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Our Vision & Mission We envision a world in which all people have access to high-quality and enduring solutions to improve and maintain their health and well-being. MCD Global Health is a recognized leader in public health program development, implementation, and evaluation, working both in the United States and internationally. Join a once-in-a-generation effort to modernize rural healthcare across Maine. Manage complex federal subaward agreements supporting healthcare organizations across Maine. Lead contract development, execution, monitoring, amendments, and closeout while ensuring regulatory compliance. MCD offers competitive salaries and a comprehensive benefits package. This position is based remotely within the U.S. and involves regular travel to and within Maine. This position is contingent upon confirmation of funding. Salary offers may vary based on qualifications, experience, and geographic location. Join a once-in-a-generation effort to modernize rural healthcare across Maine.   Join a statewide initiative modernizing healthcare technology across rural Maine. We are seeking an experienced Finance & Accounting Manager to oversee financial administration of approximately $30 million in federal funding supporting EMR modernization projects across more than 70 healthcare organizations. The successful candidate will lead budgeting, reimbursement processing, financial reporting, audit preparation, and fiscal compliance while partnering closely with program leadership to ensure sound stewardship of federal funds. Position Summary: The Finance & Accounting Manager provides financial leadership for the EMR Modernization Grant Program and is responsible for fiscal oversight, budgeting, accounting, reimbursement processing, financial reporting, audit coordination, and compliance with federal grant requirements. Primary Responsibilities Manage project finances and accounting  Develop and monitor program budgets  Review reimbursement requests  Verify allowable costs  Prepare federal financial reports  Coordinate audits  Oversee internal controls  Monitor cash flow  Support financial forecasting  Supervise project accounting activities  Qualifications Bachelor's in Accounting or Finance  CPA preferred  7+ years of accounting experience  Federal grant experience  Knowledge of 2 CFR 200 Finance and Accounting Manager - EMR Modernization Grade Level: 6 Anticipated Salary: $112,000 - $126,000