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 6+ years of progressive accounting experience, including senior-level responsibilities.
• Advanced knowledge of:
  • GAAP (nonprofit)
  • 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.

• 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.

• Assist the 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.
• 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.

• 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.

• 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.

• 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.

• 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…