a foundation in accounting while gaining exposure to healthcare operations, pharmacy acquisitions, multi-site financial reporting, and startup finance.

Key Responsibilities

Accounting Operations

• Support daily accounting activities across Pharmacy1st’s pharmacy and clinic operations
• Record transactions accurately in the company’s accounting system
• Maintain organised documentation for invoices, receipts, payments, and vendor records
• Assist with proper coding of expenses by location, department, and account

Accounts Payable and Vendor Management

• Process vendor invoices and ensure proper approvals are obtained
• Track upcoming payments and support timely payment processing
• Reconcile vendor statements and resolve discrepancies
• Maintain accurate vendor files and payment records

Accounts Receivable and Cash Tracking

• Support tracking of deposits, receipts, and customer payments
• Assist with reconciling pharmacy and clinic revenue to bank activity
• Help monitor outstanding receivables and follow up on missing information
• Support cash reporting across multiple locations

Bank and Account Reconciliations

• Assist with monthly bank reconciliations
• Reconcile credit card transactions, expense reports, and operating accounts
• Identify and investigate discrepancies in financial records
• Ensure balances are accurate and supported by documentation

Month-End Close Support

• Assist with month-end close activities, including journal entries and account reconciliations
• Support preparation of monthly financial reports
• Help maintain schedules for prepaid expenses, fixed assets, accruals, and other balance sheet accounts
• Work with the finance team to improve close timelines and accuracy

Financial Reporting and Analysis

• Support preparation of location-level financial reports
• Help organise financial data for leadership review
• Assist with variance analysis and basic financial reporting
• Support special projects related to acquisitions, new site launches, and clinic expansion

Process Improvement

• Help improve accounting workflows and documentation
• Identify opportunities to reduce manual work and improve accuracy
• Support implementation of better financial controls as the company scales

Qualifications

Required

• Bachelor’s degree in Accounting, Finance, Business, or related field
• 1 to 3 years of accounting, bookkeeping, or finance experience
• Strong attention to detail and commitment to accuracy
• Basic understanding of accounting principles
• Comfortable working with spreadsheets and financial data
• Strong organisational skills and ability to manage multiple tasks
• High integrity and discretion when handling confidential financial information

Preferred

• Experience with QuickBooks, NetSuite, Sage, or similar accounting software
• Experience in healthcare, pharmacy, retail, or multi-site businesses
• Familiarity with accounts payable, reconciliations, or month-end close
• Interest in building a long-term career in accounting or finance
• CPA track or interest in pursuing accounting certification is a plus