Changing health care
to improve quality of
life for all.
Beth Israel Lahey Health’s roots in providing top-quality health care date back nearly a century. We're fully committed to ensuring our patients receive the care they deserve. As a leading healthcare provider throughout New England, we aim to change the current state of health care for the better and make lasting improvements that guarantee access to our services.
Senior Accountant
Charlestown, Massachusetts; Boston, Massachusetts
Organization Facility: Beth Israel Lahey Health - Non Executive Category: Accounting Job ID: JR72202 Date posted: 04/10/2025Job Type: Regular
Time Type: Full time
Work Shift: Day (United States of America)
FLSA Status: Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Responsible for journal entry processing, account analysis, statement preparation, review of budget variances, and audit follow-up for Beth Israel Lahey Health (BILH) Entities.Job Description:
Essential Duties & Responsibilities including but not limited to:
1. Prepares Entities’ financial statements on a monthly basis. These financial statements are as follows: Balance Sheet, Statement of Operations, Accounts Receivable Statement, Cash Forecast, Variance Analysis, and Account Analysis.
2. Prepares journal entries and accruals to make the Entities General Ledger reflect annual operations in accordance with Generally Accepted Accounting Principles. Reviews journal entries prepared by the staff accountants.
3. During the year-end external audit, functions as a resource and prepares detailed analysis and supporting schedules used by external auditors. Reviews audit schedules prepared by the staff accountants to comply with the reporting requirements of the Audit.
4. Prepares analysis of cash receipts and disbursements daily for use by Fiscal Services Management in making investment decisions. Trains new staff members regarding cash processing.
5. Investigates variances from the budget on all operating accounts. Contacts all levels of Entity management to obtain information or clarification on reasons for variances. Performs detailed analysis of activity in various General Ledger accounts including bank accounts and accounts receivable aged trial balances.
6. Acts as a working supervisor on physical inventories; from the inventory count and input, reconciliation to General Ledger, determines reasons for differences, and prepares inventory statements.
7. Audits vendor payment packages prepared by Accounts Payable Assistants for compliance with the Entity’s policy, completeness of documentation, and propriety of accounting treatment. Resolves discrepancies in any of the above areas.
8. Prepares procedures for various operations of the accounting department, maintains procedures manual, and updates chart of accounts manual.
9. Conducts training sessions on various responsibilities of the accounting department. Assists in training of new personnel. Functions as a resource person and the first layer of support for staff accountant's procedural and personal compute questions.
10. Prepares analysis for departmental requests on an as needed basis and provides follow-up communication with Entity’s personnel.
11. Oversee fixed assets by:
• Create and monitor improved system of controls, procedures, and forms for the recordation of fixed assets
• Recommend any updates to accounting policies related to fixed assets
• Develop improved processes to record acquisitions and dispositions of fixed assets
• Track compilation of project costs into fixed asset accounts timely and accurately
• Reconcile subledger and general ledger asset and depreciation balances
• Investigate the potential obsolescence of fixed assets
• Conduct periodic impairment reviews of intangible assets
• Conduct physical counts and identification of fixed assets
• Prepare audit schedules relating to fixed assets and assist auditors as necessary
• Prepares journal entries, reports, and ad hoc requests
• Conducts analyses, provides consulting, and makes recommendations
• Actively support budget preparation, forecasts, and analysis
Competencies:
Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge, and skills based on general precedents.
Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by the supervisor/manager.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families, and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures, and policies with the ability to use them in varied situations.
Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work groups by offering ideas, identifying issues, and respecting team members.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff, and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem-solving. Ability to remain calm in stressful situations.
Minimum Qualifications:
Education:
Bachelor’s Degree in Accounting or Finance
Licensure, Certification & Registration:
Experience:
1-3 years related work experience required
Skills, Knowledge & Abilities:
- Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications.
- May produce complex documents, perform analysis and maintain databases.
Preferred Qualifications & Skills:
- Working knowledge of Workday Financial Accounting Systems is a plus
Key Business Relationships: (Title and Purpose)
Controllers: Works in conjunction with the Controllers in oversight of the accounting teams
Hospital/Organization CFOs: Work in collaboration with the CFOs to ensure their understanding of their financial position
Tax Department: Work in collaboration with the tax department in preparation of tax returns
Hospital Leadership: Works with hospital leadership in ensuring their understanding of department level financials
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
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If you’re looking for a career where you can make a difference and explore your potential, Beth Israel Lahey Health is the place you belong. Our system includes a network of hospitals, physician practices, outpatient centers, and other healthcare facilities and we offer a broad range of careers in direct patient care, environmental services, registration, finance and many other fields. We are focused on providing compassionate and personalized healthcare with a strong reputation for clinical excellence and research and offer diverse opportunities for career growth and development. Conveniently, we have many locations in communities across Eastern Massachusetts and Southern New Hampshire.
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