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Salary
$65k – $75k per year
Location
Hybrid (Miami, United States)
Seniority
Staff · 2+ years exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 19, 2026. First seen by Alion on Aug 25, 2026.

Overview
Company
Impact
Profile match
Paradigm is the only pure-play revenue cycle management company for home care agencies billing VA and Medicaid. Automate claims, cut denials, and get paid faster — so your team can focus on clients, not paperwork.

Location

Miami, FL

Who We Are

At Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid, we ultimately enhance the quality of care for seniors, veterans, and underserved communities.

We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence. We're on a mission to revolutionize home care and are looking for passionate individuals to help us make a lasting, positive impact.

Position Snapshot

We’re looking for a detail-oriented Staff Accountant to own a hands-on mix of payroll, tax compliance, and client accounts receivable work. You’ll process and reconcile payroll, prepare sales and payroll tax returns (multi-state a plus), review executive expenses, and drive client collections. This role suits an early-career accountant who is organized, deadline-driven, and comfortable working across teams.

This is a hybrid position based in our North Miami office, onsite Monday, Wednesday, and Friday each week.

Core Responsibilities

    • Prepare and file sales tax and payroll tax returns accurately and on time, including registrations and filings across multiple states
    • Run end-to-end payroll cycles: process payroll, validate hours and earnings, and reconcile payroll registers to the general ledger
    • Reconcile payroll-related accounts (wages, taxes, withholdings, and benefits) and resolve discrepancies promptly
    • Review executive expense reports for accuracy, policy compliance, and proper documentation, and route them for approval
    • Own client collections: monitor accounts receivable aging, contact clients on past-due balances, negotiate payment timelines, and escalate as needed
    • Respond to tax notices and coordinate with state and local agencies to resolve payroll and sales tax matters
    • Review expenses against policy for the company, contact stakeholders for out-of-policy transactions, and coach leaders on staff expense oversight
    • Support the creation and fidelity of departmental and team budgets, including but not limited to card limit appropriation/reduction
    • Identify and recommend improvements to payroll, tax, and collections processes as we scale

Experience and Skills

    • Multi-state sales and payroll tax filing experience
    • 2-3 years of hands-on experience in each of the following: sales and payroll tax returns, running and reconciling payroll, executive expense review and approval, and client collections
    • Strong attention to detail and a track record of meeting hard filing and payroll deadlines
    • Discretion with confidential payroll and executive financial information
    • Proficiency with Excel and common accounting/payroll systems
    • Experience with payroll platforms (e.g., ADP, Rippling, etc.) and expense management tools
    • Exposure to healthcare, home care, or other service-based industries

Education and Qualifications

  • Bachelor’s degree in Accounting, Finance, or a related field or other related field preferred, or equivalent professional experience

What We Offer

  • Medical, dental, and vision benefits
  • 401k retirement plan
  • Aflac benefits
  • Paid time off
  • Professional development support

Compensation

$65,000-$75,000 depending on experience

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