Health Services Reimbursement Accountant

Salary : $127,630.39 - $171,036.92 Annually
Location : Martinez, CA
Job Type: Permanent Full-Time
Job Number: VCTA-2026A
Department: Health Services - Only
Opening Date: 09/29/2026
Closing Date: 10/13/2026 11:59 PM Pacific
FLSA: Exempt
Bargaining Unit: ZA

The Position
****Re-Announcement****

The Health Services Finance Division is the centralized accounting division with a dedicated accounting unit for each program operated by Contra Costa Health Services. With the responsibility of managing a budget in excess of four billion dollars, the Finance Division is seeking qualified candidates to perform complex accounting work to fill two (2) vacancies located in Martinez.
The Health Services Reimbursement Accountant will be required to prepare and monitor the program budgets, oversee the preparation of monthly financial projections and statistical reporting, perform analysis of these reports, and direct or coordinate the work of other accounting staff. We value your expertise and commitment to professional growth. In recognition of specialized skills, candidates selected for this position who possess; A valid Certified Public Accountant (CPA) license issued by the State of California, Department of Consumer Affairs, Board of Accountancy; A Certified Internal Auditor (CIA) certification issued by the Institute of Internal Auditors; A Certified Management Accountant (CMA) certification issued by the Institute of Management Accountants; or A Certified Government Financial Manager (CGFM) certification issued by the Association of Government Accountants) in good standing, may be eligible to receive a 5% differential on top of base salary.
We are looking for someone who:

• Is knowledgeable in Governmental and Fund accounting related to healthcare programs
• Is knowledgeable in Federal, State, and County auditing practices and methods
• Is knowledgeable in County finance and budgeting system
• Can analyze, interpret and apply Federal and State fiscal regulations to financial reports
• Is able to work independently, prioritize workloads and manage assignment deadlines
• Has a positive and solution-oriented attitude and a strong work ethic
• Is professional and able to work in a team environment

What you will typically be responsible for:

• Preparing and monitoring the annual county budget for a Division of the Health Services Department which includes preparing appropriation and revenue adjustments
• Assessing current expenditure and revenue patterns and reporting these findings on a monthly basis to the Department Controller, Chief Financial Officer, and the Administration/Management section of assigned Divisions
• Selecting, training, evaluating, and monitoring the performance of subordinate personnel
• Managing and supervising a staff of professional accountants and clerical staff in the performance of their various accounting duties
• Reviewing and approving all contracts and grants, and inter/intradepartmental agreements for assigned Divisions, ensuring that generally accepted accounting principles (GAAP) are applied and that all such agreements will pass any Internal or External Audits
• Providing financial direction to Division Directors and Managers to ensure that Department, County, Federal, and State fiscal policies are strictly adhered to and that the Divisions/Grants are in compliance with any audits
• Keeping management informed in a timely manner of any activities, problems, or policy decisions that need attention
• Training staff and Division Management regarding supplemental data required by Federal, State, or County Internal Audit to support Incoming Funds Grants or Interdepartmental Agreements

A few reasons you might love this job:

• You will work in a dynamic work environment with people who are passionate about their work and focused on continuous improvement and innovation
• You will have a support role in helping to provide medical care for the County's most vulnerable populations
• You will join a team of experienced and skilled finance staff executing well-defined fiscal operations

A few challenges you might face in this job:

• You will need to be flexible and adaptable as Federal, State, and County fiscal regulations are constantly updated
• You will be required to work "off hours" to meet critical deadlines and to respond to emergent budget issues
• You will manage multiple and competing deadlines during the year-end close and budget development process

Competencies Required:

