Senior Accountant

Job Description

Job Description

POSITION SUMMARY:

The Senior Accountant supports the organization’s accounting operations, including general ledger management, financial reporting, and account reconciliations. This role plays a key part in the monthly close process, audit preparation, and compliance with Generally Accepted Accounting Principles (GAAP), HRSA requirements, and applicable federal and state regulations.

The Senior Accountant works closely with finance leadership and cross-functional teams to ensure accurate financial reporting, strengthen internal controls, and support financial operations within a nonprofit healthcare and Federally Qualified Health Center (FQHC) environment.

As a member of the health center’s finance team, the Staff Accountant will fulfill the following KEY FUNCTIONS AND RESPONSIBILITIES towards the financial development and stability of CCI:

• Prepare and review journal entries, general ledger activity, and account reconciliations with a high level of accuracy and attention to detail.
• Support and participate in the monthly and year-end financial close processes, ensuring deadlines are met and financial data is complete and reliable.
• Analyze financial transactions and account balances to identify discrepancies, resolve issues, and ensure compliance with GAAP, organizational policies, and regulatory requirements.
• Assist in the preparation of financial statements, reports, and variance analyses, clearly communicating financial information to management and stakeholders.
• Support external audit processes by preparing audit schedules, documentation, and responding to auditor inquiries in a timely and organized manner.
• Assist with preparation of IRS Form 990 and other regulatory filings as required.
• Maintain and reconcile balance sheet accounts, including cash and payroll-related accounts, ensuring accuracy and proper documentation.
• Support payroll accounting processes, including reconciliation of payroll-related general ledger accounts and review of payroll tax filings.
• Assist with accounts payable processes as needed, ensuring proper coding, approvals, and compliance with internal controls.
• Support grant accounting activities, including tracking grant expenses, preparing supporting documentation, and ensuring compliance with HRSA requirements and Uniform Guidance (2 CFR 200).
• Assist in maintaining and improving internal controls, accounting policies, and financial procedures, contributing to continuous process improvement and risk mitigation.
• Utilize financial systems, including Sage Intacct, to ensure accurate and efficient recording and reporting of financial transactions.
• Collaborate effectively with internal departments, demonstrating strong communication and interpersonal skills to support financial processes and organizational goals.
• Provide backup support across finance functions, including cash management, accounts payable, and financial reporting, demonstrating flexibility and the ability to manage multiple priorities.
• Maintain strict confidentiality of financial, employee, and organizational information.
• Perform other duties and special projects as assigned.

MINIMUM QUALIFICATIONS:

• Bachelor’s degree in Accounting, Finance, or a related field required.
• Minimum of 4–6 years of progressively responsible accounting experience, preferably within nonprofit healthcare organizations.
• Strong knowledge of Generally Accepted Accounting Principles (GAAP) and financial reporting practices.
• Experience with financial close processes, account reconciliations, and financial statement preparation.
• Experience supporting audits and working with external auditors.
• Experience with federal grant accounting, HRSA compliance preferred.
• Experience with Sage Intacct or similar cloud-based accounting systems preferred.
• Advanced proficiency in Microsoft Excel and financial data analysis.
• Strong attention to detail and ability to manage multiple priorities and deadlines.
• Excellent written and verbal communication skills, with the ability to communicate effectively across all levels of the organization.
• Experience reviewing or supervising the work of others is a plus.
• CPA or CPA-track candidates preferred.

REQUIREMENTS:

• Must be proficient in spreadsheet software, specifically Excel. Excellent communication skills, written and verbal, with ability to clearly communicate technical issues to all levels of management.
• Ability to do basic math calculations and resolve accounting irregularities.
• Ability to perform statistical analysis.
• Must be able to compile, interpret, and utilize information.
• Must possess excellent communication and interpersonal skills.
• Ability to read and write to communicate effectively.
• Must be willing to assume other duties and responsibilities as assigned, either on a temporary basis or the result of changing position or job requirements.
• Must pay attention to detail.
• Must be willing to assume other duties and responsibilities as assigned, either on a temporary basis or the result of changing position or job requirements.
• Fluency in English (Spanish a plus).

WORKING CONDITIONS:

• Prolonged periods of standing, bending or working at a desk on a computer.
• The ability to lift (up to 15lbs) is required.

Why work at CCI?

• Extensive benefits plan including PTO
• 403B Retirement Plan
• Tuition reimbursement opportunities
• Continuing education assistance; can be used toward obtaining certifications, renewal of certifications, or possible conference attendance.
• Our providers are insured for malpractice under FTCA.

Equal Employment Opportunity (EEO)

CCI Health Services does not unlawfully discriminate based on race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer related or genetic characteristics or any genetic information), marital status, sex, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. All personnel decisions are to be administered in accordance with this policy and in compliance with applicable federal and state law, including, but not limited to, decisions regarding recruitment, selection, training, promotion, compensation, benefits, transfers, lay-offs, tuition assistance, and social and recreational programs.

The CEO & President of CCI and all managerial personnel are committed to this policy and its enforcement. Employees are directed to bring any violation of this policy to the immediate attention of their supervisor, Human Resources, or the CEO & President. Any employee who violates this policy or knowingly retaliates against an employee reporting or complaining of a violation of this policy, shall be subject to immediate corrective action, up to and including termination of employment. Complaints brought under this policy will be promptly investigated and handled with due regard for the privacy and respect of all involved.