About this role
Description
Full-Time | Onsite, Hybrid, or Fully Remote
MCHC Health Center is seeking an experienced Senior Accountant to support the financial integrity and long-term sustainability of our Federally Qualified Health Center (FQHC). This role offers the opportunity to work in a mission-driven organization while applying advanced accounting expertise in a complex, highly regulated healthcare environment. The Senior Accountant plays a critical role in financial reporting, budgeting, audits, and regulatory compliance, and works closely with the CFO and Controller to improve processes, strengthen internal controls, and support a collaborative, cross-trained accounting team.
Key Responsibilities
- Lead monthly close processes, including journal entries and account reconciliations
- Prepare annual operating and capital budgets
- Manage and support the annual financial audit
- Prepare Medicare Cost Reports and PPS Reconciliations
- Assist with Form 990, UDS, OSHPD, and other regulatory and grant reporting
- Ensure timely and accurate reporting to grantors and regulatory agencies
- Support ad hoc financial analysis and special reporting requests
- Collaborate with leadership to improve accounting processes and documentation
- Assist with developing training materials and cross-training staff across accounting functions
Why Join MCHC
- Flexible work options: onsite, hybrid, or fully remote
- Opportunity to work closely with executive leadership
- Meaningful work supporting underserved communities
- Collaborative, mission-driven culture that values both excellence and well-being
- Role with depth, variety, and long-term impact
As a Federally Qualified Health Center, MCHC is deeply committed to its mission and to fostering a positive and supportive work environment. We are seeking someone who brings technical expertise, integrity, and a genuine passion for serving underserved populations.
Requirements
Minimum Qualifications
- Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or a related field; or a minimum of five (5) years of relevant experience.
- Proficiency in Microsoft Excel, including advanced functions.
- Experience working with Microsoft Office applications.
Preferred Qualifications:
- Knowledge of and experience with the Abila MIP accounting application.
- Experience working with healthcare practice management systems, including OCHIN Epic, NextGen, and eClinicalWorks.
- Experience working in a Federally Qualified Health Center (FQHC) setting.