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Accounting Manager

St. James Hospital
Hornell, NY Full Time
POSTED ON 5/7/2026
AVAILABLE BEFORE 7/6/2026

Description

Department: Finance


Reports To: Senior VP Finance


FLSA Classification: Exempt 


Job Summary: Under the supervision of the Senior VP Finance, this position is responsible for a range of accounting transactions and reconciliations. In addition, this position also conducts various types of analyses including cost-benefit analyses and financial analyses documenting analytical findings and conducting internal and external research.

  

Job Results & Essential Function: 

· Prepare monthly and yearly accounting ad hoc transactions, journal entries and reconciliations

· Prepare monthly revenue reports to validate the accurate recording of monthly and year-to-date revenue investigating budget variances, trends and utilization patterns

· Prepare monthly expense reports and work with Hospital leaders to validate the accurate recording of monthly and year-to-date expenses investigating budget variances and expense trends

· Provide financial analysis on ad hoc requests for data and analysis from leadership, clinical teams and administrative departments

· Prepare assigned schedules for the annual Medicare and Medicaid cost reports for the Hospital in accordance with all applicable regulations. 

· Prepare assigned workpapers required to complete the Hospital and Foundation IRS Form 990

· Coordinate the annual budget process with the Senior VP of Finance and complete assigned budget schedules

· Prepare assigned year-end audit reconciliations and workpapers required by the Hospital external auditors 

· Understand and analyze the flow of data and information

· Support the development of ad hoc reporting capabilities to meet the information requirements of management 

· Perform other duties as assigned. 

· Provide backup support to other Finance team members 

· Be accountable for accurate and timely work

· Responsible for understanding and adherence to the Code of Conduct, and the Corporate Compliance Plan (CCP) at St. James Hospital.

· Participate in all educational requirements related to Corporate Compliance as required by the CCP education plan

Requirements

Education & Experience

· BA/BS degree in Accounting, Finance, Business Administration or related field required

· Master’s degree preferred

· 1-2 years in the health care industry

· EPIC experience preferred

· Prior work experience in hospital finance or reimbursement department

· Extensive experience with EXCEL spreadsheets and database software 


Skills

· Superior analytical skills

· Strong organizational skills

· Ability to think and act independently 

· Team player committed to quality processes and outcomes


Licenses and/or Certifications

· CPA preferred


Physical Demands

Sitting for extended periods of time; manual and visual dexterity required for operating telephone and computer equipment; frequently required to lift up to 5 lbs.


Language Ability

Ability to read, write and interpret documents in English such as safety rules, operating and maintenance instructions and procedure manuals. Ability to read, analyze and interpret common scientific/trade/technical journals. Ability to write reports, business correspondence and procedure manuals. Ability to speak effectively before groups of employees, patients, and vendors.


Math Ability

Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.


Reasoning Ability

Ability to define problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or written form and deal with several abstract and concrete variables.


Working Conditions

· Hybrid

· Must be flexible and adaptable to changing priorities and schedules; hours vary. 

· Normal office environment. 

Slight potential for exposure to communicable diseases when in the hospital.  

Salary : $40 - $50

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