Certified Public Accountant (CPA) - Onsite

Delta Health Center, Inc. (DHC) is the first community health center of its kind and the first Federally Qualified Community Health Center (FQHC) in the United States. Located in historic Bolivar County, Mississippi, DHC opened its doors in 1965 as a non-profit organization committed to providing high-quality, affordable health care to underserved communities. We serve patients across the Mississippi Delta with compassion, respect, and a deep sense of community responsibility, supporting vulnerable populations from newborns to the elderly.

About the role

The Certified Public Accountant (CPA) is a critical finance team member responsible for overseeing the overall financial integrity, reporting, and regulatory compliance of Delta Health Center, Inc. This onsite position requires expert knowledge of GAAP, non-profit accounting principles, and the complex federal and state funding regulations applicable to FQHCs, ensuring sustainable financial health to support the center's mission.

Responsibilities

• Prepare and manage accurate, timely monthly, quarterly, and annual financial statements in accordance with Generally Accepted Accounting Principles (GAAP) and other required standards.
• Lead and coordinate the annual Single Audit, Independent Financial Audit, and all internal and external audits. Prepare necessary workpapers and documentation for auditors.
• Ensure rigorous compliance with all federal, state, and private grant terms, including proper expense tracking, invoicing, reimbursement requests, and timely financial reporting for grants (e.g., Section 330 Grant).
• Oversee the preparation and submission of specialized FQHC reports, including the Uniform Data System (UDS) financial report and Medicare/Medicaid Cost Reports (e.g., Prospective Payment System reconciliation - PPSR).
• Manage the general ledger, perform complex balance sheet reconciliations, ensure proper revenue recognition, and monitor internal controls to safeguard DHC assets.
• Assist the Director of Finance and department managers in developing, monitoring, and analyzing organizational budgets, providing financial projections and variance analysis.
• Formulate and recommend accounting policies and procedures to improve efficiency, streamline fiscal functions, and ensure ongoing compliance with evolving FQHC regulations.
• Work closely with the clinical and administrative teams to provide financial insights, support operational decisions, and train staff on financial policies.

Requirements

• Bachelor’s degree in Accounting, Finance, or a related business discipline.
• Active Certified Public Accountant (CPA) licensure is required.
• A minimum of three (3) years of progressive accounting experience, with a strong preference for experience in a Federally Qualified Health Center (FQHC) or non-profit healthcare setting.
• Demonstrated knowledge of FQHC-specific accounting (e.g., 340B Program, PPS, grant accounting) and OMB Uniform Guidance (2 CFR Part 200).

Benefits

• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance