Senior Accountant

At Sadler Health Center, we believe that compassionate, high-quality healthcare strengthens communities.


We are seeking an experienced Senior Accountant to join our Finance team and play a key role in supporting the financial health of a growing Federally Qualified Health Center (FQHC). This is an excellent opportunity for an accounting professional who enjoys meaningful work, complex healthcare finance, and the ability to make a direct impact on community health. The role offers a hybrid work arrangement with flexibility to work remotely up to two days per week.


What You'll Do

As a Senior Accountant, you will be responsible for maintaining accurate financial records, supporting month-end and year-end close activities, ensuring compliance with GAAP and grant requirements, and providing financial analysis to support organizational decision-making. You will work closely with leadership, auditors, and operational departments to ensure financial integrity and accountability.


Key responsibilities include:

• Preparing and reviewing journal entries, account reconciliations, and monthly financial reports.
• Managing month-end close processes and maintaining the close calendar.
• Supporting annual financial statement audits and Single Audits.
• Overseeing payroll-related accounting, payroll taxes, employee benefits, accounts payable, and cash management processes.
• Reviewing payroll transactions and serving as payroll backup to ensure continuity during staff absences.
• Maintaining retirement plan contribution accounts and coordinating required fund transfers.
• Preparing grant invoices, reconciliations, Federal Financial Reports (SF-425), and drawdowns in compliance with Uniform Guidance.
• Supporting budget preparation, financial analysis, and accounting policy development.
• Assisting with Medicare and Medicaid FQHC cost reporting, PPS reconciliation activities, and HRSA Uniform Data System (UDS) financial reporting.
• Reconciling patient revenue, payer remittances, and 340B program activity when applicable.

What We're Looking For

The ideal candidate is a strategic thinker with strong accounting expertise, exceptional attention to detail, and the ability to thrive in a dynamic healthcare environment. You should be comfortable managing multiple priorities while maintaining accuracy and meeting deadlines.

Required Qualifications

• Bachelor's degree in accounting or a related field.
• Minimum four (4) years of progressive accounting experience.
• Strong knowledge of Generally Accepted Accounting Principles (GAAP).
• Advanced Excel skills and experience with automated accounting systems.
• Demonstrated expertise in payroll, accounts payable, cash management, and month-end close processes.
• Excellent analytical, problem-solving, communication, and organizational skills.

Preferred Qualifications

• Healthcare accounting experience.
• FQHC experience is strongly preferred.
• Experience with Medicare cost reporting, grant accounting, payer reimbursement, revenue cycle accounting, pharmacy/340B programs, and value-based contracts.
• Experience with MIP/Abila, ADP Workforce Now, Power BI, EMR systems, and financial reporting tools.
• CPA designation or active CPA candidate.
• Nonprofit accounting experience.

Why Join Sadler Health Center?

At Sadler, you'll join a collaborative organization committed to Compassion, Integrity, Excellence, Stewardship, and Collaboration. We offer meaningful work, professional growth opportunities, a supportive leadership team, and the chance to contribute to the financial success of an organization dedicated to improving the health of our community.