Full-Time

Accounting Manager

Posted on 9/9/2026

Beth Israel Lahey Health

Beth Israel Lahey Health

10,001+ employees

Integrated health system delivering care, education

Compensation Overview

$90k - $114.4k/yr

Boston, MA, USA

In Person

Bachelor's, Master's

Category
Accounting (1)
Required Skills
Forecasting
Financial analysis
Word/Pages/Docs
Excel/Numbers/Sheets
Microsoft Outlook

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Requirements
  • A bachelor's degree in Accounting or Finance is required.
  • Three to five years of related work experience is required.
  • Zero to one year of supervisory or management experience is required.
  • Strong Microsoft Excel experience is required.
  • Strong personal computer-based and accounting/general ledger systems experience is required.
  • Advanced skills with Microsoft applications, including Outlook, Word, Excel, PowerPoint or Access, and other web-based applications are required.
  • Ability to communicate moderately complex information in English in varied written formats to internal and external customers.
  • Ability to verbally communicate complex concepts in English and address sensitive situations, resolve conflicts, negotiate, motivate, and persuade others.
  • In-depth knowledge of relevant concepts, practices, and policies, with the ability to apply them in complex and varied situations.
  • Ability to act as a team leader for small projects or work groups and improve workflows.
  • Ability to provide customer service and staff training to meet standards and expectations.
  • Ability to work with sustained concentration, adapt to daily changes, use independent judgment, and manage priorities.
Responsibilities
  • Perform monthly accounting entries, including general ledger entries, accounts payable, and accounts receivable activities.
  • Review and authorize HMFP, APHMFP, and Foundation check requests and Concur transactions for the DOS, maintaining check-signing authority up to $50,000.
  • Perform reconciliations and deposits for department operating funds, Foundation funds, and Division Chiefs' discretionary funds.
  • Compile and distribute department HMFP, APHMFP, and Foundation financial statements monthly in coordination with HMFP Finance.
  • Participate in HMFP monthly financial close meetings.
  • Maintain revenue cycle policies and procedures related to cash management and reporting for fourteen divisions and approximately sixteen surgical ambulatory locations.
  • Develop, manage, and maintain HMFP, APHMFP, and Foundation budgets and forecasts.
  • Monitor monthly departmental variances, submit information to HMFP Finance, report variances, and strategize solutions where appropriate.
  • Ensure accounts payable compliance with outside vendors.
  • Coordinate with HMFP Finance and BIDMC Finance as needed and work with the HMFP Controller to support an accurate and timely year-end audit.
  • Bill and invoice rental and other agreements.
  • Ensure agreements with outside agencies meet HIPAA Business Conduct Standards and maintain documentation for arrangements, contracts, and agreements.
  • Oversee preparation of monthly routine reports, including staff overtime trend reports, Faculty Professional Development reports, and other spending reports.
  • Prepare Finance Committee financial reporting, Faculty Compensation Plan reporting, and ad hoc reports with the department Director of Financial Services, Director of Revenue Cycle, and Chief Administrative Officer.
  • Maintain detailed documentation of decisions related to individual surgeon financial agreements, salaries, bonuses, and payroll.
  • Advise department staff on non-routine reporting transactions.
  • Provide training to new and existing staff, as well as the Senior Financial Analyst and Payroll Coordinator.
  • Collaborate with Business Development, Credentialing, Revenue Cycle, and Payroll to support onboarding for new and existing faculty, including capturing BIDMC gap funding, invoice billing to affiliate or system member hospitals, and revenue/statistic capture for HMFP and APHMFP faculty.
  • Direct and support employees' daily work activities.
  • Hire, terminate, take corrective action, and conduct performance reviews for direct reports.
  • Plan, monitor, and manage the department budget.
  • Oversee the department's payroll functions.
Desired Qualifications
  • A master's degree in Finance or Accounting is preferred.
Beth Israel Lahey Health

Beth Israel Lahey Health

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Beth Israel Lahey Health is an integrated health system that coordinates care across hospitals, clinics, and other care settings to keep patients connected wherever they are. Its services come from doctors, nurses, technicians, social workers, and educators who work together, guided by medical research and education. The system operates by linking hospitals, primary and specialty care, and support services so patients receive seamless care with access to resources like research-informed treatment and training for staff. Unlike standalone hospitals or fragmented care providers, it combines multiple facilities and care teams into a single network to improve consistency and efficiency. The overarching goal is to improve patient outcomes and experience by delivering high-quality, coordinated care through research-backed practices and continuous education for its workforce.

Company Size

10,001+

Company Stage

N/A

Total Funding

N/A

Headquarters

Cambridge, Massachusetts

Founded

2017

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Simplify Jobs

Simplify's Take

What believers are saying

  • BILH posted a $93 million operating gain in 2025 after four loss-making years.
  • First-quarter 2026 operating income hit $60.2 million, reversing last year's loss.
  • Heidi's pilot cut after-hours work for 74% of users and lifted patient presence.

What critics are saying

  • Kevin Tabb exits by 2027, forcing a national CEO search during expansion.
  • Massachusetts AG price caps and annual monitoring constrain pricing through 2025.
  • 2025 RICO litigation against drug and pharmacy giants ties BILH to costly court fights.

What makes Beth Israel Lahey Health unique

  • BILH spans 14 hospitals and 39,000 employees, combining academic and community care.
  • BILH’s 2026 Heidi rollout standardizes ambient AI scribing across all physicians.
  • BILH is shifting 64% of care outside Boston and Burlington, deepening local access.

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Benefits

Mental Health Support

Company News

Associated Press
Apr 28th, 2026
Beth Israel Lahey Health rolls out Heidi's AI scribing to all physicians after 90% report better patient presence

Beth Israel Lahey Health is rolling out Heidi's ambient AI scribing tool to all its physicians following a successful trial across its facilities. The health system, which serves over 6,000 providers across 14 hospitals and 175 primary care practices, prioritises addressing physician burnout, with nearly half of US physicians reporting burnout. During a six-month trial offering Heidi to 1,000 providers, the majority adopted the technology. Survey results showed 89% were satisfied with note quality, 90% felt more present with patients, 74% reduced after-hours work time, and 82% experienced reduced cognitive load during visits. The implementation demonstrates how ambient AI can deliver immediate relief to physicians whilst benefiting patients and the healthcare system. Heidi supports over 2 million consultations weekly globally and has raised $96.6 million from investors including Point72 Private Investments and Blackbird.