• Analyzing & Interpreting Data: Drawing meaning and conclusions from quantitative or qualitative data
• Delivering Results: Meeting organizational goals and customer expectations and making decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks
• Fact Finding: Obtaining facts and data pertaining to an issue or question
• Mathematical Facility: Performing computations and solving mathematical problems
• Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
• Using Technology: Working with electronic hardware and software applications
• Attention to Detail: Focusing on the details of work content, work steps, and final work products
• Handling Stress: Maintaining emotional stability and self-control under pressure, challenge, or adversity
• Self-Management: Showing personal organization, self-discipline, and dependability
• Handling & Resolving Conflict: Managing interpersonally strained situations
• Delegating: Sharing responsibility, authority, and accountability
• Managing Performance: Ensuring superior individual and group performance
• Teamwork: Collaborating with others to achieve shared goals
• Business Process Analysis: Defining, assessing, and improving operational processes and workflow
• Project Management: Ensuring that projects are on-time, on-budget, and achieve their objectives

To read the complete job description, please visit the website: https://www.cccounty.us/hr.
The eligible list established from this recruitment may remain in effect for six (6) months.
Minimum Qualifications
Education: Possession of a bachelor's degree from an accredited college or university with a major in business administration, finance, accounting or a closely-related field.

Experience: Three (3) years of full-time experience, or its equivalent, as a professional accountant in a health care organization or program, at least eighteen (18) months of which involved the preparation of cost reimbursement reports and analyses.

Substitution: Either (1) one additional year of qualifying experience may be substituted for the required academic major; or (2) a master's degree from an accredited college or university with a major in business administration, finance, or accounting or possession of a Certified Public Accountant certificate may be substituted for one (1) year of the required general experience. No substitution is permitted for the eighteen months of cost reimbursement experience.
Selection Process

1. Application Filing and Evaluation: All applicants will be required to complete a supplemental questionnaire at the time of application. Applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.
2. Behavioral Consistency Questionnaire: At the time of filing candidates are required to respond to a series of writing prompts. Candidates will be expected to write responses to each of the questions in the supplemental questionnaire. The Behavioral Questionnaire will measure candidates' competencies as they relate to the job. In the assessment, candidates must achieve an average passing score of 70% or higher on each of the competencies which may include, but are not limited to: Writing, Delivering Results, Handling Stress, Oral Communication, Valuing Diversity, and Professional Integrity & Ethics. (Weight 100%).

The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices.

For recruitment questions, please contact Health Services Personnel, Recruitment Team at . For any technical issues, please contact the Government Jobs' applicant support team for assistance at +1-855-524-5627.

To find more information on Benefits offered by Contra Costa County, please go to
01

The purpose of this supplemental questionnaire is to provide applicants the opportunity to elaborate on their qualifications for this position and to assist in assessing each applicant's individual qualifications. Your responses to the supplemental questionnaire will be used to evaluate your relevant experience and training to determine which applicants will be invited to participate in the next step of the selection process. Be concise, limiting your response to the information that is relevant to each question. Although you may submit a resume or additional information, such items may not be substituted for the information requested in this questionnaire. Do not answer any question by indicating "see attached resume."I understand the above information.

• Yes
• No

02

Do you possess a bachelor's degree from an accredited college or university with a major in business administration, finance, accounting or a closely-related field?

• Yes, and I have attached copy of my degree/transcript to my application.
• No, but I am substituting the required major with an additional year of experience as a professional accountant in a health care organization or program.
• No, I do not possess this degree.

03

Do you possess at least three (3) years of full-time experience as a professional accountant in a health care organization or program?

• Yes, I possess at least three (3) years of this experience.
• No, but I am substituting one (1) year of the required experience with a master's degree from an accredited college or university with a major in business administration, finance, or accounting and I have attached my transcript/degree.
• No, but I am substituting one (1) year of the required experience with an active Certified Public Accountant certificate which I've attached to my application.
• No, I do not possess this experience.

04

Do you possess at least eighteen (18) months of experience preparing cost reimbursement reports and analyses?

• Yes, I possess this experience.
• No, I do not possess this experience.

05

I certify that I meet the announced minimum requirements for this examination and understand that I will be eliminated at any stage in such examination if it develops that, in fact I do not meet them. I further certify that all statements made in this supplemental questionnaire and the application are true and I agree and understand that misstatements or omissions of material facts will cause forfeiture of my rights to employment with Contra Costa County.

• Yes
• No

Required Question