Accounting and Finance Manager

cfltreatmentcenters; Orlando (FL); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

401(k) matching

Dental insurance

Disability insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

cfltreatmentcenters is seeking an experienced Finance Manager to lead daily financial operations across our outpatient OTP locations in Orlando. You will oversee QuickBooks-based accounting, grant funds, and revenue cycle management to ensure regulatory compliance and strong bottom-line performance.

The role requires 4+ years in healthcare finance, a Bachelor’s in accounting/finance, and proven ability to optimize margins, manage grants, and coordinate audits in a compliant, fast-paced

Qualifications

• Advanced hands-on experience in QuickBooks (Advanced/Pro/Online) for GL, AR/AP, grant tracking, and financial reporting.
• 4+ years of healthcare financial management experience.
• Experience within an outpatient clinic, behavioral health setting, or OTP/MAT is strongly preferred.
• Bachelor’s degree in Accounting, Finance, or Business Administration.
• Demonstrated experience managing public healthcare grants, state/federal funding contracts, or dedicated program funds.
• P&L expertise: managing multi-revenue P&Ls in a for-profit environment.

Responsibilities

• Owns P&L across Medicaid, third-party, self-pay, and grants.
• Prepare monthly/quarterly/annual P&L, variance analyses, cash flow forecasts, and budgets.
• Identify cost drivers; manage inventories and labor overhead; maximize margins.
• Maintain GL, AP, AR, reconciliations, and journal entries in QuickBooks.
• Oversee revenue cycle: clean claim submissions, patient self-pay collections, denials.
• Manage vendor disbursements and facility expense allocations with COO.
• Track and report grant funds (local, state, federal, SAMHSA).
• Ensure grant expenditures comply with GAAP and prepare audits.
• Coordinate fund draws; monitor budget vs actual spend.
• Ensure compliance with Florida regs, AHCA, JCAHO, SAMHSA for OTPs.
• Maintain internal controls and protect cash at dosing counters.

Skills

QuickBooks Mastery

P&L Management

Grant Management

GAAP & Regulatory Compliance

Financial Analysis

Vendor & Inventory Oversight

Education

Bachelor's degree in Accounting/Finance/Business Administration

Tools

QuickBooks Online/Desktop

Methasoft

Job description

Job Summary

We are seeking an experienced, detail-oriented Finance Manager to lead daily financial operations, overall Profit and Loss (P&L) performance, and fiscal compliance across our outpatient Opioid Treatment Program (OTP) locations.

This role bridges healthcare accounting, operational profitability, and fund accountability.

The Finance Manager will oversee all day-to-day accounting functions in QuickBooks, ensure optimal reimbursement across diverse revenue streams (Medicaid, commercial insurance, self-pay, and government funding), manage grant/settlement funds, and drive bottom-line efficiency while maintaining regulatory compliance.

Responsibilities

• P&L Ownership: Manage all clinic financial performance across revenue streams (Medicaid, third-party insurance, self-pay cash dosing, and state/grant programs).
• Financial Analysis & Forecasting: Prepare monthly, quarterly, and annual P&L statements, variance analyses, cash flow forecasts, and operational budgets for leadership.
• Margin Optimization: Identify key cost drivers, monitor dosing medication inventories/costs and manage labor overhead, and recommend strategies to maximize clinic margins.
• QuickBooks Core Management: Execute all general ledger maintenance, accounts payable (AP), accounts receivable (AR), bank reconciliations, and journal entries in QuickBooks (Online or Desktop).
• Revenue Cycle Supervision: Partner with clinic billing staff to ensure clean claim submission, track patient self-pay collections, manage insurance claim denials, and reconcile patient dosing software (e.g., Methasoft) with financial ledgers.
• Disbursements: Manage medical/office supply vendor disbursements and facility expense allocations in coordination with COO.
• Grant Accounting & Reporting: Track, allocate, and report on local, state , federal (SAMHSA), and Opioid Settlement Funds.
• Compliance & Auditing: Ensure all grant-funded expenditures strictly adhere to funding constraints and GAAP standards. Lead preparation for grant audits, state compliance reviews, and financial monitoring visits.
• Fund Drawdowns: Coordinate reimbursement requests, track budget vs. actual spent per award, and ensure zero unallocated cost leakages.
• Ensure full financial compliance with Florida healthcare regulations, AHCA, Joint Commission (JCAHO), and SAMHSA standards governing OTPs.
• Maintain internal control frameworks to prevent fraud, protect cash handling at dosing counters, and safeguard client financial data.

Required Qualifications & Experience

QuickBooks Mastery (Required): Advanced hands-on experience in QuickBooks (Advanced / Pro / Online) for GL, AR/AP, grant tracking, and financial reporting.

Experience: 4+ years of healthcare financial management experience.

Experience within an outpatient clinic, behavioral health setting, or Opioid Treatment Program (OTP/MAT) is strongly preferred.

Education: Bachelor’s degree in Accounting, Finance, or Business Administration.

Grant Management: Demonstrated experience managing public healthcare grants, state/federal funding contracts, or dedicated program funds.

P&L Expertise: Proven track record managing multi-revenue P&L's in a for-profit environment.

Join us as we strengthen our financial foundation through innovative strategies, rigorous analysis, and dedicated leadership-driving organizational success today and into the future!

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person