Location: Hybrid – Euclid and Buckeye/Shaker Offices, Greater Cleveland, Ohio
Organization: Village of Healing -501(c)(3) Nonprofit Healthcare & Community Development Organization
Reports To: Chief Financial Officer
Status: Full-Time, Exempt Salary: $70,000-$80,000 annually, commensurate with experience

About Us
Village of Healing is a 501(c)(3) community development and healthcare organization with a new approach to community wellness. By focusing on healing and empowering individuals in the village, we work to eliminate social determinants of health and decrease health disparities through community programming, advocacy, collaboration, and healthcare services. Our mission is to offer members of the community life-empowering skills through multiple sources and mediums that help heal and empower the village. We work to advance health and well-being that supports not only surviving, but thriving.

Position Summary
Village of Healing is seeking an experienced, highly organized, and self-directed Finance & Accounting Manager to take ownership of the organization’s internal accounting structure and day-to-day financial management operations.

This is a hands-on position for an experienced nonprofit finance professional who can quickly assess an existing financial environment, identify priorities, strengthen processes, and assume ownership of core accounting functions. The role reports directly to the Chief Executive Officer and is expected to independently manage the accounting function while partnering with program, grants, healthcare operations, payroll, billing/revenue-cycle partners, and the organization’s external CPA/audit firm.

The Finance & Accounting Manager will be responsible for the integrity of the organization’s financial records; general ledger and accounting operations; timely month-end close; financial statement preparation; multiple organizational, departmental, program, and grant budgets; grant and restricted-fund accounting; healthcare revenue and receivable reconciliation; payroll and personnel-cost allocations; cash-flow reporting; audit readiness; internal controls; and scalable financial policies, procedures, and systems.

This role requires a finance professional who can enter an existing financial environment, assess the full accounting structure, establish priorities, resolve discrepancies, strengthen controls, create disciplined financial processes, and carry work through to completion without extensive day-to-day direction. The successful candidate must be comfortable overseeing several budgets and several grants simultaneously while producing reliable, decision-ready financial information for the CEO.

Village of Healing receives revenue from a combination of grants, healthcare reimbursement, and philanthropic support. As the organization expands healthcare services and increases revenue from Medicaid, commercial insurance, and self-pay reimbursement, the Finance & Accounting Manager will ensure the accounting structure, controls, reconciliations, and reporting processes support a diversified, compliant, and sustainable revenue model.

CPA licensure is not required. Village of Healing is seeking demonstrated nonprofit financial management expertise, strong accounting judgment, substantial grant and restricted-fund accounting experience, and the proven ability to independently oversee and improve a complete internal accounting function.

WHAT ARE WE LOOKING FOR
The successful candidate will be a hands-on nonprofit finance and accounting professional who can independently own the internal accounting function from transaction integrity through month-end close and management reporting. This person must be highly proficient in grant and restricted-fund accounting, capable of overseeing multiple budgets and funding streams, and able to understand or quickly master healthcare reimbursement accounting.

The Finance & Accounting Manager must be able to produce accurate and timely financial information for the CEO, maintain audit-ready books and supporting documentation, coordinate effectively with the external CPA/audit firm, and build financial processes that scale as Village of Healing grows. This role is particularly well suited for someone who combines technical accounting skill with operational problem-solving—someone who can identify what needs
attention, determine the appropriate course of action, communicate risks early, and follow through to resolution.

Key Responsibilities

Accounting Operations & Month-End Close

• Own and manage the organization’s day-to-day accounting operations, including accounts payable, accounts receivable, general ledger activity, journal entries, deposits, cash receipts, and financial recordkeeping.
• Maintain the accuracy, completeness, and integrity of the general ledger and chart of accounts across organizational, program, grant, healthcare, and unrestricted activities.
• Perform and/or review monthly bank, credit card, balance sheet, payroll, receivable, revenue, and other account reconciliations, ensuring reconciling items are investigated and resolved promptly.
• Lead a timely, accurate, documented, and disciplined monthly close process and establish a recurring close calendar that supports reliable leadership reporting.
• Investigate discrepancies, unusual transactions, unreconciled balances, duplicate or unsupported activity, aging items, and other accounting issues and drive appropriate resolution.
• Prepare monthly financial statements and internal management reports for the CEO, including income statement, balance sheet, cash position, budget-to-actual results, and other schedules needed for organizational decision-making.
• Ensure transactions are appropriately classified, allocated, supported, documented, approved, and recorded in the proper accounting period and funding source.
• Maintain accounting records in accordance with Generally Accepted Accounting Principles (GAAP), applicable nonprofit accounting requirements, grant requirements, and organizational policies.
• Monitor organizational cash balances, near-term obligations, receivables, and anticipated funding activity and provide accurate information to support cash-flow planning and forecasting.

