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Senior Accountant

InternationalSOSGovernmentMedicalServices

Houston, TX, United States Hybrid permanent

Posted: March 4, 2026

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Quick Summary

International Health and Medical Services provides customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home.

Job Description

International Health and Medical Services delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Services, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. To protect your workforce, we are at your fingertips: internationalsos.com

The Senior Accountant USGS will be responsible for supporting the Controller USGS on all aspects of US Government contract accounting and reporting compliance with Cost Accounting Standards (CAS), Federal Acquisition Regulation (FAR), Defense Contract Audit Agency (DCAA) audit requirements, and SGS and TMS Disclosure Statement compliance.  Including preparation and maintenance of the SGS and TMS Disclosure statements, review and maintenance of accounting, billing, procurement and other system process compliance with US Government contracting regulations, and lead and/or support client cost or pricing data reviews and DCAA audits.

General Responsibilities

• Support Controller USGS in providing US Government contracting accounting compliance expertise and guidance to the GSBL, SGS and TMS Finance & Accounting team
• Review of the overall financials (including balance sheet accounts and intercompany items) of the LE’s and sub-locations under remit during the monthly and year-end close process to ensure accurate recording and reporting of financial transactions.
• Coordination and review of all critical accounting transactions processed by Government Services team, GSS teams, Payroll accounting and Accounts Payable
• Collaborate with Financial Controllers, Financial Operations, and FP&A to ensure data integrity in financial planning and management reporting.
• Support government, financial and tax audits
• Responsible for maintaining and updating compliant policies and procedures documentation

US Government Contract Compliance

• Support Controller USGS on Disclosure Statement preparation, submission, audits and maintenance.
• Ensure adherence to US Government contracting financial regulations including Cost Accounting Standards (CAS), Federal Acquisition Regulation (FAR) and DCAA requirements.
• Support the enhancement and maintenance of Government compliant accounting system processes.
• Implement and optimize accounting and ERP system processes to meet US Government contract requirements.
• Responsible for identification, documentation, development and implementation of policies and procedures and processes to mitigate key compliance risks related to the rules established in DFARS, FAR, CAS, DCAA CAM and SGS cost accounting practices as defined the SGS Disclosure Statement
• Perform routine monitoring reviews for Disclosure Statement, CAS and FAR compliance, i.e. allocations, labor distribution, direct and indirect cost, and WBS reporting structure.
• Support Defense Contract Audit Agency (DCAA) audits and resolution of DCAA audit findings.

Required Skills and Knowledge 

• Experience in US Government Contracting, Cost Accounting Standards (CAS), Federal Acquisition Regulation, compliant accounting systems and processes
• Strong knowledge of IFRS and US GAAP
• Advanced Excel skills
• Familiarity with ERP systems, including data mining and report retrieval
• Good written and oral communication
• Analytical skills to provide detailed and valuable business analysis to management
• Able to work under pressure, deliver results and observe deadline

Required Competencies 

• Planning / Organization: Plans and prepares for future events, able to formulate clear and structured plans, effectively prioritizes tasks and resources, establishes milestones and sets realistic expectations of themselves, with astute attention to detail.
• Problem Solving: Recognizes a problem and can take appropriate steps to address the problem.
• Analyzing: Analyzes numerical data, verbal data, and all other sources of information; breaks information into component parts, patterns and relationships; probes for further information or greater understanding of a problem; makes rational judgements from the available information and analysis; produces workable solutions to a range of problems; demonstrates an understanding of how one topic may be part of a larger system.
• Delivering Results & Meeting Stakeholder Expectations: Focuses on customer needs and satisfaction; sets high standards for quality and quantity; monitors and maintain quality and productivity.
• Integrity: Widely trusted, honest and open yet retains confidential information, seen to be truthful, honest.
• Integrates these abilities and employs them in rational decision-making processes.

Required Work Experience 

• 4 years of relevant experience with US Government Contractor with proven managerial experience
• Must have demonstrated success in driving efficiency and productivity, and managing/leading change
• Operated successfully in a fast-paced environment with a matrix reporting structure
• Multinational Company experience in a fast-paced service environment

Required Qualifications 

• Bachelor’s Degree in Accounting or related field
• CPA and/or MBA preferred

Required Languages 

• Fluent in written and spoken English

Travel / Rotation Requirements 

 

• Some travel required

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. 

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus.  International Health and Medical Services complies with all federal, state, and local minimum wage laws 

International Health and Medical Serivdes is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws. 

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