We’re Hiring!
Bi-State Primary Care Association currently has open positions available. If you’re passionate about advancing access to primary care for all and supporting Community Health Centers across Vermont and New Hampshire, we’d love to hear from you. Explore our current opportunities and join a mission-driven team making a meaningful impact.

Tess Stack Kuenning, CNS, MS, RN
President & CEO
Location: On-site Bow, New Hampshire
Schedule: Full-time, Exempt
Salary Range: $65,000–$75,000 annually, based on experience
Join us in making a meaningful impact—our team is seeking a Senior Accountant who wants their expertise to fuel a purpose-driven organization and help advance our mission every day.
Key Responsibilities
- Perform accounts payable/receivable and general ledger, and bank reconciliations.
- Support month-end and year-end close processes and audits.
- Prepare grant reports and assist with compliance.
- Analyze budgets and variances; contribute to forecasting.
- Maintain internal controls and identify process improvements.
Ideal Qualifications
- Bachelor’s degree in Accounting.
- Three to five (3–5) years of experience.
- Knowledge of GAAP; grant accounting experience preferred.
- Proficiency with Sage accounting software and Microsoft Office.
- Strong analytical, organizational, and communication skills.
Benefits
Bi-State offers a comprehensive benefits package including:
- Health, dental, vision, and life insurance.
- Retirement program contributions.
- Long-term disability insurance.
- Paid holidays, vacation, and sick leave.
- Education reimbursement.
Work Location
This on-site position is based in Bow, NH. Candidates must reside in New Hampshire.
About Us
Bi-State offers a collaborative environment and values integrity, responsiveness, and respect. Founded in 1986, Bi-State Primary Care Association is a nonprofit, nonpartisan organization advancing access to comprehensive primary care—especially for those most in need in Vermont and New Hampshire. Learn more at www.bistatepca.org.
Apply Today
- If you’re passionate about mission-driven work, we’d love to hear from you!
- Send your resume, cover letter, and salary expectations to: [email protected].
- Don’t meet every qualification? Apply anyway— you may be the right fit for this or other roles.
Bi-State Primary Care Association is an equal opportunity employer. We welcome applicants of all backgrounds and do not discriminate on the basis of age, race, color, religion, sex, pregnancy, sexual orientation, national origin, veteran or disability status, or any protected class.