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Onco360

164 open roles

Senior Accountant

$75,000

Houston, TXPosted Oct 9, 2026

Against the Houston typical range

Job description

Onco360 is looking for a Senior Accountant. Remote position may be possible for the right candidate with previous 340B experience. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary of $75,000 and up Our benefits include:

  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Quarterly Incentive Bonus
  • Tuition Reimbursement
  • Company paid benefits – life; and short and long-term disability A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. Senior Accountant Role Summary: Highly analytical and detail-oriented individual needed to ensure the accuracy of financial transactions related to the 340B program with the ability to analyze data, identify issues and provide recommendations. Responsible for recording and reviewing claim level transactions, reconciling large data sets, researching and solving for issues and providing quality control over 340B reporting in an Excel environment. Major Responsibilities for the Senior Accountant: Retrieve claim level data from multiple third-party administrators, review for accuracy and reconcile to internal data within Excel reports. Calculate and record accounting entries from claim level data for dispense fee revenue, costs of goods sold, inventory receivables, accruals and payables for 340B based on contractual obligations and current pricing files. Consolidate large Excel data sets for analysis, reporting and reconciliation to the general ledger. Track and update inventory receivable details for all monthly claims and replenishments by NDC and entity and create manual inventory receivable aging monthly by NDC and entity via excel. Track and process invoices, verifying claim level support and calculations per contractual obligations and ensuring offsetting inventory receivables are matched. Understand, track and solve for 340B claim level transactions variances between external reports provided in various formats and internal Excel files. Analyze and summarize monthly results and communicate to Accounting Manager. Prepare monthly reconciliation of balance sheet accounts. Effectively communicate with internal and external partners who work in non-financial roles to solve for 340B issues. Participate in development and documentation of policies and procedures to maintain and strengthen internal controls and identify and assist in development of process improvement opportunities. Provide outside auditors with assistance; gather necessary account information and documents to perform annual audit. Position Qualifications for the Senior Accountant: Education/Learning Experience Required: Degree in accounting or commensurate experience Work Experience Required: 3+ years experience in accounting, month end close, data reconciliation Desired: Experience with medical or pharmacy claim data; experience with inventory reporting Skills/Knowledge Required: Advanced Excel skills, experienced in manual reconciliations of large datasets, highly detail oriented, excellent organizational and communication skills, strong analytical and problem-solving skills Behavior Competencies Required: Self starter, initiative, strong internal customer focus, interpersonal skills, dependable, organized

Description copied from Onco360's careers page. Read the full posting before you apply.

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