Healthcare Accounting Senior Associate/Manager

WHAT YOU’LL DO:

Our mission at Facktor is to revolutionize community health. Not your typical briefcase consultants, we bring a backpack with us to our clients, because we’re ready to get to work. We partner with mission-driven organizations—including Federally Qualified Health Centers (FQHCs), hospitals, health plans, medical groups, academic programs, IPAs, and foundations—to help them deliver high-quality, sustainable care. We meet clients where they are, offering hands-on, customized support to solve operational challenges, strengthen financial performance, and scale impact. Our consultants bring deep expertise in strategic planning, clinic development, financial modeling and management, quality improvement, and more. From our interim management roles to project-based support, we work across functions to ensure organizations are compliant, resilient, and positioned for growth. Facktor is committed to advancing equitable care and stronger health systems.

Working alongside Facktor's managers, directors, and subject matter experts, the Finance Accounting Senior Associate/Manager will have the unique role in supporting both external clients and Facktor’s internal accounting and financial operations. This person will help with the scoping, implementation, and delivery of high-impact consulting engagements that strengthen the financial health and long-term sustainability of community healthcare organizations. Additionally, this person would be trusted to support the internal accounting and bookkeeping of the firm. This role combines financial analysis, project management, grants management, team leadership, and hands-on implementation, giving you the opportunity to solve complex challenges while collaborating with executive leaders, clients, and internal stakeholders to solve complex financial challenges in support of community health.

The ideal candidate is intellectually curious, embraces a growth mindset, and is eager to learn every day. They bring progressive experience in accounting, financial planning and analysis (FP&A), fiscal compliance, revenue cycle, or a related field, the ability to work independently, managing tasks with minimal supervision, and strong analytical, written, and verbal communication skills. They thrive in a consulting environment, balancing multiple client engagements while translating complex financial information into actionable recommendations.  

WHO WE ARE:

Facktor is a fully remote healthcare consulting firm, but it rarely feels that way. We are deeply connected, highly collaborative, and united by a shared commitment to the community health center movement and the organizations delivering care to those who need it most. Our work is fast-paced and dynamic, with each day bringing new challenges, perspectives, and opportunities to make meaningful impact. 

You’ll work shoulder-to-shoulder with colleagues across divisions, gaining exposure to all aspects of healthcare consulting—from strategy, finance, and operations to quality improvement, clinical optimization, business intelligence, and beyond. Cross-divisional collaboration isn’t just encouraging; its core to how we work. We infuse fun into what we do, celebrate wins along the way, and support one another as we grow, both professionally and personally. This is an environment for people who enjoy solving complex problems and are energized by learning something new every day, while being supported by a team that truly cares.

WEBSITE: facktorhealth.com 

OUR CORE VALUES: 

• Better Than Yesterday: We embody a commitment to continuous improvement. "Better Than Yesterday" is our shared philosophy.  We strive to elevate ourselves, enhance the experiences of our clients, and contribute positively to our community and team. Each day is an opportunity for progress, and our work reflects a relentless pursuit of excellence. 
• Shoulder to Shoulder: We stand side by side, working towards common goals, and solving problems collectively.  "Shoulder to Shoulder" encapsulates our collaborative spirit.  Your success is our success, and we support you, not only in triumphs but also during challenges, meeting you where you are with understanding and solidarity. 
• With Heart: We don’t just perform tasks; we make a meaningful difference “With Heart.” While we strive for innovative solutions and drive toward quality results, we lead by caring for our fellow team members, our clients, and our community.

RESPONSIBILITIES:

Accounting & Finance Consulting (0.6 FTE):

• Demonstrate and uphold Facktor’s core values in all interactions, maintaining professionalism, integrity, accountability, and a collaborative approach with clients and colleagues.
• Work independently and collaboratively with directors to lead the delivery of high-quality financial, strategic, and functional accounting support.
• Build trusted, long-term relationships with client leaders and key stakeholders, facilitating client meetings and anticipating client needs.
• Access, analyze, and interpret financial and operational data, including healthcare utilization and cost, reimbursement and billing, population health and clinical outcomes, provider productivity, and operational variation, using structured problem-solving to identify root causes and opportunities to strengthen financial performance. Translate findings into clear, well-supported recommendations and present them to executive leadership teams and community health center Boards of Directors that improve efficiency, manage risk, maintain compliance, and reduce costs.
• Build dynamic financial models and support the development of detailed budgets that forecast operational and financial outcomes, align with organizational priorities, and comply with applicable funding requirements, in an auditable, accurate, and easy-to-understand format.
• Develop reports, presentations, and other client-facing materials that are clear, precise, thorough, and tailored to the intended audience, maintaining consistency and quality across analytical methods and work products, including reviewing work prepared by associates.
• Support the development of competitive and compliant responses to grant and funding opportunities, including comprehensive and accurate grant narratives.
• Manage multiple complex workstreams and client engagements, typically two to four at a time, planning and overseeing work within defined scope, timelines, and budgets with organization, tact, and attention to detail, maintaining the responsiveness, accuracy, and follow-through that build client trust in a high-expectation consulting environment.
• Contribute to business development by identifying emerging client needs, scoping potential opportunities for expanded support, and partnering with directors on proposals.

