Senior Accountant, FQHC/Healthcare

Work Location: This position may be eligible for a hybrid or remote work arrangement depending on the selected candidate’s qualifications, experience, and location. On-site candidates are also encouraged to apply. 

Make an Impact Behind the Scenes at MCHC Health Centers

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.

About the Role

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.

What You’ll Do

Financial Planning & Reporting

• 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

Regulatory & Grant Reporting

• 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

Analysis & Systems

• 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

Process Improvement & Team Support

• 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

What Will Make You Successful

• 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

We Offer a Cadillac Benefits Package

• 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)

Why This Role Matters

This is more than an accounting role, it is an opportunity to influence how a mission-driven healthcare organization allocates resources, meets regulatory demands, and sustains growth. Your work will directly support MCHC’s ability to expand access to care and serve our communities with excellence.

• Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or a related field; or 5+years of relevant accounting experience
• Experience supporting Medicare/Medicaid cost reports, HCAI (OSHPD), UDS, grant reporting, or other government financial reporting
• 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

Preferred Qualifications

• 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