Senior Accountant - Health Care/Hospital Accounting

Job Description

Job Description

What is it for you:

• Healthcare system operating under strict financial and regulatory standards
• Includes nonprofit Foundation accounting adhering to GAAP fund-based accounting
• Strong compliance-driven financial environment
• Stable, growing company with tremendous opportunity for career advancement
• Competitive compensation and benefits

What You Will Be Doing Core Accounting & Financial Reporting

• Manage revenue recognition, expense entries, A/R analysis, inventory analysis
• Execute pre-close and full month-end close processes
• Prepare monthly, quarterly, and annual journal entries
• Complete account reconciliations and resolve discrepancies
• Conduct variance analysis and identify financial risks
• Analyze general ledger accounts and assigned cost centers
• Prepare monthly financial analyses, schedules, and supporting documentation
• Develop financial and statistical reports for monthly close, quarterly reviews, and year-end audit

Regulatory & Compliance

• Ensure compliance with GAAP and GASB standards
• Perform regulatory accounting entries and government reporting
• Manage capital and fixed asset accounting
• Maintain confidentiality of financial and patient information

Foundation (Non-Profit) Accounting Ownership

• Manage fund-based accounting under GAAP
• Oversee fund tracking and donor-restricted assets
• Monitor grant disbursements
• Prepare nonprofit financial reports
• Ensure compliance with nonprofit regulations

Audit & Leadership Support

• Assist with internal and external audits
• Lead monthly operating reviews with department managers
• Provide financial insight to improve departmental margins
• Act as secondary contact for capital-related reporting
• Provide backup leadership support for Accounts Payable
• Mentor and support Finance team members informally

Strategic & Process Improvement

• Identify trends and recommend financial improvements
• Enhance accounting and reporting efficiency
• Maintain knowledge of internal and external finance systems
• Participate in continuing education and professional development Experience You Will Need
• Bachelor’s degree in Accounting, Finance, or Business (required)
• 2–4+ years of progressive accounting experience
• CPA preferred
• Strong understanding of GAAP and GASB
• Experience with nonprofit / fund accounting preferred
• Advanced Excel skills required
• Proficiency in Word, Excel, and PowerPoint
• Strong analytical, mathematical, and report-writing skills
• Excellent communication and interpersonal skills
• Ability to manage ambiguity and shifting priorities