Senior Accountant

Jobot; Middletown (RI); On-site; USD 90,000 - 100,000; Full time

Benefits offered by this job

3 weeks PTO

11 paid holidays

Insurance (medical, dental, vision)

403(b) retirement plan

Tuition reimbursement

Job summary

Jobot is seeking a Senior Accountant – Revenue to join a mission-driven nonprofit healthcare organization. This hands-on role focuses on revenue and grant accounting, GAAP compliance, and financial reporting across multiple funding streams.

The ideal candidate has 4+ years in nonprofit or healthcare accounting, experience with federal grants and Medicaid/Medicare reimbursement, and proficiency with MIP or similar systems. On-site in Middletown, RI with excellent benefits.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field.
• 4+ years of nonprofit/healthcare or grant-funded accounting experience.
• Experience with federal grants, Single Audits, and multi-fund environments.
• Strong GAAP knowledge and nonprofit accounting standards.

Responsibilities

• Collaborate with billing on Medicaid/Medicare and other payer models for accuracy and compliance.
• Monitor payer mix and reimbursement rates to optimize revenue.
• Analyze accounts receivable and coordinate with billing and revenue cycle teams.
• Manage and bill federal, state, and private grants.
• Ensure cost allowability and time & effort documentation under Uniform Guidance.
• Prepare grant spending analyses and cost reports; support audits.

Skills

GAAP

Nonprofit accounting

Grant accounting

Medicaid billing

Financial reporting

Education

Bachelor's degree in Accounting or Finance

Tools

MIP

Microix

Job description

Senior Accountant

$90000 - $100000 per year | Middletown, RI | On-site | Permanent

Senior Accountant – Revenue | Nonprofit Healthcare + Grant Accounting + Revenue Cycle | + Excellent Benefits

A bit about us:

We are seeking an experienced Senior Accountant – Revenue to join a mission-driven nonprofit healthcare organization serving children, adolescents, adults, and families. This is a hands‑on accounting position with significant responsibility for revenue accounting, grant accounting, financial compliance, reimbursement analysis, and financial reporting across multiple funding streams. The ideal candidate will bring strong nonprofit accounting experience and a solid understanding of GAAP, federal grants, Medicaid/Medicare reimbursement, grant compliance, and financial reporting. Experience with CCBHC financial requirements is highly desirable.

Why join us?

• Mission-driven nonprofit healthcare environment
• 3 weeks of PTO to start
• Up to 11 paid holidays
• Additional paid Flex Holiday and personal days
• Paid sick time
• Medical, dental & vision insurance
• FSA & Dependent Care Accounts
• 403(b) retirement savings plan
• Company-paid life insurance
• Tuition reimbursement
• Employee Assistance Program & wellness resources
• Opportunities for professional growth
• Supportive and collaborative culture
• Opportunity to have a direct impact on financial stewardship of critical behavioral health services
• Exposure to Medicaid, Medicare, CCBHC, federal grants, state contracts and nonprofit finance

Job Details

Responsibilities:

• Partner with the billing department on monthly Medicaid, Medicare, and commercial billing to ensure accuracy and compliance with applicable CCBHC billing models.
• Monitor and analyze payer mix and reimbursement rates and identify opportunities for revenue optimization.
• Analyze accounts receivable and collaborate closely with billing and revenue cycle teams.
• Manage and bill federal, state, and private grants.
• Ensure compliance with allowable cost requirements, time & effort documentation, and procurement standards under Uniform Guidance.
• Perform monthly analysis of grant spending and identify over- or under-spending.
• Prepare CCBHC financial cost reports.
• Provide payroll backup support as needed.
• Reconcile assigned general ledger accounts and support accurate month‑end and year‑end closes.
• Participate in annual audit activities, including preparation of audit schedules and support for Single Audit requirements.
• Ensure compliance with GAAP, federal and state regulations, grant requirements, and applicable CCBHC certification standards.
• Monitor changes in financial regulations and industry best practices and communicate relevant changes to the organization.
• Assist with additional accounting and finance projects as assigned.

Qualifications:

• Bachelor’s degree in Accounting, Finance, or a related field, or equivalent experience.
• 4+ years of accounting experience, preferably within a nonprofit, healthcare, behavioral health, or grant‑funded environment.
• Experience with federal grants, Single Audits, and/or multi‑fund grant environments.
• Strong understanding of GAAP and nonprofit accounting/FASB principles.
• Experience with Medicaid billing, CCBHC financial requirements, and cost reporting is a plus.
• Proficiency with complex accounting systems; experience with MIP and/or Microix is highly desirable.
• Strong Microsoft Office skills, particularly Excel.
• Excellent analytical and problem‑solving abilities.
• Strong attention to detail and accuracy.
• Excellent communication and interpersonal skills.
• Ability to manage multiple deadlines and competing priorities in a fast‑paced, grant‑funded environment.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

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