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The Accountant position in Health Care Services for Hillsborough County is responsible for performing complex and specialized accounting work at a supervisory and technical lead level. This role involves fiscal management, accounting, and budget preparation within a six-person fiscal team, ensuring financial compliance and accuracy for grant-funded programs, particularly the Ryan White Part A program. The position requires detailed financial transaction reviews, account reconciliations, financial report preparation, and continuous expenditure monitoring to align with grant requirements.