Grant & Restricted-Fund Financial Management

• Own the financial accounting and tracking for multiple grants, contracts, programs, and restricted funding sources simultaneously.
• Establish and maintain complete financial records and working budgets for each grant award, including approved budget, amendments, funding period, restrictions, reporting deadlines, and allowable-cost requirements.
• Track awarded, received, invoiced, drawn, spent, committed, and remaining funds throughout each grant period.
• Ensure expenses and personnel costs are appropriately allocated among grants, programs, departments, healthcare operations, and unrestricted operating funds using consistent and supportable methodologies.
• Monitor restricted and unrestricted funds and ensure restricted resources are used in accordance with donor, contract, governmental, and funder requirements.
• Prepare grant-specific budget-to-actual reports, spending projections, and burn-rate analyses and provide clear status reporting to the CEO and appropriate program or grants leaders.
• Proactively identify grants that are underspent, overspent, approaching expiration, missing documentation, experiencing allocation concerns, or otherwise at risk of financial noncompliance.
• Prepare or support the financial components of grant reports, reimbursement requests, drawdowns, invoices, budget revisions, closeouts, and funder monitoring requests.
• Maintain organized financial documentation sufficient to demonstrate appropriate use of funds and support monitoring visits, grant audits, external audits, and other reviews.
• Assist the CEO and program/grants leadership with development and review of budgets for new grant proposals and funding opportunities.
• Reconcile financial grant reporting to the general ledger and collaborate with program and grants staff so financial and programmatic reporting remain aligned.

Healthcare Revenue & Receivables
As Village of Healing continues to expand healthcare reimbursement as a significant source of organizational revenue, the Finance & Accounting Manager will own the accounting-side reconciliation and financial reporting of healthcare-related revenue. Direct medical billing or coding is not required; however, the manager must be able to reconcile billing and payment activity to the accounting records and work effectively with internal and external revenue-cycle
partners.

• Monitor and reconcile healthcare revenue recorded within the accounting system.
• Reconcile payments and receivables associated with Medicaid, commercial insurance, and self-pay activity to available billing, remittance, deposit, and payment information.
• Work collaboratively with internal staff and external billing/revenue-cycle partners to identify and resolve differences among billing activity, payments received, adjustments, receivables, deposits, and accounting records.
• Monitor outstanding healthcare receivables, aging trends, collections, and unresolved balances and provide timely financial reporting to the CEO.
• Ensure healthcare revenue and related receivables are appropriately recorded, classified, reconciled, and supported within the general ledger.
• Develop and maintain financial controls and reconciliation processes capable of supporting increasing healthcare reimbursement volume and a growing earned-revenue portfolio.

Budgeting, Financial Reporting & CEO Support

• Budgeting, Financial Reporting & CEO Support
• Create and Partner directly with the CEO in the development, implementation, and ongoing
  monitoring of the organization’s annual operating budget for CEO approval.
• Maintain oversight of multiple organizational, departmental, program, healthcare, and grant
  budgets and ensure leadership has timely visibility into financial performance.
• Prepare monthly organizational, departmental, program, and grant budget-to-actual reports
  and analyze significant variances.
• Work with the CEO and organizational leaders to understand the operational causes of budget
  variances and identify corrective actions or forecast adjustments when appropriate.
• Provide timely and accurate financial information to support forecasting, cash-flow
  management, grant spending decisions, resource allocation, and organizational planning.
• Prepare financial analyses, schedules, dashboards, and supporting reports needed for CEO,
  Board, and Finance Committee review, as requested by the CEO.
• Identify unusual financial trends, transactions, discrepancies, budget concerns, cash
  constraints, compliance risks, and emerging financial issues and promptly communicate them
  to the CEO with relevant context and recommended next steps.
• Develop financial reporting structures and recurring management reports that improve
  transparency, accountability, and decision-making as the organization grows.

Payroll & Personnel Cost Allocation

• Review and reconcile payroll expenses, payroll liabilities, benefits, payroll taxes, and related
  general ledger accounts.
• Ensure salaries, benefits, payroll taxes, and other personnel costs are accurately and
  consistently allocated among programs, grants, departments, healthcare operations, and
  unrestricted operating funds.
• Maintain supporting documentation for grant-funded personnel costs and payroll allocations
  as required by applicable funders and organizational policy.
• Work with the CEO and appropriate operational staff to update salary allocations when
  funding sources, employee responsibilities, or program assignments change.
• Reconcile payroll reports to the general ledger and investigate and resolve discrepancies in a
  timely manner.

