Senior Accounting Analyst

Riverbend Community Mental Health, Inc.; Concord (NH); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Competitive wages

Health insurance

403(b) Retirement Plan with company?

Paid Time Off

Tuition reimbursement

Job summary

Riverbend Community Mental Health, Inc. seeks a Senior Accounting Analyst to support financial reporting, grant accounting, reimbursement, and regulatory compliance within a mission-driven behavioral health organization.

You will analyze complex financial data, ensure GAAP adherence, and provide insights to leadership while helping improve controls and processes in a 100% on-site Concord, NH office.

Qualifications

• Advanced background in complex accounting, grant management, and financial reporting in healthcare/CCBHC settings.
• Strong knowledge of GAAP, 2 CFR Part 200, Medicaid reimbursement rules a plus.
• Experience supporting Medicaid, grants, cost reporting, and nonprofit or government programs a plus.

Responsibilities

• Support CCBHC Financial Compliance & Reimbursement – manage data, reporting, and documentation for certification, Medicaid/PPS reimbursement, grants, and regulations.
• Analyze financial performance – evaluate trends, variances, service costs, and expenditures to identify efficiency opportunities.
• Drive strategic financial planning – develop models, forecasts, and ad hoc analyses for workforce planning and growth.
• Ensure accurate accounting & reporting – perform reconciliations, support month/year-close, and prepare schedules across functions.
• Strengthen compliance & internal controls – support GAAP, 2 CFR Part 200, Medicaid PPS, and grant regulations while preparing for audits.
• Improve financial systems & processes – identify opportunities to automate, streamline, and improve data integrity.
• Partner across the organization – translate financial information into actionable insights for leadership.

Skills

GAAP knowledge

Grant management

Financial reporting

Regulatory compliance

Analytical thinking

Education

Bachelor’s degree in accounting or related field

Job description

Help Shape the Financial Future of Behavioral Health

Are you an experienced accounting professional who enjoys going beyond the numbers? Do you have a strong understanding of financial analysis, compliance, grants, reimbursement, and the operational side of healthcare or behavioral health?

Riverbend Community Mental Health is seeking a highly analytical, detail-oriented, and solutions-focused Senior Accounting Analyst to join our Finance team and play a critical role in supporting the financial health, compliance, and long-term sustainability of our organization.

This is an opportunity to bring your accounting expertise into a mission-driven environment where financial stewardship directly supports access to behavioral health services and strengthens the communities we serve.

As a Senior Accounting Analyst, you will serve as a key financial resource across the organization, supporting complex accounting functions, financial reporting, CCBHC reimbursement methodologies, grant accounting, budgeting, financial analysis, and regulatory compliance. You will help ensure that Riverbend's financial practices remain accurate, efficient, compliant, and aligned with the evolving requirements of a Certified Community Behavioral Health Clinic (CCBHC).

This position is ideal for an accounting professional who is naturally curious, enjoys solving complex problems, can translate financial information into meaningful business insights, and wants to have a broader organizational impact.

This is a 100% on-site position located at our Concord, NH office. Due to the nature and operational responsibilities of this role, remote work or hybrid scheduling is not available.

Why Join Us?

CCBHC operations bring together complex reimbursement methodologies, grant requirements, healthcare regulations, cost allocation, financial reporting, and organizational performance. As our Senior Accounting Analyst, you will help connect those pieces.

Your work will help leadership understand financial trends, optimize resources, strengthen internal controls, maximize appropriate reimbursement, maintain grant compliance, and make informed decisions about programs, staffing, services, and future growth. You won't simply be reporting what happened financially—you'll help explain why it happened, identify opportunities, and help determine what comes next.

If you’re looking for meaningful work, a strong team culture, and real opportunities for professional growth through training, certifications, and advancement—Riverbend is the place to build your future while making a difference.

What You’ll Do

• Support CCBHC Financial Compliance & Reimbursement – Manage financial data, reporting, and documentation supporting CCBHC certification, Medicaid/PPS reimbursement, grants, and regulatory requirements.


