Accounting and Finance Manager

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