Treasury Accountant (Healthcare Accounting and Sage Intacct Expert)

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Manage day-to-day treasury functions, including cash position management and bank reconciliation, while ensuring compliance with US GAAP and healthcare regulations.

Job Title: Treasury Accountant (Remote – EST Hours)
Location: Remote (Must be able to work full-time on Eastern Standard Time)
Employment Type: Full-Time
Industry: Healthcare
Reports To: Controller / Finance Manager

About the Role:

We are seeking a detail-oriented and highly analytical Treasury Accountant to join our growing finance team. The ideal candidate is a CPA with strong expertise in US GAAP, end-to-end accounting, and healthcare accounting, and is an expert user of Sage Intacct. This role will be responsible for managing day-to-day treasury functions, generating daily and weekly cash reports, and supporting accounting operations through efficient data extraction, reconciliation, and upload preparation.

This is a fully remote position requiring strict adherence to US Eastern Time working hours.

Scope of Work: Treasury Associate / Treasury Accountant

  • Cash Position Management: Monitor daily cash balances across multiple bank accounts, ensuring optimal liquidity and flagging variances or unusual movements.
  • Bank Reconciliation: Reconcile bank statements to the general ledger on a regular basis, identifying and resolving discrepancies promptly.
  • Cash Forecasting: Prepare short-term and long-term cash flow forecasts, working closely with Accounts Payable and Accounts Receivable teams to project cash needs and availability.
  • Treasury Reporting: Produce and distribute daily and weekly treasury dashboards, including cash position summaries, inflows/outflows, and burn rate analysis.
  • Bank Relationship Management: Liaise with banking partners regarding new account setups, wire transfers, documentation requirements, and resolving transaction issues.
  • Internal Controls: Maintain documentation of treasury processes and ensure strong internal controls are followed for cash disbursements, transfers, and receipts.
  • Transaction Processing: Prepare and initiate ACH/wire transfers, record intercompany transactions, and ensure funds are allocated appropriately.
  • Upload Preparation: Prepare financial data and upload files for integration into Sage Intacct, ensuring accuracy and completeness of bank data and journal entries.
  • Regulatory Compliance: Ensure treasury operations comply with US GAAP, internal audit guidelines, and industry-specific regulations, especially those applicable to healthcare.
  • Treasury Process Improvement: Identify opportunities to automate and streamline treasury workflows and support system enhancements.

Key Responsibilities:

  • Pull and consolidate banking data from multiple financial institutions and portals
  • Prepare daily and weekly cash position and liquidity reports for finance leadership
  • Maintain cash flow models and update forecasts regularly
  • Upload and post treasury transactions in Sage Intacct
  • Assist with financial close processes by providing reconciled cash data
  • Support audit and compliance initiatives related to treasury operations
  • Serve as the internal point of contact for bank-related issues and escalations
  • Collaborate with cross-functional teams including Accounting, FP&A, and Operations

Qualifications:

  • Certified Public Accountant (CPA) required
  • Minimum 5 years of experience in accounting or treasury, with healthcare exposure preferred
  • Advanced knowledge of US GAAP and healthcare accounting standards
  • Extensive experience using Sage Intacct
  • Strong proficiency in Excel and data manipulation
  • Highly analytical and detail-oriented, with excellent time management
  • Ability to work independently and manage priorities in a remote, EST-aligned environment

Preferred Qualifications:

  • Experience in multi-entity or multi-bank structures
  • Knowledge of treasury or financial planning systems/tools
  • Familiarity with HIPAA-compliant environments or healthcare operations
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