Senior Accountant

Here at Community Health Service, Inc (CHSI), our mission is to provide high quality health care to the overlooked and underserved. Sound rewarding? You bet it is! If you are looking for more than just a "job" and want to invest your time making an impact on the lives of others, this is your chance to join our CHSI team!

WHAT DO WE DO?

CHSI is a private, non-profit organization established in 1973 to serve the health needs of migrant & seasonal farm workers and their family members. Today, CHSI has expanded its services and provides mental & physical healthcare to all individuals in our communities. Our services are provided on a more affordable sliding fee scale to those who are underinsured or uninsured. We also accept ND and MN Medicaid, Medicare, and most private insurance plans. We currently operate four nurse-managed clinics, two mobile medical units, and two victim advocacy program centers in Minnesota & North Dakota.

WHO ARE WE LOOKING FOR?

We are searching for a Full-time Remote Senior Accountant to join our Rochester, MN team.

The Senior Accountant - Finance, Accounting & Grants plays a critical leadership role in supporting the financial integrity, grant compliance, and accounting operations of Community Health Service, Inc. (CHSI), a Federally Qualified Health Center (FQHC) serving communities across Minnesota and North Dakota.

This position is responsible for advanced accounting functions including general ledger oversight, financial reporting, grant accounting, audit preparation, account reconciliations, and internal financial controls. The Senior Accountant will work collaboratively across departments to ensure timely and accurate financial management of federal, state, local, and foundation grants while supporting strong fiscal stewardship, regulatory compliance, and organizational sustainability.

The ideal candidate is detail-oriented, highly analytical, collaborative, and comfortable working in a fast-paced healthcare environment undergoing systems modernization and organizational growth.

Key Responsibilities

Accounting & Financial Management

• Perform and oversee advanced accounting functions including journal entries, account reconciliations, accruals, fixed assets, and general ledger maintenance.
• Lead monthly, quarterly, and year-end close processes to ensure timely and accurate financial reporting.
• Prepare and analyze monthly financial statements, supporting schedules, and variance analyses.
• Reconcile complex balance sheet and income statement accounts and proactively identify discrepancies.
• Assist with cash flow monitoring, revenue and expense tracking, and financial forecasting support.
• Support accounting system optimization and financial process improvement initiatives.

Grant Financial Management & Compliance

• Manage financial tracking and reporting for federal, state, and foundation grants including HRSA, state Medicaid, behavioral health, public health, and other restricted funding sources.
• Monitor grant expenditures for allowability, budget alignment, and compliance with funding requirements.
• Prepare grant financial reports, reimbursement requests, drawdown documentation, and supporting schedules.
• Collaborate with operational and program leadership to ensure expenditures align with grant budgets and objectives.
• Support development of grant budgets, budget modifications, and financial sustainability planning.
• Maintain documentation to support grant monitoring, external reviews, and audits.

Audit & Compliance Support

• Serve as a key finance lead in annual financial audits, Uniform Guidance/single audit requirements, and external financial reviews.
• Prepare audit schedules, reconciliations, and supporting documentation.
• Assist with implementation and maintenance of internal financial controls and compliance processes.
• Support corrective action implementation and documentation related to audits or monitoring findings.
• Ensure compliance with federal grant regulations, Generally Accepted Accounting Principles (GAAP), and FQHC-related reporting expectations.

Financial Systems & Process Improvement

• Support implementation, optimization, and ongoing management of financial systems and reporting tools.
• Identify opportunities to improve efficiency, standardization, and financial reporting accuracy.
• Develop and document finance workflows, procedures, and internal controls.
• Support automation and data integrity initiatives across accounting and grant management processes.

Collaboration & Leadership

• Partner with operational leaders, clinic leadership, HR, and program managers regarding budgets, expenditures, and financial reporting.
• Provide technical guidance and mentoring to finance team members as appropriate.
• Participate in cross-functional organizational initiatives supporting operational excellence and sustainability.
• Contribute to a culture of accountability, continuous improvement, and mission-driven service.

Qualifications

Required Education & Experience

• Bachelor's degree in Accounting, Finance, Business Administration, or related field.
• Minimum of 5-7 years of progressive accounting experience , including financial reporting and account reconciliation responsibilities.
• Minimum 2-3 years of grant accounting or restricted fund management experience .
• Experience with complex accounting environments and multiple funding sources.
• Strong understanding of GAAP and nonprofit accounting principles.

Preferred Qualifications

• CPA or CPA-track preferred.
• Experience in healthcare, nonprofit, FQHC, or federally funded environments strongly preferred.
• Experience with federal grants, Uniform Guidance, HRSA funding, Medicaid reimbursement, or public health funding preferred.
• Experience with ERP/accounting system implementation or optimization preferred.
• Multi-entity or multi-location accounting experience preferred.

Knowledge, Skills & Abilities

• Strong analytical and problem-solving skills.
• Exceptional attention to detail and organizational abilities.
• Advanced proficiency in Microsoft Excel and financial reporting tools.
• Ability to manage multiple priorities and deadlines in a dynamic environment.
• Strong interpersonal and communication skills with ability to explain financial information to non-finance leaders.
• High degree of professionalism, integrity, discretion, and accountability.
• Commitment to continuous improvement and operational excellence.

Working Conditions

• Combination of office and remote work depending on organizational needs.
• Occasional travel to clinic sites and meetings may be required.
• Extended periods of computer and screen use.

ARE YOU A GOOD FIT?

In addition to being a wonderful team member and advocate for patients, we are seeking an individual with the below qualifications:

PHYSICAL ABILITIES

• Ability to bend and crouch occasionally, sit continuously, and stand or walk frequently.
• Ability to lift up to 50 pounds occasionally.
• Ability to use hands/arms, feet/legs for repetitive fine to large motor skill movements.

WHAT ARE THE PERKS, YOU ASK?

CHSI promotes a healthy work/life balance for employees through a generous time off program. Those eligible are offered:

• Executive Paid Time Off (PTO): 240 hours per year!
• Personal Days Off (PDO): In addition to PTO, we offer 4 paid personal days each year.
• Paid Holidays: CHSI offers 11 days of holiday pay.

CHSI also provides retirement, medical, and insurance plans to employees. Those eligible may enroll in:

• 401K Retirement Plan, with a 4% company match!
• Health, Dental, and Vision insurance
• HSA Health Savings Account and/or Flexible Spending Account
• Life & Disability Insurance (Short Term Disability premiums paid by CHSI)
• Supplemental Voluntary Benefits

Loan Reimbursement Options: Our employees who work in clinical positions may be eligible for loan reimbursement of up to $145,000 through the National Health Service Corps! Visit for more information.

READY TO MAKE A DIFFERENCE?

If this role is a great fit for your skills & personality, please complete our quick online application on the right side of the page.

PLEASE NOTE:

CHSI is an EEO/Affirmative Action/Veteran-friendly employer. We do not discriminate on the basis of age, gender expression/identity, genetic information, marital status, national origin, physical or mental disability, pregnancy, race, religion, sexual orientation, or veteran status.

CHSI facilities are deemed under the Federal Tort Claims Act (FTCA).