Senior Accountant

About the role

Sound rewarding? You bet it is! If you are looking for more than just a "job" and want to invest your time making an impact on the lives of others, this is your chance to join our CHSI team!

Responsibilities

• Perform and oversee advanced accounting functions including journal entries, account reconciliations, accruals, fixed assets, and general ledger maintenance.
• Lead monthly, quarterly, and year-end close processes to ensure timely and accurate financial reporting.
• Prepare and analyze monthly financial statements, supporting schedules, and variance analyses.
• Reconcile complex balance sheet and income statement accounts and proactively identify discrepancies.
• Support accounting system optimization and financial process improvement initiatives.
• Manage financial tracking and reporting for federal, state, and foundation grants including HRSA, state Medicaid, behavioral health, public health, and other restricted funding sources.
• Monitor grant expenditures for allowability, budget alignment, and compliance with funding requirements.
• Prepare grant financial reports, reimbursement requests, drawdown documentation, and supporting schedules.
• Collaborate with operational and program leadership to ensure expenditures align with grant budgets and objectives.
• Support development of grant budgets, budget modifications, and financial sustainability planning.
• Maintain documentation to support grant monitoring, external reviews, and audits.
• Serve as a key finance lead in annual financial audits, Uniform Guidance/single audit requirements, and external financial reviews.
• Prepare audit schedules, reconciliations, and supporting documentation.
• Aid in the implementation and maintenance of internal financial controls and compliance processes.
• Support corrective action implementation and documentation related to audits or monitoring findings.
• Ensure compliance with federal grant regulations, Generally Accepted Accounting Principles (GAAP), and FQHC-related reporting expectations.
• Support implementation, optimization, and ongoing management of financial systems and reporting tools.
• Identify opportunities to improve efficiency, standardization, and financial reporting accuracy.
• Develop and document finance workflows, procedures, and internal controls.
• Support automation and data integrity initiatives across accounting and grant management processes.
• Partner with operational leaders, clinic leadership, HR, and program managers regarding budgets, expenditures, and financial reporting.
• Provide technical guidance and mentoring to finance team members as appropriate.
• Participate in cross-functional organizational initiatives supporting operational excellence and sustainability.
• Contribute to a culture of accountability, continuous improvement, and mission-driven service.

Qualifications

• Bachelor's degree in Accounting, Finance, Business Administration, or related field.
• Minimum of 5-7 years of progressive accounting experience, including financial reporting and account reconciliation responsibilities.
• Minimum 2-3 years of grant accounting or restricted fund management experience.
• Strong understanding of GAAP and nonprofit accounting principles.
• CPA or CPA-track preferred.
• Experience in healthcare, nonprofit, FQHC, or federally funded environments strongly preferred.
• Experience with federal grants, Uniform Guidance, HRSA funding, Medicaid reimbursement, or public health funding preferred.
• Experience with ERP/accounting system implementation or optimization preferred.
• Multi-entity or multi-location accounting experience preferred.

Benefits

• Executive Paid Time Off (PTO): 240 hours per year!
• Personal Days Off (PDO): In addition to PTO, we offer 4 paid personal days each year.
• Paid Holidays: CHSI offers 11 days of holiday pay.
• 401K Retirement Plan, with a 4% company match!
• Health, Dental, and Vision insurance
• HSA Health Savings Account and/or Flexible Spending Account
• Life & Disability Insurance (Short Term Disability premiums paid by CHSI)
• Supplemental Voluntary Benefits Loan Reimbursement Options: Our employees who work in clinical positions may be eligible for loan reimbursement of up to $145,000 through the National Health Service Corps!

Pay

Commensurate with experience.

Schedule

Remote work.