Accounting Manager at True Health – Sanford, Florida

Accounting Manager

Position Title: Accounting Manage

Reports To: Chief Financial Officer

FLSA Status: Full time - Salaried, exempt as defined under Fair Labor Standards Act

Location: Sanford Administration

Content Last Revised: 12/29/2025

ORGANIZATION OVERVIEW

The Central Florida Family Health Center, Inc. dba True Health is a private, not-for-profit federally qualified health center (FQHC) serving Central Florida since 1977. Our mission is to provide high-quality, comprehensive healthcare at a reasonable cost to everyone.

JOB SUMMARY

The Accounting Manager will be responsible for oversight of all finance, accounting, and reporting activities. This person will also lead day-to-day financial operations of a $40M budget. The Accounting Manager will oversee the day-to-day operations of the Finance Department to ensure and maintain internal financial controls and implementation of accounting policies and procedures in compliance with HRSA, legal, and statutory requirements. This is NOT a remote position.

KEY RESPONSIBILITIES

• Maintains a transparent, effective relationship with the Chief Financial Officer and Senior Leadership team by supporting the organization's activities, implementing Board-approved policies, and reporting on the financial condition of the Health Center
• Fosters an environment and culture that focuses on fulfilling the company's mission, vision, and values
• Prepare monthly and annual financial statements in an accurate and timely manner
• Responsible for monthly reconciliation of all balance sheet accounts
• Responsible for directing daily accounting functions, maintaining the accuracy of financial records, and timely recording of all financial transactions, including payroll, disbursements, contract reporting/billing, pledges, cash receipts, inventory, and necessary accruals and adjusting journal entries

• Maintains records in compliance with HRSA, Generally Accepted Accounting Principles (GAAP), True Health policies, procedures, internal financial controls, and initiatives
• Supports grant compliance (including governmental contracts) by assisting with the preparation of budgets to ensure that expenditures are aligned with grant deliverables
• Maintains chart of accounts, orderly electronic accounting, and compliant document retention system
• Ensures monthly bank reconciliations are current and captured in the accounting system by month-end
• Provides regular cash flow and monthly reports to senior management
• Maintains internal controls including that of inventory, procurement, payroll, receipts, disbursements, and other processes
• Monitors relevant regulatory issues that may impact True Health
• Reviews and approve transactions before posting to the General Ledger
• Performs internal audits and assess effectiveness of internal controls
• Coordinate fiscal audit documentation, to include the annual financial audit, Single Federal Audit, and provide auditors with necessary information for completion of the IRS Form 990
• Works with staff to establish individual goals and objectives on an annual basis and monitor and advise on their progress to enhance their professional development
• Conducts monthly review and oversee reconciliation of general ledger accounts, including detailed analyses of balance sheet, revenue and expense accounts to ensure accurate and timely reporting
• Collaborates with Grants Director to ensure timely and accurate reporting
• Maintains reporting and finance calendars to ensure local, state, and federal government reports are reviewed and dates are met by the accounting team
• Analyzes financial data and presents financial reports, monitors progress and fluctuations, and keeps CFO abreast of the financial status and cash flow projections
• Provides day-to-day financial oversight of True Health's operating budgets
• Recruits, interviews, and hire finance staff as necessary
• Remains in compliance with policies, procedures, and processes
• Prepares and presents monthly financial budgeting reports including monthly profit and loss by department, forecast vs. budget by division, and weekly cash flow by department
• Reviews and analyze monthly financial results
• Works with leaders to ensure adherence to monthly and annual budget expectations

• Reviews and ensure application of appropriate internal controls, compliance, and financial procedures
• Remains current on audit best practices as well as state, federal and local laws as it relates to company operations
• Travel as necessary using personal vehicle (must maintain current auto insurance at own expense)
• Other responsibilities as assigned

ESSENTIAL FUNCTIONS

• Problem Solving
• Project Management
• Customer Service
• Verbal Communication
• Written Communication
• Leadership
• Professional Judgement
• Planning/Organizing
• Adaptability
• Initiative
• Innovation
• Administration/Operations
• Strategic Planning
• Financial Analysis/Budgeting/Forecasting
• Accounting/General Ledger
• Administration/Operations
• Financial Management
• Managerial Skills
• Vision

MINIMUM QUALIFICATIONS

• Education:
  1. Master's degree in Accounting Preferred
  2. Bachelor's degree Required
• Experience:
  1. Minimum of three (3) years' healthcare financial experience with at least two (2) years' in the Accounting field at the manager level Preferred
  2. Advanced proficiency in Microsoft Office (Ex. Word, Excel, Outlook)
  3. Experience reporting on federal, state, and private grants Preferred
  4. Federally Qualified Health Center (FQHC) experience Preferred

• Licenses or Certifications:
  1. Certified Public Accountant (CPA) preferred
• Criminal Background Clearance:
  1. True Health is a Health Center Program grantee under 42 U.S.C. 254b, a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n), and partners with agencies that require criminal background checks. True

Health has established policies and procedures that may influence the overall employment process, hiring, and "just cause" for the termination of employees. An employee's career could be shortened ifthere is a violation of any policies and procedures.

Prohibited criminal behavior is defined in Florida Statute (F.S.) 408.809. Any employee arrested for any offense outlined in the F.S.408.809 will be immediately suspended and remain suspended until the charges are disposed of in court. The employee will be terminated for an arrest or conviction of any violation listed above.

DRUG/ALCOHOL SCREENINGS

A post-offer drug and alcohol screen is a requirement for employment. Failure to successfully pass the drug/alcohol screen will be cause for the offer to be rescinded. Employees are subject to random drug/alcohol screenings throughout the duration of their employment with True Health. If an employee fails to pass the drug/alcohol screening, then this shall become grounds for discipline up to and including immediate termination.

WORK ENVIRONMENT

• The employee is subject to prolonged periods of sitting at a desk and working on a computer.
• The employee is subject to perform repetitive hand and wrist motions.
• The employee is frequently required to stand, walk, talk, and hear.
• The employee is occasionally required to use hands to handle or feel objects, reach with hands and arms, stoop, kneel, crouch, and move or lift up to twenty-five (25) pounds.
• The employee is required to use close vision, peripheral vision, depth perception, and adjust focus.
• A reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

WORKING CONDITIONS

The employee will work as the needs of the operation require. Normal work days and hours are Monday through Thursday, 8am - 6pm and Fridays, 8am - 12pm; however, there will be times when the employee will need to come in or work on "off hours" or "off days" to meet the needs of the position.

CORE COMPETENCIES

Mission-Focused: Commits to and embraces True Health's mission to enable access to care for uninsured and underinsured individuals.

Relationship-Oriented: Understands that people come before process and is essential in cultivating and managing relationships toward a common goal.

Collaborator: Understands the roles and contributions of all sectors of the organization and can mobilize resources (financial and human) through meaningful engagement.

Results-Driven: Dedicated to shared and measurable goals for the common good; creating, resourcing, scaling, and leveraging strategies and innovations for broad investment and community impact.

Brand Steward: Steward of True Health's brand and understands his/her role in growing and protecting the reputation and results of the greater organization.

Visionary: Confronts the complex realities of the environment and simultaneously maintains faith in a different and better future, providing purpose, direction, and motivation.

Team-Builder: Fosters commitment, trust, and collaboration among internal and external stakeholders.

Business Acumen: Possesses a high-level of broad business and management skills and contributes to generating financial support for the organization.

Network-Oriented: Values the power of networks; strives to leverage True Health's breadth of community presence, relationships, and strategy.

SELECTION GUIDELINES

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.