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

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