Senior Accountant, FQHC/Healthcare (REMOTE)

MCHC Health Centers•Ukiah, CA

3h•Remote

About The Position

At MCHC Health Centers, we’re committed to delivering high-quality, compassionate care across our communities. Behind that care is a strong financial foundation and a team dedicated to ensuring accuracy, compliance, and sustainability. We’re seeking a Senior Accountant who brings both technical expertise and analytical insight to support complex financial operations across multiple health centers. If you have a background in healthcare accounting and enjoy working with data, systems, and process improvement, this is a meaningful opportunity to make an impact. As a Senior Accountant, you’ll partner closely with the CFO and Controller to support budgeting, regulatory reporting, and financial analysis. This role plays a key part in strengthening financial processes, ensuring reporting accuracy, and supporting compliance across a multi-entity healthcare environment. This opportunity is well-suited for a seasoned accounting professional with a strong foundation in healthcare finance, particularly within Federally Qualified Health Center (FQHC) environments.

Requirements

Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or a related field; or 5+years of relevant accounting experience
Strong proficiency in Microsoft Excel, including advanced functions for analysis and reporting
Experience in healthcare accounting, with familiarity in regulatory reporting
Experience working with multiple entities and segments
Experience in developing and working with junior accounting staff
Thrive in a fast-paced environment, managing multiple projects and competing deadlines with confidence
Work independently while proactively seeking clarification to keep projects moving forward
Build strong working relationships across departments and effectively support and guide junior staff
Demonstrate exceptional attention to detail, catching even minor discrepancies in financial data and reports
Bring advanced Excel expertise, including lookups, pivot tables, and index/match, with the ability to troubleshoot and optimize complex workbooks
Feel comfortable working with large, complex datasets and breaking them down for meaningful analysis
Create clean, user-friendly, and presentation-ready workbooks that support leadership decision-making

Nice To Haves

Experience in a Federally Qualified Health Center (FQHC) environment is strongly preferred
Experience with Abila MIP or similar accounting systems
Experience with Paylocity or similar payroll systems and associated reports
Familiarity with healthcare systems such as OCHIN Epic, NextGen, or eClinicalWorks
Experience supporting Medicare/Medicaid cost reports, HCAI (OSHPD), UDS, grant reporting, or other government financial reporting

Responsibilities

Support the development and review of annual operating and capital budgets across multiple sites
Analyze financial trends and historical data to support planning and decision-making
Assist with preparation and validation of key financial reports, including the annual financial audit and Forms 990, 571-L, and Welfare Form Filings
Contribute to DHCS PPS Reconciliation Requests and Change in Scope of Service Requests (CSOSR), including variance analysis
Support annual Medicare Cost Report, UDS, and HCAI (OSHPD) financial reporting to ensure timely and accurate submission
Assist with financial components of grant reporting, including Service Area Competition and continuation reports
Analyze financial and practice management system data to ensure accuracy and completeness
Investigate discrepancies and recommend improvements to reporting processes
Utilize advanced Excel skills to manage, analyze, and present financial data
Help standardize and document financial processes across multiple entities
Support cross-training efforts and development of training materials and staff
Serve as backup for monthly close and reconciliation processes