Senior Accountant

FLSA Status: Full-Time, Exempt
Work Schedule: Hybrid (on-site presence required due to paper-based records)

Required Qualifications

• 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)

• 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

Competencies & Attributes

• 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.

Essential Duties and Responsibilities

General Ledger & Month-End Close

• 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.

Grants & Compliance Accounting

• 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

Healthcare & Cost Reporting Support

• 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.

Budgeting, Forecasting & Financial Support

• 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.

Audit & External Reporting

• 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.

• Ensu