Internal Accounting & Finance (0.4 FTE):

• Work independently and collaboratively with Facktor  mangers/directors, Executive Leadership Team, and Executive and Administration team to deliver high-quality financial, strategic, and functional accounting support.
• Own Facktor’s month-end close, including journal entries, accruals, prepaids, depreciation, and reconciliations of bank, credit card, and line of credit accounts, following a close checklist. 
• Produce the monthly financial package, including the P&L, balance sheet, cash flow statement, and budget-to-actual reporting.
• Deliver a clear recap of the financial package highlighting key variances, and notable items for the firm overall and by division.
• Prepare and deliver weekly accounts receivable (AR) updates, including aging reports, collection status, and key trends by client or division, highlighting overdue balances and areas requiring attention.
• Participate in regular internal accounting meetings to share progress, communicate challenges and roadblocks, recommend process improvements, and provide updates on key accounting activities and outstanding items.
• Record deposits, apply cash, monitor AR aging, and follow up on outstanding collections.
• Identify, investigate, and escalate outstanding accounting items, including unapplied cash, customer credit balances, and potential refunds, providing clear recommendations and follow-up to support timely resolution and informed leadership decisions.
• Prepare payroll journal entries and reconciliations and maintain benefits and 401(k) accounting.
• Partner with the Business Manager on cash management by tracking cash positions, transfers between accounts, and line of credit balances.
• Serve as backup and support to the Business Manager in accounts payable, including coding and entering vendor bills, processing payment cycles and approvals in Bill.com, and maintaining vendor records, W-9s, and 1099 tracking.
• Handle 1099s, W-2s, state and local filings, and sales tax where applicable, and coordinate with outside accountants on tax preparation and any audits or reviews.
• Administer QuickBooks, Bill.com, and Harvest, and lead improvements to automate recurring tasks and reduce manual work.
• Other duties as assigned.

As a Senior Associate/Manager, the following are essential to meeting expectations:

• Autonomy: Handles complex tasks and engagements independently with minimal supervision.
• Leadership: Leads and supervises 1-2 associates, providing professional guidance, making decisions within their scope, and ensuring goals are met.
• Judgement: Uses excellent independent judgement when making decisions, planning projects, and supervising staff. Understands the limits of their expertise and seeks consultation appropriately.
• Decision Making: Entrusted to make independent decisions within the scope of their engagements and Facktor's internal finance function.
• Business Development: Maintains client relationships and identifies opportunities for expanded support, partnering with directors to pursue them.
• Expertise: Subject matter expertise in healthcare finance and accounting, with an understanding of how it integrates with Facktor's other divisions.
• Client Relations: Establishes and maintains client relationships in good standing and earns the trust and respect of clients. Facilitates client meetings independently and thinks strategically, with consultation, about how to address client needs.
• Project Management: Plans, organizes, and oversees tasks and resources to achieve specific goals within a defined scope, timeline, and budget.

WHAT WE LOOK FOR:

• A warm, collaborative approach and genuine enthusiasm for building relationships with clients and teammates.
• At least 3 years of progressive experience in healthcare accounting, finance, financial analysis, or data analytics. Experience with healthcare reimbursement, billing, or coding is a plus.
• Experience supervising, mentoring, or reviewing the work of junior staff is a plus; formal people-management experience is not required.
• Bachelor's degree required, ideally in accounting; CPA or progress toward a CPA, or an MBA, or other relevant graduate degree preferred.
• Hands-on month-end close experience, ideally including ownership of the close process.
• Proficiency with QuickBooks and AP automation tools such as Bill.com.
• Nonprofit or fund accounting experience is a plus.
• Advanced proficiency in Microsoft Excel; experience with Tableau or other data visualization tools preferred.
• Strong analytical and critical thinking skills, with the ability to synthesize complex data into clear, actionable insights.
• Excellent attention to detail and commitment to producing accurate, high-quality work.
• Ability to communicate complex financial and operational concepts in a clear, concise, and meaningful way.
• Comfortable navigating ambiguity and adapting to changing priorities.
• A proactive, self-directed mindset with the ability to take initiative, solve problems independently, and drive work to completion.
• Strong organizational and project management skills, with the ability to successfully manage multiple priorities and client engagements simultaneously.
• Exceptional written, verbal, and interpersonal communication skills.
• Ability to build trusted relationships with clients, colleagues, and executive stakeholders.
• A collaborative work style and willingness to roll up your sleeves to support the team wherever needed.
• Prior experience working with community health centers, nonprofit healthcare organizations, or other safety-net providers is preferred.
• Passion for improving community healthcare and supporting organizations that expand access to high-quality care for underserved populations.
• Flexibility to collaborate with clients and colleagues across multiple time zones.
• Demonstrate discretion in handling confidential firm and payroll information, and willingness to sign a non-disclosure agreement.
• Comfort with recurring, deadline-driven cycles.

LOCATION: Facktor supports a remote office environment.

DIVISION: Finance

SCHEDULE: Full-Time 

SALARY RANGE: Senior Associate: $90,000-$115,000 Manager: $110,000-$140,000. The salary range is subject to adjustments based on individual skills, experience, and geographic location.

BENEFITS: At Facktor, we believe in supporting our employees both inside and outside of work. Our benefits are designed to promote health, financial security, and work-life balance.

• Paid Time Off & Holidays: 10 Paid Holidays and generous PTO accrual; Summer Fridays: Friday afternoons off between Independence Day and Labor Day; Winter Soft Close: Facktor unofficially closes between Christmas Day and New Year’s Day 
• Insurance Coverage: 100% of medical, dental, and vision insurance premiums covered for full-time employees 
• Fitness Benefit: $500 annual reimbursement per calendar year 
• Retirement: 401(k) Plan – Facktor contributes 3% of your annual earnings each year, regardless of employee contribution 
• Bonuses (Discretionary): End of Year Bonus; Performance Based GEM (Go the Extra Mile) Bonus
• Sabbatical: After 5 years of full-time employment, employees are eligible for a 4-week paid sabbatical 
• Mobile Stipend: $30 per month for personal cell phone use  

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT:

Facktor provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Facktor complies with applicable state and local laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.