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About the Role

This role oversees all aspects of fixed asset accounting, capital expenditure reporting, and capital planning for a multi-site long-term health care organization. Responsibilities include accurate capitalization, depreciation, reconciliation, and reporting of property and equipment in compliance with GAAP, Medicare/Medicaid cost reporting requirements, and organizational policies. The role requires strong technical accounting knowledge, experience in health care finance (preferably long-term care or skilled nursing), and the ability to manage processes across multiple facilities. Strong project management skills are beneficial as the role will lead the onboarding of new affiliate entities onto the ERP Fixed Asset module.

Responsibilities

Oversee full lifecycle of fixed assets, including acquisition, capitalization, depreciation, transfers, and disposals.
Ensure proper classification of capital vs. expense items in accordance with GAAP.
Maintain and reconcile the fixed asset subledger to the general ledger.
Manage construction-in-progress (CIP) accounting and project closeouts.
Coordinate and oversee periodic physical inventory of fixed assets across facilities.
Coordinate with facility preventative maintenance program to optimize capital spend and reduce emergency capital purchases.
Ensure compliance with U.S. GAAP and CMS reimbursement regulations.
Support preparation of Medicare and Medicaid cost reports related to capital assets and depreciation.
Assist with external audits, including preparation of fixed asset schedules and supporting documentation.
Develop and maintain capitalization policies and internal controls.
Review and approve capital expenditure requests based on operational performance and cash availability.
Partner with facility administrators and operations teams on capital planning by facilitating quarterly meetings to review capital purchases and upcoming capital projects.
Manage and further enhance five-year capital planning process.
Track capital budgets versus actual spending.
Provide reporting and analysis on capital investments and asset utilization.
Support Accounts Payable in the identification of potential capital purchases and appropriate general ledger coding.
Identify and implement process improvements and automation opportunities.
Ensure standardized procedures across all facilities.
Provide training to accounting and operations personnel on capitalization policies.

Requirements

Bachelor’s degree in Accounting or Finance required.
Minimum of 5 years of progressive accounting experience.
Experience in health care accounting required; long-term care or skilled nursing strongly preferred.
Strong knowledge of GAAP related to fixed assets and depreciation.
Experience with Medicare/Medicaid cost reporting highly desirable.
Experience with Acumatica ERP system preferred.
Strong project management skills a benefit.

Skills

Technical accounting knowledge
Health care finance
Long-term care finance
Skilled nursing finance
GAAP
Medicare/Medicaid cost reporting
Project management
Acumatica ERP system

Location

Remote

Work Type

Fully remote
Full-time

Experience Level

5 years of progressive accounting experience

Education Level

Bachelor’s degree in Accounting or Finance

Salary/Compensations

$80K to $100K

Benefits

Competitive Compensation
Health (Aetna), Dental, Vision, HSA with employer contribution
Benefits available 1st of the mo. following 30 days
Flexible Spending Account
Fully paid Life and Long-Term Disability insurance
AFLAC and supplemental life insurances
Retirement Plan
Student Loan Forgiveness Guidance
Employee Assistance Program with Discount Marketplace
Generous Paid-Time-Off with 12 Holidays

About the Company

The Carmelite System is a multi-state not-for-profit senior living organization sponsored by the Carmelite Sisters for the Aged & Infirm.

Equal Opportunity

The Carmelite System, Inc. is an Equal Opportunity Employer and adheres to a policy that prohibits discrimination on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status, and any other legally protected class.