More Than Numbers — Be Part of Something Bigger 

Location: Tacoma & Fife, WA | On-Site

Schedule: Full-Time | Mon – Fri, 8:00 AM – 5:00 PM

Hiring Range: $73,391.72 - $81,255.12 per year

Position Close Date: June 18, 2026

At Puyallup Tribal Health Authority (PTHA), our work is rooted in service, community, culture, and family. We are dedicated to improving the health and well-being of Tribal members and the communities we serve through compassionate, culturally centered healthcare. 

We're looking for an experienced Senior Accountant who wants more than just a desk job. This is an opportunity to play a vital role in supporting healthcare services that make a real difference in people's lives. If you enjoy solving complex financial challenges, collaborating with mission-driven teams, and contributing to a strong community-focused organization, we invite you to apply!

What You’ll Do:

As our Senior Accountant, you'll serve as a key financial resource supporting multiple Tribal healthcare entities. You'll work closely with leadership to ensure financial accuracy, compliance, transparency, and sound decision-making. 

• Serving as the on-site accounting professional for designated Tribal healthcare entities
• Assisting with financial analysis, reporting, forecasting, and operational metrics
• Supporting grant and contract compliance, reporting, and fund accounting activities
• Collaborating across departments to develop meaningful financial reports and analyses
• Assisting with annual budgets, audits, and internal controls
• Providing backup support for payroll processing and cash management functions
• Performing account reconciliations, financial reviews, and general accounting activities
• Helping strengthen financial processes that support the organization's long-term success

Why PTHA?

We are more than a clinic — we're a culturally grounded, patient-first health and wellness center serving the Indigenous community. We value teamwork, integrity, and community well-being. Here, your work has meaning.

• Work in a mission-driven, accredited organization
• Serve a close-knit patient population in an urban reservation setting
• Enjoy opportunities for professional development and training
• Experience a strong support system and inclusive team culture

Perks of the Role:

• Meaningful Mission – Contribute to the financial wellness of a tribally operated health organization dedicated to serving the Indigenous community
• Competitive Compensation – Receive a fair salary that reflects your expertise and the impact of your work
• Supportive Team Culture – Join a collaborative and inclusive environment where respect and ethics are core values
• Cultural Enrichment – Work in an organization that values and integrates Indigenous traditions, community care, and cultural sensitivity
• Stability & Impact – Be part of a long-standing, accredited institution that plays a vital role in community health and development

PTHA Employee Benefits:

• Supportive environment that values a healthy work/life balance
• Medical/Dental/Vision monthly premiums paid 100% by PTHA for employees (health coverage begins the first of the month following hire date)
• (13) annual leave (vacation) days + (13) annual sick leave days
• (18+) annual paid holidays including a birthday holiday
• 401(k) with annual profit-sharing contributions after (2) years of service
• Life and AD&D insurance coverage
• Have student loans? PTHA is an approved loan repayment site for various student loan programs

If you're looking for a career where your accounting expertise supports something meaningful, this is your opportunity. Join a team that values connection, purpose, and community — and help us continue making a difference in the lives of those we serve. 

In accordance with federal law, Native American Preference in employment applies and job placements are given on a competitive basis, using job related factors.

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field from an accredited institution
• Three (3) years of senior-level accounting experience
• Demonstrated fund accounting experience
• Experience processing payroll for organizations with 100+ employees using electronic payroll systems
• Advanced proficiency in Microsoft Excel and Microsoft Office applications
• Valid driver's license, reliable personal vehicle, and current liability insurance