Position Overview

The Accounting Specialist is responsible for providing accounting, financial reporting, treasury, and ancillary services support within the Financial Services department. Working closely with the Finance team and internal stakeholders across the organization, the role supports the integrity, accuracy, and timely reporting of financial information critical to organizational decision-making and operations.

The Accounting Specialist plays a key role in the monthly, quarterly, and annual financial closeprocesses, including account reconciliations, financial analysis, treasury activities, audit support, financial systems administration, and maintenance of internal controls. The role also supports financial systems optimization initiatives, including SAP S/4HANA, SAP Ariba, and reporting tools.

In addition, the position supports the administration and financial tracking of ancillary service agreements and lease arrangements, including landlord and tenant obligations, billing coordination, renewals, amendments, and reconciliations for hospital-owned and leased properties.

The incumbent collaborates closely with the broader Finance Portfolio (including Financial Planning and Reporting, Accounts Payable, Payroll, Billing [“Business Office”]), Decision Support, Human resources, Information Management and Technology and other clinical and non-clinical departments to support operational and financial reporting requirements, process improvement initiatives, and strong financial stewardship across the organization.

Primary Responsibilities

• Perform month-end activities including scheduled system interfaces, reallocations, accruals, and journal entries.
• Support monthly, quarterly, and annual financial close processes.
• Prepare account analyses, reconciliations, and related adjusting or reclassification journal entries.
• Analyze financial results, investigate variances, and identify trends or discrepancies requiring follow-up or corrective action
• Prepare and maintain financial reports critical to the close process, including but not limited to the Income Statement, Balance Sheet, Cash Flow Statement, Operational Portfolio Reporting
• Prepare month-end data files for uploading into reporting tools (e.g., Cognos BI).
• Maintain supporting schedules and reconcile sub-ledgers to general ledger balances.
• Perform bank reconciliations and investigate discrepancies as required.
• Support treasury management activities including cash monitoring, banking administration, and liquidity reporting
• Prepare audit working papers and support annual external audit requirements.
• Administer user access and maintain internal controls for SAP Ariba requisitioners and approvers.
• Administer chart of accounts maintenance including account creation, cost centre maintenance, terminations, and related change management activities. Ensure integrity and accuracy of financial master data, including chart of accounts, cost centres, and system hierarchies
• Support and maintain strong internal controls, ensuring compliance with organizational policies, accounting standards, and audit requirements
• Support financial systems optimization, testing, and implementation activities related to SAP S/4HANA, SAP Ariba, and reporting tools
• Support the administration, financial tracking, and reporting of ancillary service agreements and lease arrangements, including landlord and tenant obligations, billing coordination, renewals, amendments, and reconciliations
• Review, validate, and process specialized funding and billing reconciliations, including bundled care and other ministry-funded programs.
• Identify and implement process improvement opportunities to enhance efficiency, accuracy, and internal controls within Finance and operational areas
• Develop and maintain process documentation, standard operating procedures, and training materials related to assigned responsibilities.
• Provide financial and operational support to internal stakeholders by responding to inquiries and assisting with financial interpretation and reportingneeds
• Collaborate effectively with internal stakeholders across clinical and corporate departments.
• Perform other duties and special projects as assigned.

Education

• University degree in Accounting, Finance or Business
• Working towards CPA designation

Experience

• Minimum five (3-5) years’ progressive experience preferably with hospital healthcare experience
• Experience analyzing financial data and preparing financial reports, statements and projections
• Experience with SAP, SRM, Cognos reporting tools is considered an asset
• Intermediate to advance excel skills, pivot tables, lookups, SUMIFs
• Ability to prioritize tasks and responsibilities
• Excellent analytical, problem solving abilities
• Strong interpersonal and communication skills (bothwritten and verbal)
• Strong work ethic with a positive, can-do attitude and takes initiative
• All employees of Michael Garron Hospital (MGH), a division of Toronto East Health Network (TEHN) [formerly Toronto East General Hospital (TEGH)] agree to work within the legislated practices of the Occupational Health and Safety Act of Ontario.
• All employees of MGH are responsible to contribute to a transparent culture of patient and staff safety by adhering to and abiding by patient and staff safety policies and procedures set by MGH.
• All employees are accountable for protecting the psychological health and safety of themselves and their co-workers through adherence to MGH's policies and practices.