Senior Accountant

About the role

Serving as a key member of the finance team, this position is responsible for leading the month-end close process, managing grants and compliance accounting, and supporting budgeting and external reporting.

Responsibilities

• Lead 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.
• Aid in accounts payable processes.
• Assist in grant billing and accounting for federal, state, local, and private grants in accordance with GAAP and Uniform Guidance (2 CFR 200).
• Support the maintenance of detailed grant tracking schedules and documentation.
• Ensure proper revenue recognition, expense allocation, and compliance with grant requirements.
• Aid in HRSA-related financial reporting needs, including UFR and UDS reporting.
• Provide accounting support for Medicaid and Medicare cost reports.
• Track and document costs related to FQHC operations/sites and grant/program funding.
• Aid in the preparation of 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.

Requirements

• 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), and 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.

Preferred Qualifications

• 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.