Accountant

Position Summary

The Accountant plays a critical role in supporting the financial integrity and operational sustainability of the health center by maintaining accurate and timely accounting records in compliance with Generally Accepted Accounting Principles (GAAP) and federal grant regulations. This position is responsible for general ledger maintenance, account reconciliations, journal entries, and financial reporting functions that ensure transparency, accountability, and sound fiscal management.

In the FQHC setting, the Accountant works closely with the finance team to ensure compliance with the Health Resources and Services Administration (HRSA) and Uniform Guidance (45 CFR Part 75) requirements, particularly related to grants management, allowable costs, and financial audits. The position supports the preparation of monthly financial statements, assists with budget tracking, and contributes to audit readiness.

This role requires a high degree of accuracy, attention to detail, and the ability to meet deadlines in a dynamic, mission-driven environment. The Accountant reports to the Chief Financial Officer (CFO) and collaborates with CEO, Accounts Payable Specialist, as well as internal departments to provide financial insights that support operational and strategic decision-making.

Principal Duties and Responsibilities

General Accounting & Financial Reporting

• Prepare and post journal entries to the general ledger in accordance with GAAP and organizational policies.
• Reconcile bank accounts, balance sheet accounts, and subsidiary ledgers monthly.
• Assist in the preparation of timely and accurate monthly, quarterly, and annual financial statements.
• Support month-end and year-end close processes, ensuring adherence to deadlines and completeness.
• Resolve any discrepancies or irregularities found in the financial records, statements, or documented transactions.

Grant & Restricted Fund Accounting

Accounts Payable & Receivable Support

Audit & Compliance Support

Budgeting & Forecasting Support

Financial Systems & Process Improvement

Collaboration & Communication

Required Skills or Abilities

Required Knowledge, Experience, or Licensure / Registration

Physical requirements of the Job

Sitting or standing (often for prolonged periods)

Carrying or lifting objects up to 20 pounds

This is a full-time, exempt position.

NeighborHealth Center is an Equal Opportunity Employer. NHC is dedicated to building a culturally diverse staff committed to serving a diverse patient population. We encourage applications from women, minority groups, veterans, and people with disabilities.

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