Senior Accountant

Central North Alabama Health Services•Huntsville, AL

23d•Onsite

About The Position

The Senior Accountant is a key member of the Finance team responsible for supporting the financial integrity, regulatory compliance, and operational sustainability of a mission driven Federally Qualified Health Center in Huntsville, Alabama. This position performs advanced accounting functions, supports monthly and annual close processes, prepares financial reports and account reconciliations, assists with grant and restricted fund accounting, and helps ensure compliance with Generally Accepted Accounting Principles (GAAP), federal grant requirements, HRSA expectations, and applicable internal policies. The ideal candidate is detail-oriented, analytical, highly organized, and comfortable working in a healthcare and nonprofit environment where accuracy, deadlines, internal controls, and stewardship of public resources are essential.

Requirements

Bachelor’s degree in Accounting, or a closely related field required.
Minimum of five years of progressive accounting experience, preferably in healthcare, nonprofit 501(c)(3), or grant-funded environments.
Strong working knowledge of GAAP, general ledger accounting, account reconciliations, financial reporting, and month-end close processes.
Experience with federal grants, restricted funds, audit preparation, and internal controls preferred.
Proficiency with accounting systems and Microsoft Excel, Power BI; experience with nonprofit or healthcare accounting platforms is a plus.
Ability to analyze financial data, research variances, meet deadlines, and communicate clearly with non-finance stakeholders.
High degree of accuracy, integrity, confidentiality, and attention to detail.
Experience in payer source management, including Medicaid PPS, Medicare PPS, commercial insurance, and sliding fee scale programs.
Experience working with Electronic Health Record (EHR) systems across multiple service lines, including medical, dental, pharmacy, chiropractic, urgent care, and home health.

Nice To Haves

Certified Public Accountant (CPA), Certified Management Accountant (CMA), or CPA/CMA candidate preferred.
Prior experience in a Federally Qualified Health Center, community health center, nonprofit healthcare organization, or similar mission-driven setting.
Knowledge of HRSA grant requirements, Uniform Guidance, 340B-related financial activity, Medicaid/Medicare reimbursement, or healthcare revenue cycle concepts.
Experience supporting annual audits, Single Audits, Form 990 preparation, or board-level financial reporting.

Responsibilities

Prepare, review, and post journal entries in accordance with GAAP and organizational policies.
Reconcile bank accounts, balance sheet accounts, subsidiary ledgers, and other assigned accounts on a monthly basis.
Support timely and accurate month-end, quarter-end, and year-end close processes.
Assist in preparing monthly financial statements, budget-to-actual reports, variance analyses, and financial dashboards for leadership review.
Maintain accurate general ledger records and organized documentation to support audits, grant reporting, and management review.
Monitor restricted funds, federal grants, state grants, and private funding sources to ensure proper coding, allowable cost treatment, and timely reporting.
Support HRSA-related financial compliance, Uniform Guidance requirements, Single Audit preparation, and other grantor reporting needs.
Assist with accounts payable, accounts receivable, payroll-related reconciliations, fixed assets, depreciation schedules, prepaid expenses, accrued liabilities, and other core accounting activities.
Review transactions for proper authorization, documentation, coding, and compliance with internal controls.
Prepare audit schedules and respond to information requests from external auditors, grantors, and management.
Identify accounting discrepancies, research variances, recommend corrections, and help strengthen internal processes.
Collaborate with operations, revenue cycle, grants, human resources, and program leadership to provide accurate financial information and resolve issues.
Assist with annual budget preparation, forecasts, cost allocation schedules, and program-level financial reporting as requested.
Maintain confidentiality of financial, employee, vendor, and patient-related information.
Perform other finance and accounting duties as assigned.