Audit, Compliance & External CPA Coordination

Village of Healing works with an external CPA/audit firm that conducts the organization’s annual audit and prepares the organization’s Form 990. The Finance & Accounting Manager is responsible for keeping internal accounting records complete, accurate, organized, reconciled, and audit-ready throughout the year and serves as the organization’s primary internal accounting liaison for these external processes.

• Maintain audit-ready financial records, reconciliations, schedules, and supporting
  documentation throughout the year.
• Coordinate preparation of financial schedules, trial-balance support, reconciliations, grant
  documentation, payroll support, confirmations, and other records requested by the external
  CPA/audit firm.
• Serve as the primary internal point of contact for accounting-related audit requests and
  coordinate timely responses across the organization.
• Support preparation for the annual financial audit and Form 990 process and ensure requested
  information is complete, organized, and traceable to the accounting records.
• Research and respond to auditor questions and provide appropriate supporting documentation
  and explanations.
• Partner with the CEO to implement audit recommendations, corrective actions, and financial-
  control improvements when necessary.
• Maintain financial documentation that supports funder, regulatory, audit, Board, and
  organizational reviews.

Financial Systems, Policies & Internal Controls

• Assess the existing accounting structure, workflows, documentation practices, system
  configuration, close process, and internal controls and establish priorities for strengthening
  the finance function.
• Design, document, implement, and maintain practical accounting procedures and financial
  workflows that promote accuracy, timeliness, accountability, and appropriate segregation of
  duties.
• Partner with the CEO to develop, update, and maintain financial policies and procedures,
  including approval authorities, payment controls, vendor controls, journal-entry practices,
  reconciliations, payroll access, and documentation standards.
• Ensure organizational expenditures, payments, reimbursements, and accounting adjustments
  follow established approval and documentation requirements.
• Maintain internal controls appropriate for the organization’s size and structure, including
  controls that recognize this position has no direct reports and therefore require thoughtful
  separation of initiation, approval, custody, recording, and reconciliation responsibilities.
• Recommend improvements to accounting systems, reporting tools, financial technology,
  workflows, and data practices when appropriate.
• Develop scalable financial processes capable of supporting organizational growth, multiple
  grants and budgets, and increasingly diversified healthcare and philanthropic revenue.
• Maintain strict confidentiality when handling financial, payroll, employee, donor, vendor,
  patient-related, and organizational information.

