Job Description
About North Country Healthcare (NCH):
North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a valued team member this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance.
POSITION SUMMARY:
Adhering to System Values, Service Excellence and Standards of Behavior, the Treasury Accountant will play an integral part in supporting the organization’s accounting department. We’re looking for an energetic, detail-oriented individual who has enthusiasm to ensure accurate cash reporting, support liquidity planning, and maintain compliance with internal controls and financial regulations. At North Country Healthcare, our Finance Team has adopted these leadership standards:
- Reliability- Being results-oriented, on time, present, consistent.
- Teamwork- Give and receive feedback, provide structure and support, hold each other accountable, and respect every role.
- Compassion- Listen with purpose and for understanding, find ways to see things from each other’s perspectives, respect the dignity of others, embrace our differences, seen and unseen.
- Transparency- Avoid ambiguity, explain the “why”, use information to ease fear, build trust, and address conflict directly, timely.
- Integrity- Lead by example, own our mistakes, commit to integrated ethics, follow-through, and in all things, do good.
- Innovation- Seek better ways to do things, support our teams in identifying and solving problems, embrace learning, and foster cognitive diversity.
ESSENTIAL QUALIFICATIONS
Education:
- Bachelor’s degree in Accounting or Finance. In lieu of formal education, an additional 8 years of experience in the field is acceptable.
Certification:
- All employees and contracted staff will have either successful completion of an American Heart Association* accredited course in Basic Life Support (BLS), or ACLS and PALS combined. (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis.
*Refer to the NCH Life Support Certification Policy for position specific requirements.
Licensure:
- N/A
Skills:
- Strong understanding of cash management and banking processes.
- Proficient in accounting software and Microsoft Excel.
- Knowledge of financial reporting standards (e.g., GAAP).
- Strong analytical and problem-solving skills.
- High attention to detail and accuracy.
- Ability to manage multiple priorities and meet deadlines.
- Strong communication and interpersonal skills.
- Understanding internal controls and risk management.
- Ability to work independently and collaboratively.
Work Experience:
- 2–5+ years of accounting or treasury experience.
- Adequate experience/coursework to support a foundation of knowledge in accounting.
ESSENTIAL FUNCTIONS:
- Monitor daily cash position (by bank account) and publish an updated cash position report each business day by established cutoff time to support operating liquidity decisions.
- Prepare and maintain cash flow forecasts on a defined cadence (e.g., weekly 13-week forecast and monthly 12-month outlook) and analyze/report material variances versus actuals.
- Maintain the bank account register (signatories, account details, fees, and services) and ensure all assigned bank accounts are reconciled and reviewed within established month-end close timelines.
- Process and record treasury transactions (e.g., wires, ACH, investments, and debt activity) with complete supporting documentation, required approvals, and same-day or next-business-day posting (per policy).
- Maintain a debt and covenant schedule (balances, rates, amortization, and key covenant calculations) and provide periodic updates; escalate potential covenant issues and upcoming lender deliverables in advance of due dates.
- Perform monthly bank reconciliations for all assigned accounts; research and resolve reconciling items, documenting root cause and clearing items timely in accordance with close deadlines.
- Execute and document treasury-related internal controls (e.g., segregation of duties, approval evidence, access reviews) and support internal/external audit requests by providing accurate documentation within agreed timelines.
- Support month-end and year-end close for treasury accounts by completing assigned reconciliations, schedules, and tie-outs by close due dates and communicating status/issues proactively.
- Prepare treasury-related journal entries and support schedules with clear descriptions and documentation; ensure entries are submitted for review/approval and posted in time to meet close deadlines.
- Performs additional duties as assigned.
North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees. North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class. Employment decisions are made based on job‑related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws.
North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law. Applicants who require reasonable accommodation to complete the application process, participate in interviews, or undergo pre‑employment testing should contact [email protected].