Senior Accountant, FQHC – Healthcare

This is a fully remote position, open to applicants in California.

📋 Description

• Assist in the creation and assessment of annual operating and capital budgets across various locations.

• Evaluate financial trends and historical data to facilitate planning and strategic decision-making.

• Help prepare and verify essential 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), with a focus on variance analysis.

• Aid in the annual Medicare Cost Report, UDS, and HCAI (OSHPD) financial reporting processes.

• Support the financial aspects of grant reporting, including Service Area Competition and continuation reports.

• Examine financial and practice management system data for accuracy and completeness.

• Investigate discrepancies and propose improvements to reporting processes.

• Utilize advanced Excel skills to manage, analyze, and present financial information effectively.

• Standardize and document financial procedures across multiple entities.

• Facilitate cross-training initiatives and the development of training materials for staff.

• Act as a backup for monthly closing and reconciliation activities.

• Collaborate closely with the CFO and Controller on budgeting, regulatory reporting, and financial analysis.

• Ensure compliance and reporting accuracy in a multi-entity healthcare setting.

• Mentor and support junior team members.

⛳️ Requirements

• A Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or a related discipline; or more than 5 years of relevant accounting experience.

• Proven experience in supporting Medicare/Medicaid cost reports, HCAI (OSHPD), UDS, grant reporting, or other forms of government financial reporting.

• High level of proficiency in Microsoft Excel, including advanced analytical and reporting functions.

• Background in healthcare accounting, with an understanding of regulatory reporting requirements.

• Experience working across multiple entities and segments.

• Proven track record in mentoring and developing junior accounting personnel.

• Experience in a Federally Qualified Health Center (FQHC) environment is strongly preferred.

• Familiarity with Abila MIP or similar accounting software.

• Knowledge of Paylocity or comparable payroll systems and related reporting.

• Understanding of healthcare systems such as OCHIN Epic, NextGen, or eClinicalWorks.

• Ability to manage multiple projects and meet competing deadlines effectively.

• Capability to work independently and proactively seek clarification when needed.

• Advanced Excel skills, including proficiency in lookups, pivot tables, and index/match functions.

• Ability to work with large and complex datasets.

• Exceptional attention to detail is essential.

🏝️ Benefits

• Comprehensive Medical, Dental, and Vision Insurance.

• Paid Time Off (PTO).

• Nine Paid Holidays.

• Life Insurance coverage.

• 401(k) plan with up to a 4% employer match.

• Flexible Spending Account (FSA).

• Possibility of a hybrid or remote work arrangement based on qualifications, experience, and location.