Treasury Accountant (Healthcare Accounting and Sage Intacct Expert)

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