REQUIRED QUALIFICATIONS

• Bachelor’s degree in Accounting, Finance, Business Administration, or a closely related field.
• Minimum of five (5) years of progressively responsible professional accounting experience,
  including substantial nonprofit accounting and grant financial management experience.
• Demonstrated experience independently managing or owning a significant portion of an
  organization’s accounting function, including general ledger, reconciliations, month-end
  close, financial statement preparation, and management reporting.
• Demonstrated experience managing the financial components of multiple grants, restricted
  funding sources, and budgets simultaneously.
• Strong knowledge of nonprofit accounting, restricted and unrestricted funds, grant expense
  allocation, cost allocation, and nonprofit financial reporting.
• Experience developing, monitoring, forecasting, and reconciling organizational, departmental,
  program, and grant budgets.
• Experience preparing budget-to-actual reports, analyzing financial variances, and
  communicating financial risks and trends to executive leadership.
• Working knowledge of Generally Accepted Accounting Principles (GAAP) and sound
  accounting and internal-control practices.
• Experience preparing financial records, schedules, reconciliations, and supporting
  documentation for annual audits and external accountants.
• Demonstrated ability to independently assess accounting records and financial processes,
  identify problems, establish priorities, implement solutions, and follow through to
  completion.
• Strong proficiency with accounting software and Microsoft Excel, including financial
  spreadsheets, reconciliations, data analysis, reporting, and multi-budget tracking.
• Strong analytical and problem-solving skills with exceptional attention to detail, accuracy,
  documentation, and deadlines.
• Ability to manage multiple funding sources, budgets, grants, reporting requirements, close
  deadlines, and competing priorities without direct staff support.
• Ability to communicate complex financial information clearly and appropriately to the CEO,
  Board/committee members, program leaders, external accountants, funders, and non-
  financial colleagues.
• Demonstrated integrity, discretion, accountability, professional judgment, and ability to work
  independently while maintaining appropriate communication with the CEO.
  PREFERRED QUALIFICATIONS
• Experience with healthcare accounting, healthcare reimbursement, Medicaid, commercial
  insurance, accounts receivable, or healthcare revenue-cycle financial operations.
• Experience working in a nonprofit healthcare, community health, behavioral health, maternal
  health, or other healthcare-related organization.
• Experience managing government, foundation, and/or other complex grant funding with
  varied reimbursement, restriction, and reporting requirements.
• Experience strengthening or rebuilding accounting systems, close processes, internal controls,
  or financial reporting within a growing nonprofit organization.
• Experience working directly with a CEO, Board/Finance Committee, and external CPA/audit
  firms.
• Experience with accounting systems, payroll systems, billing/revenue-cycle systems,
  expense/AP systems, grant-management tools, and other financial technology platforms.
  CPA licensure is not required for this position.
  CORE COMPETENCIES
  Financial Ownership, Accuracy & Accountability
  Takes responsibility for the integrity of the accounting function and maintains a high standard for
  accuracy, completeness, documentation, reconciliation, and follow-through.
  Independent Problem-Solving
  Can assess a financial situation, determine what needs to be done, establish priorities, resolve
  issues, and move work forward without requiring extensive day-to-day direction.
  Nonprofit & Grant Financial Expertise
  Understands restricted funding, multiple grant budgets, expense and personnel allocations,
  reimbursement requirements, reporting deadlines, and nonprofit financial management.
  Multi-Budget Financial Management
  Can simultaneously oversee organizational, departmental, program, healthcare, and grant budgets
  while maintaining clear visibility into available funds, commitments, variances, and financial
  risk.
  Analytical Thinking
  Looks beyond the numbers to identify discrepancies, trends, risks, root causes, and opportunities
  requiring attention or action.
  Internal Control Mindset
  Understands segregation of duties, approval controls, documentation standards, access controls,
  and the importance of designing practical safeguards within a lean organizational structure.
  Adaptability & Learning Agility
  Can quickly learn new systems, funding structures, reimbursement processes, accounting
  requirements, and organizational needs.

Proactive Communication
Raises financial concerns early, provides clear context, and brings practical options or recommended solutions to the CEO rather than allowing issues to remain unresolved.
Organization & Time Management
Effectively manages recurring accounting responsibilities alongside multiple grants, budgets, audits, reporting deadlines, close activities, and special projects.
Cross-Functional Collaboration
Works effectively with the CEO, program and grants staff, healthcare operations, payroll and billing partners, external contractors, funders, and the organization’s CPA/audit firm while retaining clear ownership of internal accounting responsibilities.
Integrity & Confidentiality
Handles sensitive financial, employee, donor, vendor, patient-related, and organizational information with discretion and professionalism.

COMPENSATION & BENEFITS
Salary: $70,000–$80,000 annually, commensurate with experience.
Compensation within the range will reflect the selected candidate’s depth of nonprofit accounting experience, grant and multi-budget financial management expertise, healthcare finance/reimbursement experience, technical accounting skills, systems knowledge, and demonstrated ability to independently own and strengthen accounting operations.
Benefits include:

• Comprehensive health, dental, and vision insurance
• Paid time off and holidays
• Professional development opportunities
• Hybrid work environment
• Collaborative, mission-driven organizational culture
• Opportunity to contribute directly to the financial sustainability, accountability, and continued
  growth of a community-centered nonprofit healthcare organization
  WHY JOIN VILLAGE OF HEALING
  This position offers an experienced nonprofit finance professional the opportunity to do more
  than maintain accounting records. The Finance & Accounting Manager will have meaningful
  ownership of the internal accounting structure and will help strengthen the financial foundation
  of a growing nonprofit healthcare organization.
  As Village of Healing expands healthcare services, manages multiple grants and budgets,
  diversifies revenue, and increases long-term financial sustainability, this role will provide the
  CEO with accurate financial information, disciplined accounting processes, strong controls, and
  reliable financial stewardship.

We are seeking someone who takes ownership, values accuracy and accountability, identifies problems before they become crises, and understands that strong financial management directly supports Village of Healing’s ability to fulfill its mission. If you are an experienced nonprofit accounting professional who enjoys bringing structure to complex financial operations, managing multiple budgets and funding streams, solving problems, strengthening systems, and helping mission-driven organizations grow responsibly, we encourage you to apply. Apply through LinkedIn and Indeed, or send your resume to admin@villageofhealing.org.