Senior Accountant

FLSA Status:
Full-Time, Exempt

Work Schedule:

Hybrid (on-site presence required due to paper-based records)

• Bachelor's degree in Accounting, Finance, or related field or equivalent combination of education and experience.
• Minimum of 6+ years of progressive accounting experience, including senior-level responsibilities.
• Advanced knowledge of:
  • GAAP (nonprofit)
  • Healthcare accounting
  • Uniform Guidance (2 CFR 200)
  • Massachusetts nonprofit and healthcare regulations
• Extremely high level of proficiency in Microsoft Excel, including pivot tables, advanced lookup functions, and complex formulas.
• Strong technical accounting skills with the ability to manage detailed, complex financial data, analysis and reconciliation.
• Highly tech-savvy with experience in accounting systems, data imports/exports, and process automation.

• Prior experience in an FQHC or healthcare nonprofit environment.
• Experience with Blackbaud Financial Edge NXT.
• Familiarity with UKG payroll systems and OCHIN Epic billing.
• PowerPoint experience for financial presentations and board materials

• Detail-oriented with a high degree of accuracy.
• Strong analytical and problem-solving skills.
• Ability to work independently in a deadline-driven environment.
• Process-improvement mindset with enthusiasm for automation and modernization.
• Strong documentation and organizational skills.
• Ability to communicate technical accounting concepts clearly to non-finance stakeholders.

General Ledger & Month-End Close

• Serve as a lead contributor to the monthly close process, ensuring accuracy, timeliness, and completeness.
• Prepare, review, and post journal entries.
• Maintain detailed general ledger support and reconciliations.
• Perform and review bank reconciliations and cash account reconciliations.
• Support cash management activities, including deposits and cash flow monitoring.
• Assist and Support accounts payable.

Grants & Compliance Accounting

• Assist in supporting Accounting Manager with grant billing and accounting for federal, state, local, and private grants in accordance with GAAP and Uniform Guidance (2 CFR 200).
• Assist and support maintaining detailed grant tracking schedules and supporting documentation.
• Ensure proper revenue recognition, expense allocation, and compliance with grant requirements.
• Support HRSA-related financial reporting needs, including financial data supporting Uniform Financial Reporting (UFR) and Uniform Data System (UDS) reporting.
• Assist in updating policies and procedures

Healthcare & Cost Reporting Support

• Provide accounting support for Medicaid and Medicare cost reports.
• Assist with tracking and documentation of costs related to FQHC operations/sites and grant/program funding.
• Ensure healthcare-specific accounting practices align with nonprofit and regulatory standards.

Budgeting, Forecasting & Financial Support

• Assist the Director of Finance and CFO with annual budgeting and periodic forecasting.
• Support variance analysis and provide detailed explanations for budget-to-actual results.
• Prepare schedules and financial data for internal reporting and leadership review.

Audit & External Reporting

• Prepare schedules and documentation for annual financial statement audits and Single Audits.
• Support external auditors under the guidance of the Director of Finance and/or CFO.
• Ensure compliance with GAAP, nonprofit accounting standards, healthcare regulations, and Massachusetts-specific nonprofit and healthcare requirements.

Systems, Automation & Process Improvement

• Serve as a power user of Blackbaud Financial Edge NXT, including assisting with the development and optimization of modules such as fixed assets.
• Perform data imports/exports and support system integrations with UKG (payroll) and OCHIN Epic (billing).
• Lead efforts to document, standardize, and improve accounting SOPs.
• Identify and implement opportunities to automate manual and paper-based accounting processes.
• Support the transition from paper-based workflows to more efficient, technology-driven solutions.

Advanced Reporting & Tools

• Utilize expert-level Excel skills (pivot tables, X/V/H LOOKUP, complex formulas, data analysis) to build and maintain financial schedules and reports.
• Assist Director of Finance and CFO with preparation of financial dashboards, graphs, and charts for leadership and Board reporting.
• Use PowerPoint to support finance presentations and board packages as needed.

Team Collaboration & Leadership Support

• Act as a functional team lead and technical resource for Staff Accountants and Accounting Assistants.
• Provide guidance, review work for accuracy, and assist with problem-solving.
• Collaborate closely with Finance leadership and cross-departmental teams as needed.

Working Conditions:

• Prolonged periods of sitting at a desk and writing on a computer.
• Requirements include lifting and carrying objects weighing 5-20 pounds of average.
• Frequent standing and walking.

This position requires compliance with Caring Health…