Sr. Accountant

We are looking for an experienced Sr. Accountant to join a mission-focused healthcare organization in Northern California on a Contract basis. This position will help maintain accurate financial operations, support reporting and compliance needs, and contribute to sound budgeting and audit readiness in a regulated healthcare setting. The role offers the chance to partner with leadership, strengthen accounting processes, and bring dependable expertise to a collaborative finance team.

Responsibilities:

• Oversee key activities in the monthly close cycle, including preparing journal entries, reviewing general ledger activity, and completing account reconciliations.

• Develop annual operating and capital budget materials and support planning efforts with accurate financial data and analysis.

• Coordinate audit preparation by organizing schedules, responding to documentation requests, and assisting with year-end financial review activities.

• Prepare Medicare cost reporting and complete required reconciliations related to federal health center operations.

• Contribute to tax, grant, and regulatory filings by assembling financial information for Form 990 and other required reports.

• Provide financial analysis and custom reporting to support leadership decisions, operational planning, and special projects.

• Identify opportunities to improve accounting workflows, reinforce internal controls, and enhance documentation across finance processes.

• Create training resources and support cross-functional knowledge sharing within the accounting team to improve coverage and consistency.

Qualifications:

• Experience working in a Federally supported Health Center environment is required.

•Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or a related discipline, or at least five years of directly relevant accounting experience.

• Demonstrated background in month-end close, general ledger management, journal entry preparation, and account reconciliation.

• Strong Excel skills, including the ability to use advanced functions for analysis, reporting, and data validation.

• Prior experience in nonprofit accounting, healthcare finance, or both, with an understanding of regulated financial environments.

• Familiarity with financial operations involving multiple entities, departments, or reporting segments.

• Knowledge of Abila MIP or similar accounting software is preferred.

• Exposure to healthcare practice management platforms such as Epic, NextGen, or eClinicalWorks is preferred.

Compensation

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