The Senior Accountant is responsible for independently performing and coordinating key accounting functions to ensure accurate financial records, timely month-end close, and reliable financial reporting. This position supports the organization’s financial operations through general ledger maintenance, account reconciliations, financial statement preparation, budget monitoring, accounts payable and receivable oversight, and compliance with applicable accounting standards, funding requirements, and regulatory guidelines. The Senior Accountant works closely with the Chief Financial Officer (CFO) to support financial analysis, internal controls, audit preparation, and the ongoing improvement of accounting processes and procedures.

Essential Job Duties and Responsibilities: (Additional duties may be assigned)

• Maintain and review general ledger accounts to ensure accurate recording and classification of financial transactions.
• Prepare and review monthly bank, balance sheet, and general ledger reconciliations; investigate discrepancies and ensure timely, properly supported resolution. 
• Review and reconcile payroll-related general ledger activity, including payroll liabilities, benefit expenses, accruals, and related allocations. 
• Coordinate and perform assigned monthly, quarterly, and annual closing activities, including preparation and review of journal entries, accruals, account reconciliations, and supporting schedules. 
• Prepare and analyze monthly financial statements, supporting schedules, and account activity; investigate significant variances, identify potential accounting adjustments, and provide explanations and recommendations for CFO review. 
• Monitor and reconcile accounts payable and accounts receivable activity to ensure accurate financial reporting and timely processing.
• Reconcile patient revenue and receivables to general ledger activity and collaborate with revenue cycle staff to investigate and resolve discrepancies.  
• Maintain accurate financial records and supporting documentation in accordance with organizational policies and applicable accounting standards.
• Support annual budget preparation, financial forecasting, and ongoing budget monitoring through expenditure analysis, variance reporting, and preparation of supporting financial schedules.
• Prepare audit schedules, reconciliations, and supporting documentation for annual financial statement audits, regulatory reporting, and other external reviews. Assist the CFO with audit coordination and resolution of accounting-related findings. 
• Assist with compliance related to applicable federal and state requirements, funding source guidelines, grant requirements, and organizational financial policies.
• Prepare, review, and reconcile grant-related financial activity, including restricted funding, expense allocations, grant receivables, deferred revenue, and supporting schedules, in accordance with applicable funding requirements.
• Evaluate, develop, document, and maintain accounting procedures, reconciliation standards, and internal controls to improve efficiency, accuracy, consistency, and financial accountability. 
• Collaborate with finance, human resources, program, and administrative staff to resolve discrepancies and ensure accurate financial information.
• Provide guidance, training, and support to finance assistants and other assigned staff regarding accounting procedures, documentation requirements, and established internal controls.
• Work closely with the CFO to support the effective operation of the finance department and completion of assigned financial projects.
• Maintain the confidentiality and security of financial information and organizational records.

Supervisory Responsibility:

Provides technical guidance, training, and review of accounting work performed by finance staff. May provide direct supervision of assigned personnel as organizational needs evolve. 

Education and Experience:

• Bachelor’s degree in Accounting or related field preferred. 
• Minimum of 3–5 years of progressive accounting experience, preferably in a nonprofit, healthcare, or similarly regulated organization.
• Experience with nonprofit accounting, restricted funding, grant reporting, or cost allocation methodologies preferred.
• Strong knowledge of GAAP, financial reporting, account classifications, and cost allocation principles.   
• Demonstrated ability to independently manage accounting responsibilities, investigate complex discrepancies, exercise sound professional judgment, and meet reporting deadlines.
• Demonstrated experience with general ledger accounting, reconciliations, and month-end close.
• Experience with electronic health records (EHR) and billing software preferred.
• Familiarity with Medicare, Medicaid, and commercial payer requirements preferred.
• Certified Public Accountant (CPA), Certified Management Accountant (CMA), or other relevant accounting certification preferred.
• Advanced Microsoft Excel proficiency, including financial analysis, reconciliations, and data management; experience with accounting or ERP systems required, with Sage Intacct experience preferred.
• Strong analytical, organizational, and problem-solving skills.
• Excellent attention to detail and accuracy.
• Effective communication and interpersonal skills.