Accounting Manager

Title of Position: Accounting Manager Location: Gateways Hospital & Mental Health Center Exempt/NonExempt: Exempt Union/ Non Union: Non Union Supervisor: Sr. Director of Finance

Summary Of Position

The Accounting Manager is responsible for owning and leading the organization’s accounting operations with a strong emphasis on month end, quarter end, and year end close execution, accuracy, and timeliness. This role oversees daily accounting functions, ensures the integrity of the general ledger, and maintains strong internal controls in compliance with GAAP, audit, and healthcare/nonprofit regulatory requirements. The Accounting Manager directly supervises accounting staff, establishes clear expectations and accountability, and drives continuous improvement of processes, documentation, and controls. Working closely with the Senior Director of Finance, this position provides reliable financial information, proactively identifies risks and issues, supports audits and regulatory reporting, and ensures the accounting function operates efficiently, consistently, and at a high standard of quality.

Essential Duties

• Own and lead the monthly, quarterly, and annual close process, ensuring accuracy, completeness, and adherence to established timelines
• Review journal entries, account reconciliations, and supporting schedules to ensure integrity of the general ledger
• Oversee daily accounting operations, including general ledger and accounts payable, ensuring transactions are recorded timely and accurately
• Ensure all balance sheet accounts are fully reconciled with complete, auditable supporting documentation
• Establish, document, and enforce standardized accounting processes, controls, and workflows in compliance with GAAP and audit requirements
• Identify and proactively address control gaps, process inefficiencies, and accounting risks
• Directly supervise, coach, and develop accounting staff; set clear expectations and ensure accountability for deliverables and deadlines
• Coordinate and support external audits, including preparation of schedules, documentation, and timely responses to auditor inquiries
• Ensure compliance with healthcare, nonprofit, and government reporting, funding, and regulatory requirements
• Communicate proactively with the Senior Director of Finance regarding close status, risks, issues, and key deadlines
• Support special projects, process improvements, and ad hoc financial analyses as assigned
• Performs other additional tasks as directed.
  
  

Essential Skills

• Strong working knowledge of GAAP with demonstrated ability to apply standards in healthcare and nonprofit accounting environments
• Proven ability to manage audit ready accounting operations, including reconciliations, documentation, and support schedules for internal and external audits
• Demonstrated ability to lead, supervise, and develop accounting staff while establishing clear expectations, accountability, and performance standards
• Strong analytical and problem solving skills, with sound judgment and the ability to identify risks, control gaps, and process improvements
• Excellent organizational and timemanagement skills, with the ability to prioritize, meet deadlines, and execute close processes under pressure
• High level of accuracy, integrity, and discretion when handling sensitive financial and regulatory information
• Ability to maintain complete, timely, and auditable financial records across all accounting functions
• Effective written and verbal communication skills, including the ability to collaborate cross functionally and respond professionally to audit and leadership inquiries
• Flexibility and adaptability in managing changing priorities while maintaining consistent quality and team performance