Intermediate Accountant

Join Med Focus Professional Corporation – An Innovative Accounting Firm for Healthcare Professionals!

Med Focus Management & Consulting Ltd. is a specialized consulting and accounting firm that delivers high value, customized solutions specifically for medical practices. Our team of professionals provide a one-stop shop for healthcare practices to access unparalleled financial consulting, business management and accounting services. Med Focus is a leader in its field, providing strategic financial and consulting services to medical practices and organizations that together include a network of more than 2,000 physicians.

Our firm thrives on integrity, innovation, and excellence, fostering an environment where team members grow, lead, and make a real impact. We are more than just accountants—we are strategic partners guiding our clients toward financial success through expert tax planning, advisory services, and corporate management. As we expand, we are looking for passionate professionals to join us on this exciting journey!

The Role:
Intermediate Accountant (CPA)

This is a career-defining opportunity for an experienced accountant who thrives in a client-focused, tech-savvy, and growing firm. The successful candidate will have superior cloud-accounting, payroll, administrative, and organizational skills, as well as an advanced understanding of internal controls and business processes. This individual will be an expert in cloud accounting and payment solutions and will use their significant experience to support and advise on various modernization initiatives for our clients.

• Support full cycle bookkeeping for multiple clients.
• Conduct monthly reconciliation of accounts.
• Physician payments, staff payroll administration, processing, reconciliation, and reporting across client accounts, ensuring compliance with federal and provincial regulations.
• In-year financial reporting and distribution of materials.
• Prepare and file year end corporate and information returns.
• Communicate financial results and conduct client meetings to discuss financial matters and initiatives.
• Present financial reports to committees and other entities.
• Client onboarding with cloud accounting and payment processing tech stack.
• Support operational reviews and implementation of financial transformations.
• Assist in driving revenue generation and cost containment initiatives for clients.
• Responsible for the treasury function including the management of cash flows, risk management and banking, and investment relationships.
• Support the preparation of annual financial statements, and support notice to reader and audit engagements.
• Lead administrative duties for the firm, and be a go-to resource on coordinating activities.
• Conduct costing of growth opportunities, including clinic start-ups, real estate investments, partnerships, and other investments.
• Leadership and attention to detail on all aspects of accounting and reporting activities.
• Manage all financial and accounting operations and maintain accounting policies and procedures.

• Minimum of 3-5 years accounting experience for professional services firms, hospital, medical practices, and/or academic practice plans.
• Demonstrated experience and expertise with a variety of cloud-based bookkeeping applications (Xero, QBO), integrated document management and payment processing software is a must.
• Advanced expertise in payroll processing, reconciliation, reporting, and compliance using modern cloud-based payroll solutions (e.g., Wagepoint, Quick Books Payroll, or equivalent).
• Expertise in budgeting, financial reporting (cash flow forecasting/reporting, variance reporting, financial statements), administering staff payroll and disbursements.
• Preference for in-hospital experience and understanding of hospital finances/invoicing procedures/functional cost centres, revenue/funding streams for physicians (OHIP billings, on-call, AFP, etc.), and administrative processes to support clinical/academic fellows.
• Strong understanding of internal controls and expertise in using available business technology to support operations (cloud-based technology for workflows,…