Fund Accountant
MFO Healthcare Partners
About MFO Healthcare Partners
MFO Healthcare Partners is a lower middle-market healthcare services investment firm. Fund I is targeting investments in founder-led healthcare services businesses where MFO can play a hands on operational role and continue to hold across multiple liquidity events. The firm's track record reflects a pattern of incubating businesses from inception, partnering with strategic capital at growth inflections, and exiting at scale.
The fund is led by Dr. Eric Moskow and operated by a small, deal-active team. This hire is foundational to the firm's operations.
Position Overview
MFO is hiring a Fund Accountant to own the financial operations of Fund I and serve as a strategic finance partner to the deal team. The role combines technical fund accounting and controls with active involvement in investment reporting, fund modeling, and LP reporting. The right candidate is technically excellent on fund accounting and equally comfortable pressure-testing a deal model, sitting in investment committee discussions, or walking a limited partner through waterfall mechanics.
The Fund Accountant will build the operational foundation of the fund — NAV processes, LP reporting, capital call mechanics, audit and compliance infrastructure — and is expected to develop a working command of fund economics and the underlying portfolio.
Responsibilities
Fund Operations and Accounting
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Own quarterly and annual fund accounting cycles, including NAV calculations, capital account statements, and partner allocations.
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Manage capital calls and distributions, including LP notices, wire mechanics, and reconciliation across the fund and any SPVs or parallel vehicles.
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Coordinate with the fund administrator, independent auditors, and tax preparers; own delivery quality across all third-party touchpoints.
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Maintain the chart of accounts and supporting workpapers; ensure documentation is audit-ready at all times.
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Manage fund-level cash, expense allocations, and management company finances.
Strategic Finance and Model Stewardship
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Pressure-test investment models and IC memos for internal consistency, accounting treatment, and downside scenarios.
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Own the fund-level economic model — projected MoM, IRR, fees, carry, hurdle, and waterfall mechanics across deal scenarios.
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Build and maintain LP-facing illustrative cash flow and return projections; ensure pitch materials reflect modeled economics accurately.
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Develop point of view on structuring questions including co-invest vehicles, special allocations, and GP economics.
LP Reporting and Investor Relations Support
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Produce quarterly LP reports, capital account statements, and performance summaries.
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Support LP DDQ responses, capital call notices, and ad hoc LP inquiries.
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Maintain ILPA-aligned reporting templates and any LP-specific reporting commitments.
Compliance, Valuation, and Controls
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Own the quarterly valuation process under ASC 820; coordinate inputs from the deal team and external valuation advisors as needed.
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Support regulatory and compliance filings (Form ADV, Form PF as applicable) in coordination with outside counsel.
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Maintain the fund's internal control environment and policies, including the valuation policy, expense allocation policy, and ethics/personal trading policy.
Portfolio Support
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Review portfolio company financial reporting; flag accounting or operational concerns to the deal team early.
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Provide FP&A support to portfolio companies as needed, typically in early-stage or recently founded businesses where finance functions are still being built.
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Track operational KPIs across the portfolio and support quarterly portfolio reviews.
Required Qualifications
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5–10 years of relevant experience in fund accounting at a PE firm, fund administrator, or Big 4 PE assurance/advisory; or strategic finance and corporate development with meaningful exposure to fund mechanics.
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CPA preferred, or equivalent technical accounting depth including ASC 820, partnership accounting, and complex equity instruments.
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Strong fluency in PE fund structures including LP/GP economics, waterfalls (American and European), hurdle and catch-up mechanics, management fee offsets, GP commitment, and co-invest economics.
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Hands-on financial modeling skills; able to build and audit a deal model, fund-level cash flow, and waterfall from scratch in Excel.
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Comfort building processes from a blank page in a small-team environment.
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Strong written and verbal communication skills.
Preferred Qualifications
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Healthcare services exposure, including familiarity with operating models (RCM, multi-site care, services platforms) and regulatory context (AKS, Stark, HIPAA-adjacent concerns).
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Experience supporting a fund through its first close or earliest vintage.
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Comfort sitting in deal discussions and offering substantive input on structure, returns sensitivity, and accounting implications.
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Interest in growing into a Controller of senior finance professional at MFO over time as the platform scales.
First-Year Priorities
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Establish fund operations end-to-end: NAV, LP reporting cadence, audit-ready books, and clean valuation process.
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Deliver first full LP reporting cycle with no rework.
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Serve as trusted thought partner to the deal team on model integrity, structuring questions, and downside scenarios.
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Establish working relationships with fund admin, audit, tax, and compliance counterparties.
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Document and share institutional knowledge of fund economics across the team.
Compensation and Logistics
Competitive base salary with opportunity to earn a performance-based incentive payment. Specific package will reflect experience and prior compensation.
Competitive benefit packages include health insurance, vision insurance, dental insurance, life insurance, retirement plan, and paid time off.
Remote role with ability to travel to offices in Boca Raton (FL) and New York (NY)
MFO Healthcare Partners is an equal opportunity employer.
