Healthcare Accounting Senior Associate/Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist external healthcare consulting clients and Facktor’s internal accounting and financial operations.

• Define, implement, and deliver consulting projects aimed at enhancing the financial health and sustainability of community healthcare organizations.

• Collaborate with directors to provide financial, strategic, and functional accounting support.

• Establish long-term relationships with client leaders and lead client meetings.

• Analyze healthcare utilization, costs, reimbursement and billing, population health, clinical outcomes, provider productivity, and operational variations.

• Identify fundamental issues and opportunities to improve financial performance.

• Convert findings into actionable recommendations for executive leadership teams and Boards of Directors at community health centers.

• Develop financial models and assist in creating detailed budgets that align with organizational priorities and funding necessities.

• Create reports, presentations, grant narratives, and other materials for clients.

• Review work produced by associates.

• Aid in competitive and compliant grant and funding applications.

• Oversee two to four complex workstreams and client engagements, adhering to scope, timelines, and budgets.

• Contribute to business development by identifying client needs, scoping expanded support, and collaborating on proposals.

• Manage Facktor’s month-end close process, including journal entries, accruals, prepaids, depreciation, and account reconciliations.

• Generate monthly financial packages, including P&L statements, balance sheets, cash flow statements, and budget-to-actual reports.

• Compile weekly accounts receivable updates, aging reports, collection statuses, and client or division trends.

• Record deposits, apply cash, monitor AR aging, and follow up on collections.

• Investigate and escalate issues related to unapplied cash, customer credit balances, potential refunds, and other accounting items.

• Prepare payroll journal entries and reconciliations, as well as maintain benefits and 401(k) accounting.

• Collaborate on cash management and track cash positions, account transfers, and line of credit balances.

• Support accounts payable processes, including vendor bills, payment cycles, approvals, vendor records, W-9 forms, and 1099 tracking.

• Manage 1099s, W-2s, state and local filings, and applicable sales tax.

• Coordinate with external accountants for tax preparation, audits, and reviews.

• Administer QuickBooks, Bill.com, and Harvest, and automate recurring tasks.

• Lead and supervise 1–2 associates.

⛳️ Requirements

• Minimum of 3 years of progressive experience in healthcare accounting, finance, financial analysis, or data analytics.

• Bachelor's degree is required, preferably in accounting.

• Practical experience with month-end close processes, ideally with ownership of the close.

• Proficiency in QuickBooks and AP automation tools like Bill.com.

• Advanced skills in Microsoft Excel.

• Strong analytical and critical thinking abilities.

• Exceptional attention to detail and a commitment to producing accurate, high-quality work.

• Ability to clearly and concisely communicate complex financial and operational concepts.

• Proactive and self-directed mindset, capable of taking initiative, solving problems independently, and driving work to completion.

• Strong organizational and project management skills with the ability to manage multiple priorities and client engagements simultaneously.

• Excellent written, verbal, and interpersonal communication skills.

• Ability to build trusted relationships with clients, colleagues, and executive stakeholders.

• Flexibility to cooperate across multiple time zones.

• Discretion in handling confidential firm and payroll information.

• Willingness to sign a non-disclosure agreement.

• Comfort with recurring, deadline-driven cycles.

• Experience with healthcare reimbursement, billing, or coding is advantageous.

• Experience in supervising, mentoring, or reviewing junior staff is beneficial.

• CPA or progress towards a CPA, MBA, or other relevant graduate degree is preferred.

• Nonprofit or fund accounting experience is a plus.

• Familiarity with Tableau or other data visualization tools is preferred.

• Prior experience with community health centers, nonprofit healthcare organizations, or other safety-net providers is preferred.

• Passion for enhancing community healthcare and supporting underserved populations.

🏝️ Benefits

• 10 Paid Holidays and generous PTO accrual.

• Summer Fridays: Friday afternoons off between Independence Day and Labor Day.

• Winter Soft Close: Facktor unofficially closes between Christmas Day and New Year’s Day.

• 100% coverage of medical, dental, and vision insurance premiums for full-time employees.

• $500 annual fitness reimbursement per calendar year.

• 401(k) Plan – Facktor contributes 3% of your annual earnings each year, regardless of employee contribution.

• Discretionary End of Year Bonus.

• Performance Based GEM (Go the Extra Mile) Bonus.

• 4-week paid sabbatical after 5 years of full-time employment.

• $30 per month mobile stipend for personal cell phone use.

• Fully remote office environment.