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Grants Accounting Specialist

Cayuga Health, A Member of Centralus Health
Ithaca, NY Full Time
POSTED ON 9/28/2025
AVAILABLE BEFORE 10/28/2025
Cayuga Health and its affiliates are the region's leading healthcare system and most trusted providers of integrated health services, empowering our people in our mission to equitably improve the well-being of the communities we serve. Our commitment to providing extraordinary healthcare begins with our team of extraordinary professionals who are continuously discovering clinical innovations and enhancing access to the most up-to-date facilities, equipment, technologies, and research protocols. Cayuga Health's commitment to our employees includes competitive compensation, comprehensive employee benefits programs, and the opportunity to explore and build a career in healthcare through our many professional development programs. 

The Grants Accounting Specialist is responsible for the financial management of a diverse portfolio of federal, state, county and private grants and contracts secured by the Cayuga Health System, including but not limited to Cayuga Medical Center, Schuyler Hospital, Cayuga Medical Associates, and Cayuga Addiction Recovery Services. This position is part of a team of grants specialists, and serves as a liaison between the grants team, project staff, and the finance department. Therefore, this role requires commitment to cross-functional collaboration within the organization. The ideal candidate will have experience with the entire grant management lifecycle.

Roles And Responsibilities

  • Assist with proposal development, with a focus on budget development, budget narratives, proformas, and descriptions of financial management systems
  • Maintain pre-qualification status in grants and contract portals
  • Provide training, education and support to project teams in budget planning, expense monitoring, and documentation
  • Prepare invoices with supporting documentation for reimbursable expenses
  • Work with finance staff to ensure proper recording of revenues and expenditures in the General Ledgers
  • Ensure that grants and contracts are within budget and expenses are charged to appropriate cost centers, and prepare journal entries to ensure appropriate accounting
  • Ensure compliance with grant and contract regulations and requirements
  • Maintain and update grant-tracking spreadsheets
  • Respond to all grant and contract deadlines and audits
  • Assist finance staff with grant related audit needs
  • Submit budget modifications and no-cost extension requests as needed
  • Additional responsibilities as deemed appropriate

Required Skills And Experience

  • Bachelor's degree in an accounting, business, healthcare administration, nonprofit administration, or related field.
  • At least 2 years of experience in accounting or grants management, preferably in a medical or community health setting.
  • Ability to work independently, be part of cross-functional teams, and be self-motivated to set priorities and manage multiple priorities under minimal supervision.
  • Ability to work under pressure and respond to deadlines without sacrificing quality.
  • Demonstrated interest in the mission, vision and values of Cayuga Health System.

Preferred Skills And Experience

  • Master's degree in a related field preferred.

Physical Requirements

  • 90% sitting; 10% standing

Location and Travel Requirements:

  • Hybrid: This position can be 80% remote, with an estimated 20% of time necessary for in-person meetings.

Pay Range Disclosure

  • $62,004.80 to $85,009.60

Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.

We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.

If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at talentacquisition@cayugahealth.org.

I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me.

I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment/post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment/post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.

I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.

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Salary : $62,005 - $85,010

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