• Analyze Financial Performance – Evaluate financial trends, variances, service-line costs, reimbursement, and expenditures to identify opportunities for efficiency, cost containment, and sustainability.


• Drive Strategic Financial Planning – Develop financial models, forecasts, and ad hoc analyses to support workforce planning, service expansion, reimbursement optimization, and organizational decision‑making.


• Ensure Accurate Accounting & Reporting – Perform complex reconciliations, support monthly and annual close processes, and prepare financial schedules and reports across organizational, CCBHC, and grant functions.


• Strengthen Compliance & Internal Controls – Support compliance with GAAP, CCBHC requirements, 2 CFR Part 200, Medicaid PPS, and federal/state grant regulations while preparing for audits and financial reviews.


• Improve Financial Systems & Processes – Identify opportunities to streamline workflows, automate manual processes, improve data integrity, and optimize accounting systems to meet evolving CCBHC needs.


• Partner Across the Organization – Collaborate with Finance and program leadership to translate complex financial information into actionable insights and support informed operational decisions.


• Provide Technical Leadership – Mentor accounting staff, provide technical guidance, and contribute to finance‑related projects and organizational initiatives.

Who You Are

We are looking for someone who brings both technical accounting expertise and strategic curiosity. The ideal candidate has:

• Experience: Advanced background in complex accounting, grant management, and financial reporting (healthcare or CCBHC experience preferred).


• Knowledge: Strong grasp of GAAP, Federal Uniform Guidance (2 CFR Part 200), and Medicaid reimbursement rules.


• Skills: Excellent analytical, problem‑solving, and financial modeling skills with an eye for process automation.


• Mindset: Proactive, collaborative, and detail‑oriented with a passion for compliance and financial stewardship.

Requirements

What You’ll Bring

• Bachelor’s degree in accounting, finance, or a related field or relevant professional experience will be considered.


• Five (5) years of progressive accounting or financial analysis experience.


• An equivalent combination of education, certifications, and relevant professional experience may be considered.


• Understanding of CCBHC financial requirements and healthcare reimbursement methodologies preferred.


• Experience supporting Medicaid, Medicare, cost reporting, or grant‑funded programs preferred.


• Nonprofit, healthcare, government, or grant experience is a plus.


• Knowledge of federal grant regulations and Uniform Guidance (2 CFR Part 200) is a plus.

Outstanding Benefits & Perks

• Competitive wages depending on level of education and experience.


• Comprehensive benefits package to include:


• 
  
  
  
  • Choice of 3 Medical plans
  
  
  • Prescriptions Benefits
  
  
  • Health Reimbursement Account (HRA)
  
  
  • Flex Spending Account (FSA)
  
  
  • Doctor on Demand
  
  
  • Harvard Pilgrim Well‑Being Program Benefits
  
  
  • Choice of 2 Dental plans
  
  
  • Vision Plan
  
  
  • Short‑and‑Long‑Term Disability, Life, and Supplemental Life Insurance Plans
  
  
  • Employee Assistance Program (EAP)
  
  
  
  


• Generous Paid Time Off (PTO) accrual and Extended Illness Leave


• 8 Paid Holidays


• 403(b) Retirement Plan with company match


• Tuition reimbursement, discounts on tuition through partnered colleges and training opportunities to grow your career


• Qualifying Employer for the Public Service Loan Forgiveness Program and NH State Loan Repayment Program

Ready to take the next step toward independent licensure?

Riverbend provides structured clinical supervision, ongoing training, and a collaborative environment designed to help Graduate Level, license‑eligible clinicians build skills, confidence, and a long‑term career.

Equal Opportunity Employer

We are an equal‑opportunity employer and value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

If you're ready to put your accounting expertise to work in an organization where the numbers have a meaningful impact, we'd love to hear from you. Apply today to join the Riverbend team!