Position Summary
The Finance Manager runs the day-to-day financial operations that keep the organization stable and audit-ready. This role owns core accounting processes, supports budgeting and forecasting, tracks KPIs, and helps strengthen cash flow and internal controls. The Finance Manager partners closely with the CEO and operational leaders to turn financial data into clear decisions.
Position Details
• Department: Finance
• Job Type: Full-Time
• Location: Raleigh
• FLSA Status: Exempt
• Reports To: CEO or Director of Finance (based on structure)
• Supervises: 0 to 2 (or vendors), based on structure
Essential Functions
Accounting and Close
• Manage accurate and timely financial reporting and month-end close.
• Maintain general ledger integrity, reconciliations, and supporting schedules.
• Support compliance with GAAP and internal financial policies.
• Coordinate with external partners as needed (bookkeeper, CPA firm, payroll vendor).
Budgeting and Financial Reporting
• Support the annual budgeting process and monthly budget-to-actual reporting.
• Build and maintain KPI tracking and basic dashboards for leadership.
• Prepare financial summaries that highlight trends, risks, and action items.
Cash Flow and Controls
• Monitor cash flow and working capital needs.
• Support internal controls, purchasing controls, and expense management.
• Assist with risk management documentation and finance-related policies.
Revenue Cycle and Billing Support
• Support billing, insurance reimbursements, and collections workflows.
• Track revenue cycle performance metrics and flag issues early.
• Partner with operations to improve documentation, coding accuracy, and process flow.
Compliance Support
• Support compliance with applicable federal, state, and local regulations, including HIPAA, OSHA, and licensing requirements as they relate to finance operations.
• Maintain up-to-date finance policies and support staff training as assigned.
• Assist with audit preparation and documentation requests.
Additional Responsibilities
• Serve as a finance point of contact for routine questions from internal teams.
• Support process improvements and system enhancements.
• Perform other duties as assigned.
Qualifications
• Education: Bachelors degree in Accounting, Finance, or related field required.
• Experience: 5+ years of progressive finance or accounting experience preferred; healthcare or behavioral health experience strongly preferred.
• Working knowledge of healthcare billing, insurance reimbursements, and revenue cycle concepts.
• Experience in a small to mid-sized, fast-growing organization preferred.
Skills and Competencies
• Strong analytical and problem-solving skills.
• Clear written and verbal communication.
• High attention to detail and strong follow-through.
• Ability to work independently and handle confidential matters with discretion.
• Proficiency with accounting tools and enterprise software (e.g., QuickBooks, Acumatica, Paychex).
• Proficiency in Microsoft Office (Excel required).
Pay, Benefits, and Perks
• Healthcare options including Medical, Dental, Vision, Life, and other voluntary insurances
• 401(k) retirement plan with company-matched contributions after 1 year of employment

Equal Employment Opportunity (EEO)
All are welcome. We value a diverse and culturally competent workforce and are proud of our commitment to being an equal opportunity, affirmative action organization. We do not discriminate against applicants or employees on the basis of any protected class status, including disability status and protected veteran status.
Our facility provides equal employment opportunities and complies with all state, federal, and local laws that prohibit discrimination in employment, including recruitment, hiring, placement, promotion, transfers, compensation, benefits, training, programs, reductions in workforce, termination, and recall. Employment decisions are made without regard to legally protected characteristics, including age, sex, race, color, creed, religion, national origin, ancestry, citizenship, marital status, pregnancy, medical condition, physical or mental disability, sexual orientation, gender identity, sex stereotyping, or genetic information.