Senior Accountant

Caring Health Center • Springfield, MA

56d • Hybrid

About The Position

The Senior Accountant will play a key role in the monthly close process, ensuring accuracy, timeliness, and completeness. This position involves preparing, reviewing, and posting journal entries, maintaining general ledger support and reconciliations, and performing bank and cash account reconciliations. The Senior Accountant will also support cash management activities, accounts payable, and grant billing and accounting for various federal, state, local, and private grants in accordance with GAAP and Uniform Guidance. Additionally, this role will provide accounting support for Medicaid and Medicare cost reports, assist with budgeting and forecasting, prepare schedules for audits, and serve as a power user for accounting systems like Blackbaud Financial Edge NXT. The position also involves identifying and implementing automation opportunities to improve accounting processes and serving as a technical resource for other accounting staff.

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).
• Advanced knowledge of Healthcare accounting.
• Advanced knowledge of Uniform Guidance (2 CFR 200).
• Advanced knowledge of 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.
• Prolonged periods of sitting at a desk and writing on a computer.
• Lifting and carrying objects weighing 5-20 pounds of average.
• Frequent standing and walking.
• Compliance with Caring Health Center’s compliance standards, including its Standards of Conducts, Compliance Program, and policies and procedures.

Nice To Haves

• 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.
• 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.

Responsibilities

• 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 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.
• Support accounting 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 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.
• 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.

Benefits

• Full-Time

What This Job Offers

• Job Type: Full-time
• Career Level: Senior