Accounting Manager

The Accounting Manager is responsible for managing core accounting operations, including month-end and year-end closing, account reconciliations, financial reporting, and audit and tax support. This role partners closely with the Director of Finance and cross-functional leaders on special projects, process improvements, and new business initiatives. The position requires strong technical accounting expertise, leadership capability, and the ability to operate effectively in a fast-paced, multi-entity healthcare environment.

This is a hybrid position based out of our office in Quincy, MA.

• Manage and support the full month-end close cycle for approximately thirty-five legal entities, including preparation of internal reporting packages.
• Record and analyze monthly revenue and cost allocations.
• Perform monthly balance sheet, cash flow, and P&L variance analysis to ensure accuracy and GAAP compliance.
• Complete and review balance sheet reconciliations.
• Oversee and manage the month-end close process and calendar.
• Manage the daily activities of the Accounts Payable and Payroll teams.
• Prepare and review monthly partner reporting packages.
• Collaborate across the Shields network to gather financial data required for close and reporting.
• Prepare year-end schedules and work papers to support tax filings and external audits.
• Identify and recommend process improvements to enhance efficiency and effectiveness of close and reporting activities.
• Support the budgeting process and partner with the FP&A team.
• Respond to ad hoc financial analyses and special projects as requested.

Demonstrated mastery of GAAP, financial reporting, and multi-entity accounting, with the ability to research and resolve complex accounting issues.

Ability to lead, mentor, and develop staff accountants and shared service teams, fostering accountability, engagement, and continuous improvement.

Strong focus on accuracy, timeliness, and efficiency in financial close and reporting processes, with a proactive approach to process optimization.

Ability to analyze financial results, identify trends and variances, and translate data into clear insights for leadership decision-making.

Effective partner across finance, operations, and clinical teams, with the ability to gather information, align stakeholders, and drive results without direct authority.

Highly organized with the ability to manage competing priorities, meet deadlines, and maintain attention to detail in a high-volume environment.

Clear, concise written and verbal communication skills, with the ability to explain financial information to both finance and non-finance audiences.

Comfort operating in a dynamic environment, embracing change, and supporting evolving business needs and system enhancements.

• Bachelor’s degree in accounting required.
• CPA required.
• Minimum of five years of progressive accounting experience.
• Healthcare industry experience preferred.
• Multi-entity accounting experience preferred.
• Advanced Excel skills required.
• Proficiency with accounting systems; experience with Sage/Acc Pac preferred.

• Ability to sit and work at a computer for extended periods.
• Ability to assist patients with mobility difficulties.
• Ability to push, pull, and lift to twenty-five pounds, with or without reasonable accommodation.

This job description is not intended to be an exhaustive list of duties. The incumbent may perform other related duties of equal or lower classification and, as appropriate, duties of a higher classification for training and development purposes.

Employment is contingent upon the presentation of work‑related credentials, which may include vaccinations, licensure, or certifications based on position and location. A detailed list of required credentials will be provided during the interview and offer process.

Pay range for this position is $70,000-$132,000 + benefits. Individual pay is based on skills, experience, and other relevant factors.