Accounting Manager

Zufall Health Center•Dover, NJ

4d•$75,000 - $83,000

About The Position

The Accounting Manager reports to the Chief Financial Officer and is responsible for overseeing the day-to-day accounting operations of the Zufall Health Center, ensuring accurate financial reporting, compliance with federal and state regulations, and strong internal controls. This role manages the general ledger, supervises accounting staff, supports budgeting and audits, and partners with leadership to maintain the financial integrity of the organization.

Requirements

Strong knowledge of GAAP and nonprofit accounting
Working knowledge of FQHC financial requirements, grants, and cost reporting
Experience with accounting systems and healthcare billing systems
Advanced Excel skills
Strong analytical, organizational, and problem-solving skills
Bachelor’s degree in Accounting or Finance (required)
Minimum 5–7 years of progressive accounting experience
Supervisory experience required

Nice To Haves

CPA or Master’s degree preferred
Prior healthcare and/or FQHC experience strongly preferred

Responsibilities

Supervises accounting staff (e.g., Staff Accountants, AP/AR, Payroll, or Grants Accounting, as applicable)
Provides coaching, performance feedback, and training
Manage the monthly, quarterly, and annual close process
Ensure accurate and timely posting of journal entries
Review and reconcile general ledger accounts, including cash, AR, AP, payroll, and accruals
Maintain the chart of accounts in alignment with FQHC reporting needs
Ensure compliance with GAAP and organizational accounting policies
Prepare and review internal financial statements (balance sheet, income statement, cash flow)
Analyze variances against budget and prior periods; explain results to leadership
Support preparation of board-ready financial reports
Assist CFO with financial forecasting and projections
Oversee accounting for federal, state, and local grants, including Section 330 funding
Ensure proper tracking of restricted and unrestricted funds
Support grant budgeting, drawdowns, and financial reporting
Assist with HRSA compliance requirements and financial components of UDS reporting
Support preparation of annual FQHC cost reports (Medicare/Medicaid)
Oversee reconciliation between billing system and general ledger
Monitor accounts receivable aging and support resolution of discrepancies
Ensure proper accounting for sliding fee scale discounts, write-offs, and adjustments
Coordinate with billing and operations teams to ensure accurate revenue recognition
Review accounts payable processes and ensure timely vendor payments
Oversee payroll accounting, benefit accruals, and related reconciliations
Monitor cash flow and support cash management activities
Ensure compliance with internal controls and segregation of duties
Assist in annual budget development and ongoing monitoring
Prepare schedules and documentation for external auditors
Serve as a key point of contact during financial, grant, and program audits
Implement audit recommendations and strengthen internal controls
Develop, document, and maintain accounting policies and procedures
Ensure adherence to internal controls and regulatory requirements
Identify process improvement opportunities and implement efficiencies
Support system upgrades and accounting-related software improvements
Supervise, train, and mentor accounting staff
Foster a collaborative relationship with clinical, operations, HR, and billing teams
Provide financial guidance and support to non-finance leaders
Participate in cross-functional projects as assigned