What are the responsibilities and job description for the Senior Accountant, FQHC/Healthcare (REMOTE) position at MCHC Health Centers?
Description
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.
Requirements
- 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
Salary : $40 - $50