Financial Accounting Analyst

Financial Accounting Analyst

Job grade 308. Full‑time position, primarily remote with a two‑day in‑office requirement each month. Salary range $70,091 to $90,117 per year, based on experience. Elm & Oak Health provides a comprehensive benefits package and a supportive inclusive culture.

This role performs core accounting functions and provides financial planning and analytical expertise to the Finance Department. Responsibilities include general ledger accounting, grant accounting and compliance reporting, budgeting, forecasting, and budget variance analysis. The analyst bridges day‑to‑day accounting operations with higher‑level financial analysis to support organizational decision‑making.

• General Accounting (50%)
  • Prepare and post general journal entries for monthly revenue, expenses, and accruals.
  • Review and edit accounts payable batches for accuracy and proper coding.
  • Perform account reconciliation and analysis to support the year‑end audit.
  • Prepare and present the consolidated trial balance and general ledger to external auditors.
  • Serve as backup to Payroll as needed.
  • Serve as subject matter expert for Microsoft Dynamics 365 Business Central and Jet Reports (Excel add‑in), developing, maintaining, and producing financial reports.
• Grant Accounting (25%)
  • Record and maintain grant‑related transactions in accordance with federal, state, and funder requirements.
  • Voucher federal and state agencies for reimbursable grant expenditures; prepare and submit quarterly and annual grant compliance reports.
  • Monitor grant budgets and expenditures to ensure spending aligns with award terms and deadlines.
  • Collaborate with external accountants for the annual Consolidated Fiscal Report (CFR) preparation.
• Budgeting, Forecasting, & Variance Analysis (40%)
  • Lead the development of the annual consolidated budget and individual company budgets.
  • Manage the monthly forecasting and projection process.
  • Perform detailed budget variance analysis and partner with department managers to explain findings and respond to budget‑related questions.
  • Utilize Excel, Microsoft Dynamics 365 Business Central, and Jet Reports for analysis and reporting.
• Contract Pricing & Ad‑Hoc Reporting (10%)
  • Assist with developing competitive pricing strategies for new and renewing contracts.
  • Support senior and operational management with ad‑hoc financial analysis and modeling as needed.

• Collaborate effectively across functional departments to support organizational goals and project initiatives.
• Provide accurate and timely financial data and reports to senior management, internal departments, and funding agencies as requested.
• Perform other duties as assigned.

• Bachelor’s degree required; concentration in Accounting, Finance, or Business Administration preferred.
• A minimum of three to five years of experience in accounting or healthcare finance, demonstrating strength in accounting operations and financial analysis.
• Advanced proficiency in Microsoft Excel, including financial modeling and reporting.
• Working knowledge of Generally Accepted Accounting Principles (GAAP).
• Experience with grant accounting, compliance reporting, and funder requirements.

• Experience in healthcare finance, preferably within a Medicaid managed care environment.
• Knowledge of Managed Medicaid products.
• Experience with federal and state grant reporting and familiarity with OMB Uniform Guidance.
• CPA designation or active progress toward CPA preferred.
• Experience working within multi‑entity organizations, including consolidated financial reporting and intercompany accounting.
• Experience with Microsoft Dynamics 365 Business Central and Jet Reports preferred.

This staff position PHI access will be determined based on Minimum Necessary standards. The minimum necessary grid can be found on the Human Resources and Compliance web pages.

Elm & Oak Health is an Equal Opportunity Employer.