Senior Accountant

Main site: 1049 Main Street, Springfield, MA 01103, USA

FLSA Status: Full-Time, Exempt

Work Schedule: Hybrid (on-site presence required due to paper-based records)

The position supports accounting and finance operations for Caring Health Center, focusing on GAAP nonprofit and healthcare regulations, grant accounting, budgeting, and financial reporting. This is a senior, hands-on role with leadership responsibilities in the General Ledger and related processes.

• 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), 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.

• 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.
• 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.

• General Ledger & Month-End Close
  • 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
  • Support grant billing and accounting for federal, state, local, and private grants in accordance with GAAP and Uniform Guidance (2 CFR 200).
  • Maintain 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 UFR and UDS reporting.
  • Assist in updating policies and procedures.
  • Provide accounting support for Medicaid and Medicare cost reports.
  • Track 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 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.
  • Ensure compliance with GAAP, nonprofit accounting standards, healthcare regulations, and Massachusetts requirements.
• Systems, Automation & Process Improvement
  • Serve as a power user of Blackbaud Financial Edge NXT, including module optimization (e.g., 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.
• Advanced Reporting & Tools
  • Utilize expert-level Excel skills to build and maintain…