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Senior Accountant, FQHC/Healthcare
MCHC Health CentersSenior Accountant supporting healthcare accounting operations at MCHC Health Centers. Overseeing budgeting, compliance, and financial reporting across multiple health centers.
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
- 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.
Benefits
Comp & perks- Medical, Dental, and Vision Insurance
- Paid Time off (PTO) and 9 Paid Holidays
- Life Insurance
- 401(k) with up to 4% Employer Match
- Flexible Spending Account (FSA)
ATS Keywords
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Hard Skills & Tools
financial analysisbudgetingvariance analysisfinancial reportingregulatory reportingadvanced Excelgrant reportingcost reportingdata analysisprocess documentation
Soft Skills
cross-trainingstaff developmentcommunicationproblem-solvingorganizational skills