Senior Accountant

ABOUT UNDUE MEDICAL DEBT

Undue Medical Debt (formerly RIP Medical Debt), (“Undue”) is a national 501(c)(3) nonprofit whose purpose is to strengthen communities by erasing financially burdensome medical debt. Founded in 2014, Undue is a unique nonprofit that’s pioneered medical debt relief at scale for those least able to pay, across the U.S. We work tirelessly to end medical debt and ensure a future where everyone can access healthcare without fear.

How does it work? Undue utilizes donations to buy large bundles of medical debt and then relieves that debt with no tax consequences to recipients. The results have been spectacular— more than $14 billion in medical debts eradicated so far, providing financial relief for over 9 million individuals and families. We strive to be a source of justice in an unjust healthcare finance system; an innovative solution for patient-centered healthcare providers; and a moral force for systemic change. Recently featured on NPR, the organization proudly received transformative gifts from MacKenzie Scott, a historic grant from New York City, and recognition from many other notable campaigns. The organization currently manages more than twenty government contracts.

Undue’s offices are located in Long Island City, NY, just minutes from Manhattan, conveniently located steps away from many major subway lines. The team has implemented and fully embraced a hybrid work environment, working from the office only 3 days per week. This position would also be available to remote candidates located between the MT and ET zones.

ABOUT THE POSITION

The Senior Accountant plays a key role in maintaining the accuracy and integrity of the organization’s financial records while supporting overall accounting operations. Reporting to the Accounting Manager, this position performs advanced general ledger work, prepares journal entries and reconciliations, contributes to month-end and year-end close, and assists with financial reporting and analysis. The role helps prepare audit documentation, ensures compliance with GAAP and internal policies, and supports accurate accounting across assigned areas such as cash management, accounts payable/receivable, payroll accounting, fixed assets, grants, or other modules. Strong collaboration with other departments and effective communication with finance leadership are essential skills for success in the position.

In addition to core accounting responsibilities, the Senior Accountant supports continuous improvement initiatives by identifying process efficiencies, enhancing financial system usage, and helping maintain internal controls. Although not a supervisory position, the Senior Accountant may provide guidance to junior staff, promote teamwork, and participate in developing a strong and efficient accounting function. This position is suited for an analytical, detail-oriented professional who is committed to accurate financial reporting and ongoing operational improvement.

DUTIES AND RESPONSIBILITIES

Perform general ledger accounting, including journal entries and account reconciliations.

Support month‑end and year‑end close by completing assigned tasks and preparing supporting schedules.

Assist in preparing financial reports and providing variance analysis for management review.

Maintain accuracy in assigned accounting areas such as AP/AR, payroll accounting, fixed assets, cash, or other modules.

Prepare audit documentation and support internal and external audit processes.

Ensure adherence to GAAP, internal controls, and established accounting policies.

Collaborate with other departments to gather information and resolve accounting issues.

Identify process improvements and support enhancements to accounting systems.

Provide guidance to junior staff when needed and maintain strong professional accounting knowledge.

Perform additional duties to support departmental goals and overall financial accuracy.

QUALIFICATIONS, EDUCATION, AND EXPERIENCE

Required:

Bachelor’s degree in accounting, finance, or related field.

3–5+ years of accounting experience, preferably in a nonprofit or public accounting setting.

Strong knowledge of accounting principles and financial reporting.

Proficiency in a major accounting software, ideally Sage Intacct.

Advanced Excel skills (XLOOKUP, SUMIFS, etc.).

Excellent organizational and time-management abilities.

Strong attention to detail and problem-solving skills.

Ability to work independently and as part of a team.

Effective written and verbal communication skills.

Key Competencies:

Experience with ERP systems and financial management software (e.g., Sage Intacct, Ramp).

Strong knowledge of accounting principles and standards.

Advanced proficiency in Microsoft 365 applications, with advanced Excel skills.

Strong data management and data analysis capabilities.

Ability to prepare, interpret, and explain financial statements and accounting reports.

Strong communication and interpersonal skills, including clear written and verbal communication.

Excellent time management and organizational skills; ability to manage multiple deadlines.

Ability to prioritize and follow up on requests from multiple stakeholders.

Ability to make sound decisions within established accounting policies and procedures.

Ability to work collaboratively in a transparent environment where feedback is openly exchanged.

Ability to perform effectively in a fast-paced, high-volume, and evolving environment.

Demonstrated personal initiative, strong work ethic, and collaborative approach.

Passion for Undue’s mission and willingness to learn in-depth how the organization works.

Interest in learning about healthcare inequities and various national healthcare systems.

Flexibility and adaptability to new processes in a changing environment.

Humble

• 4 weeks PTO (with additional days granted upon 3rd and 5th anniversaries).
• Fully paid medical, dental, and vision coverage.
• Hybrid office schedule for NYC-local candidates (office days are Monday, Tuesday, and Thursday).
• Employer-paid life insurance, short-term and long-term disability.
• 403(b) retirement plan matching. 
• Employee Assistance Program.