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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.
Job Responsibility
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
Requirements
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
Nice to have
Knowledge of Abila MIP or similar accounting software is preferred
Exposure to healthcare practice management platforms such as Epic, NextGen, or eClinicalWorks is preferred
What we offer
medical, vision, dental, and life and disability insurance