Senior Accountant

Neighborhood Healthcare

$80K — $115K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting, Finance, or related field required
  • CPA or MBA preferred
  • 4 - 6+ years of progressive accounting experience required
  • Non-profit or healthcare experience preferred
  • Strong knowledge of GAAP
  • Advanced Excel skills (pivot tables, XLOOKUP, complex formulas, data validation)
  • Experience with ERP systems, specifically Microsoft Dynamics 365 Business Central is strongly preferred

Responsibilities

  • Prepare, review, and post journal entries; support month-end and year-end close activities.
  • Reconcile balance sheet accounts and maintain accurate general ledger records.
  • Organize audit documentation and prepare schedules with minimal oversight.
  • Identify and recommend improvements to strengthen internal controls and efficiencies.
  • Collaborate cross-functionally with various teams including Controller, Grants, Operations, and HR.
  • Produce month-over-month financial reports, KPIs, and variance analyses.
  • Monitor construction-in-progress and maintain accurate CIP schedules.

Benefits

  • Comprehensive health insurance options
  • Generous paid time off policy
  • Retirement savings plan with employer matching
  • Professional development opportunities
  • Flexible work schedule options
Full Job Description
ROLE OVERVIEW and PURPOSE

The Senior Accountant is a key member of the Finance team responsible for ensuring the financial accuracy, regulatory compliance, and operational integrity of the Federally Qualified Health Center (FQHC). This role leads critical components of the organization's accounting operations-including general accounting, financial reporting, tax compliance, and capital project oversight-and provides proactive financial insights that support informed operational decisionmaking. This position requires a highly independent, analytical, and detaildriven individual who can confidently manage complex accounting tasks with minimal direction. The Senior Accountant reports to the Senior Accounting Manager and maintains a dottedline reporting relationship with the Accounting Supervisor.

RESPONSIBILITIES

General Accounting

  • Prepare, review, and post journal entries; independently support monthend and yearend close activities.

  • Reconcile balance sheet accounts and maintain accurate, wellsupported general ledger records.

  • Maintain organized audit documentation and prepare audit schedules with minimal oversight.

  • Identify and recommend improvements to strengthen internal controls, workflows, and efficiencies.

  • Collaborate crossfunctionally with the Controller, Grants, Operations, Revenue Cycle, HR, and Facilities teams.


Financial Reporting & Analysis

  • Produce month-over-month financial reports, KPIs, and variance analyses.

  • Prepare financial packages for departments, leadership, and programs.

  • Identify financial trends, risks, and operational opportunities for improvement.


Property Management Accounting

  • Track certificates of insurance (COIs), CAM allocations, property tax schedules, exemptions, and related entries.

  • Maintain compliance for nonprofit property tax exemption filings.


Debt, Treasury & Tax Compliance

  • Monitor bank covenants; prepare lender compliance reports.

  • Track line-of-credit activity, repayments, and interest.

  • Support Form 990 Schedule K and bond compliance documentation.


Capital Projects / % Completion

  • Monitor construction-in-progress and maintain accurate CIP schedules.

  • Support percentage-of-completion calculations.

  • Assist with asset capitalization and fixed-asset documentation.


EDUCATION/EXPERIENCE

  • Bachelor's degree in Accounting, Finance, or related field required

  • CPA or MBA preferred

  • 4 - 6+ years of progressive accounting experience required

  • Non-profit or healthcare experience preferred


ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)

  • Strong knowledge of GAAP.

  • Advanced Excel skills (pivot tables, XLOOKUP, complex formulas, data validation).

  • Experience with ERP systems; Microsoft Dynamics 365 Business Central strongly preferred.

  • High attention to detail, accuracy, and documentation standards.

  • Strong analytical abilities with the capacity to interpret and communicate complex financial data.

  • Demonstrated ability to work independently, prioritize effectively, and exercise sound judgment.

  • Proactive problem-solver with a continuous-improvement mindset.


Pay Range: $80,200.00 to $115,500.00 annually, depending on experience.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate's overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.

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