Finance Administrator

About Transhealth

Transhealth is an independent and comprehensive healthcare center dedicated to empowering and uplifting trans and gender-diverse individuals and families. Located in Western Massachusetts and led by trans and gender-diverse professionals, we are redefining what compassionate, gender-affirming healthcare looks like. Through expert care, community support, education, and advocacy, we’re creating a future where every trans and gender-diverse person feels celebrated and in control of their healthcare journey. Be part of a team that honors the resilience of our community and works to transform the world—one step, one story, and one life at a time.

Transhealth is committed to fostering a diverse and inclusive workplace. We strongly encourage applications from individuals of all backgrounds, including trans, LGBTQIA and BIPOC communities, and are an equal opportunity employer.

A cover letter is required for this role, please provide a cover letter with your application.

Job Description Summary

The Finance Administrator oversees and manages the organization’s financial operations with a focus on general accounting, revenue cycle management (RCM), accounts payable (AP), accounts receivable (AR), budgeting, and the general fiscal health of the organization. This position is full-time and salaried, non-union due to confidential designation, and may be fully in person, hybrid, or fully remote (must be based in Massachusetts). The Finance Administrator reports directly to the Chief Operating Officer (COO).

Objectives and Responsiblities

• General Accounting & Budgeting: Ensure consistent accounting practices adhering to accrual based GAAP, non-profit, healthcare standards while monitoring and achieving budget goals; provide accurate and timely reconciliations; monitor year-end projections and weekly cash flow; work with COO on organizational budgeting strategy
• Accounts Receivable: Oversee revenue cycle management and contractual relationship with our external billing company, working closely with them to report accurately on clinical performance, and providing necessary input to the operations and clinical teams for process improvement; review billing reports for accuracy, create monthly AR entries, and provide KPI reporting
• Accounts Payable: Oversee accounts payable, ensuring accurate financial data entry, timely vendor payment, and cash management; manage vendor tax status and generation of 1099s
• Grant-Related Bookkeeping: Ensure proper fiscal reporting of grants, where applicable, working closely with the development team
• Financial Analysis & Reporting: Conduct thorough financial analysis and prepare monthly reports, identifying areas for financial growth and improvement; prepare confidential financial analyses and projections; work with senior leaders to guide financial decisions including labor relations and collective bargaining
• Fiscal Planning: Develop plans to enhance financial performance and organizational sustainability
• Compliance & Process Improvement: Ensure robust fiscal compliance across the organization, while continuously evaluating and improving financial processes for enhanced efficiency and accuracy; work with external auditors on yearly financial and tax statements
• Fiscal Support: Work closely with Human Resources to maintain confidential financial and personnel data related to compensation, staffing, and bargaining strategies; cross check bi-weekly payroll, acting as backup administrator when needed
• Clear and Relational Approach: Build and maintain strong relationships with internal teams and external vendors; provide clear, effective communication and support to ensure financial transparency and understanding
• Other duties as assigned

Qualifications and Experience

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field.
• Minimum of 3 years of experience in finance, accounting, or fiscal operations.
• Experience with GAAP and nonprofit or healthcare financial practices, and managing AP/AR.
• Proven experience preparing financial reports and analysis, budgets, report preparation, fiscal grant management, and audit materials.
• Proficiency with accounting software (e.g., QuickBooks, Sage Intacct, or similar) and Microsoft Excel.
• Experience with financial reporting in electronic health records (EHR), specifically Epic, preferred
• Strong analytical, organizational, and problem-solving abilities.
• Excellent verbal and written communication skills, with a team-oriented mindset.

Preferred Qualifications

• Master’s degree in Accounting, Finance, Public Administration, or related field.
• CPA, CMA, or relevant professional certification.
• Experience in community health centers, FQHCs, or nonprofit healthcare environments.
• Familiarity with grant accounting, Uniform Guidance, and federal/state funding mechanisms.
• Experience leading or mentoring staff in accounting or finance functions.

Required Knowledge, Skills and Abilities

• Strong knowledge of GAAP, financial reporting, and compliance requirements.
• Ability to develop and monitor budgets and analyze financial performance.
• Exceptional attention to detail and accuracy.
• Strong communication skills, including the ability to explain financial concepts to non-financial staff.
• Ability to manage multiple deadlines and priorities.
• Ability to handle sensitive information with discretion and maintain confidentiality.
• Proficiency in financial modeling, forecasting, and data analysis.
• Strong teamwork and independent-work capabilities.

Equal Employment Opportunity Statement

Transhealth is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and program participants. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

ADA Compliance Statement

This position requires the ability to perform typical office-based tasks, including sitting, standing, and using a computer. Transhealth will make reasonable accommodations to enable individuals with disabilities to perform the essential functions of this role.

Disclaimer

This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the role. The DevCom Specialist’s responsibilities may evolve to meet the organization’s needs, and additional duties may be assigned as required.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee may be required to perform repetitive motions that may include the wrists, hands, and/or fingers. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate. There are no adverse environmental conditions expected.

Reasonable accommodations will be reviewed upon request.

Job Type: Full-time

Pay: $90,000.00 - $101,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance

Work Location: Hybrid remote in Florence, MA 01062

Salary : $90,000 - $101,000