Accounting Director, Grants and Behavioral Health Programs

We are seeking an accomplished and mission-driven Accounting Director - Grants and Behavioral Health Programs to provide strategic and operational financial leadership across our grant-funded and payer-based behavioral health portfolio.

This role serves as both a financial steward and a strategic partner to the leadership teams of VNS Health Behavioral Health and the Center for Home Care Policy & Research. The Director will ensure that all federal, state, city, private, and payer funding is managed with excellence - compliant with all requirements, optimized for impact, and aligned to the organization's strategic and operational goals.

This is an exceptional opportunity for a financial leader who combines technical depth with business acumen - someone who can ensure accuracy and integrity in financial operations while advising leadership on how to deploy resources most effectively.

What We Provide:

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do:

Strategic Financial Partnership

• Serve as a trusted advisor to Behavioral Health and Research leadership, providing insight into program performance, financial risk, and strategic opportunities.
• Optimize the use of grant and payer-based funds, ensuring dollars are aligned to the right activities and that direct vs. indirect cost allocations support long-term sustainability.
• Translate complex financial information into actionable insights that guide decision-making and investment planning.

Financial Oversight & Operations

• Oversee financial operations for grant-funded and payer-based behavioral health programs, including budgeting, reporting, reconciliations, and cost allocations.
• Lead the accounts receivable reconciliation process, ensuring accuracy of balances, timely resolution of discrepancies, and appropriate reserves.
• Maintain oversight of reserve methodologies and ensure sound financial treatment of accruals, revenue recognition, and adjustments.
• Partner with FP&A, and operational teams to ensure consistency and transparency in financial reporting.

Compliance & Audit Management

• Ensure full compliance with all applicable federal, state, city, and private funding regulations.
• Provide leadership for all financial audits, including Uniform Guidance, Cost and Financial Reporting (CFR), and Indirect Cost Rate (ICR) certifications.
• Develop and maintain strong internal controls, documentation, and reporting processes to ensure audit readiness and regulatory integrity.
• Monitor evolving compliance requirements and proactively update policies and procedures.

Leadership & Continuous Improvement

• Lead and develop a high-performing team of accounting professionals supporting grants and behavioral health programs.
• Foster a culture of collaboration, accountability, and professional growth, aligned with the organization's values of Agility, Empathy, and Integrity.
• Continuously evaluate and improve systems, workflows, and reporting to strengthen financial management and decision support.

Education:

• Bachelor's degree in accounting, finance, or related field required; CPA strongly preferred.

Experience:

• Minimum 7-10 years of progressive experience in accounting, grant management, and payer-based program oversight within a nonprofit or healthcare environment.
• Strong technical knowledge of Uniform Guidance, CFR, ICR certifications, and federal/state audit requirements.
• Demonstrated expertise in accounts receivable reconciliation, reserve management, and financial reporting.
• Proven ability to partner strategically with program and research leaders.
• Exceptional communication, analytical, and leadership skills.

Why Join Us:

• Lead accounting for one of the most impactful areas of our organization - connecting financial discipline with community impact.
• Partner directly with senior leadership to ensure critical funding supports innovative and evidence-based programs in behavioral health and research.
• Join a mission-driven organization that values Agility, Empathy, and Integrity.
• Competitive compensation and benefits, with opportunities for continued professional development and leadership growth.