Senior Accountant - General Ledger

What’s Interesting About This Role

The Senior Accountant, General Ledger is responsible for the accuracy and integrity of the general ledger, including ownership of assigned balance sheet accounts, journal entries, reconciliations, and monthly close deliverables. This role serves as a technical accounting resource to the Finance team, providing guidance on GAAP-related matters and supporting consistency across accounting processes in a multi-entity healthcare nonprofit environment.

Position Details

• Location: Remote within our service area (NC, SC, VA, WV)
• Schedule: Full-Time, Monday–Friday, 8:00 AM–5:00 PM (40 hours/week)

Who Are You

• Strong technical accounting experience with a deep understanding of GAAP and general ledger processes
• Experience managing complex revenue recognition, accruals, and high-volume financial data
• Ability to maintain accurate, audit-ready documentation and financial records
• Subject matter expert who enjoys training, mentoring, and supporting others
• Detail-oriented professional who thrives being in accounting operations and problem-solving
• Passion for continuous growth with aspirations toward a future Controller-level career
• Mission-aligned individual who values contributing to organizations that make a meaningful impact in their communities

What You'll Do

• General Ledger & Close:
• Prepare and post accurate journal entries, including accruals, reclasses, and adjustments with complete supporting documentation.
• Own assigned areas of the monthly and year-end close process, ensuring deadlines are met.
• Review general ledger activity and identify discrepancies, unusual activity, and inconsistencies.
• Support preparation and validation of monthly and annual financial reporting packages.
• Support year-end close activities, including incorporation of audit adjustments and finalization of balances.
• Balance Sheet Reconciliations:
• Prepare and maintain monthly balance sheet reconciliations that fully tie to supporting documentation.
• Investigate and resolve discrepancies, aged items, and reconciling differences.
• Maintain organized, audit-ready documentation and schedules.
• Audit & Compliance:
• Support maintenance of audit-ready workpapers throughout the year.
• Prepare schedules and provide supporting documentation for annual audits and Form 990 preparation.
• Respond to auditor requests for assigned areas in a timely and organized manner.
• Support implementation of audit adjustments and year-end closeout activities.
• Technical Accounting & Operational Support:
• Apply GAAP with working knowledge of nonprofit accounting concepts.
• Serve as a technical accounting resource to the accounting team and provide guidance on GAAP-related questions when needed.
• Support accounting for grants, contributions, restricted funds, and new programs or entities.
• Assist in maintaining consistency in accounting practices across entities.
• Identify and support improvements to close and reconciliation processes.
• Ownership, Quality & Accountability:
• Produce work that is accurate, complete, and delivered on time.
• Take ownership of assigned areas and clearly explain accounting treatment and supporting documentation.
• Identify, research, and resolve discrepancies with minimal supervision; escalate appropriately when needed.
• Communicate issues, proposed resolutions, and outcomes clearly and concisely.
• Follow defined processes while exercising sound judgment in resolving issues.

What You Bring To The Role

• Bachelor’s degree in Accounting or Finance from an accredited college or university plus 2 - 4 years of accounting and/or financial reporting experience or 4 years related experience in lieu of degree.
• Experience preparing journal entries, reconciling balance sheet accounts, supporting close processes, and performing variance analysis.
• Advanced Microsoft Excel skills, including pivot tables, lookups, and data analysis.
• Proven ability to manage deadlines and produce accurate, supported work with minimal oversight.
• Strong communication and organizational skills.
• Ability to work independently as well as part of a team.

Preferred (not Required)

• CPA or CPA candidate preferred.
• Nonprofit accounting and/or healthcare nonprofit experience.
• Experience in multi-entity environments.
• Experience with MIP Fund Accounting.

What We Offer

• Medical, dental, and vision insurance
• Health Reimbursement Account (HRA)
• 403(b) retirement plan with employer match
• Generous paid time off and holiday pay
• Employee Assistance Program (EAP)
• Compensation Transparency

Final Hiring Decisions

Final hiring decisions are ultimately made by humans.

Work Authorization & Sponsorship

Applicants must be authorized to work in the United States. Due to pre-approved budget allocations, we are unable to provide or assume sponsorship for employment visas (including, but not limited to, H-1B, O-1, or TN status) for this position. We will not consider candidates who need employer sponsorship now or who will need it in the future.