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Senior Accountant

Sadler Health Center
Carlisle, PA Full Time
POSTED ON 10/16/2026
AVAILABLE BEFORE 11/13/2026

Looking for an Accountant Who Knows the Close


Sadler Health Center is seeking an experienced Senior Accountant with strong, hands-on experience in month-end and year-end close, general ledger accounting, account reconciliations, and journal entries.


This is an operational accounting role for someone who enjoys getting into the details, understands how transactions flow through the general ledger, can research and resolve discrepancies, and takes ownership of producing accurate and timely financial information.


The ideal candidate will have direct corporate, nonprofit, healthcare, or other in-house accounting experience. Candidates whose experience is primarily tax preparation or external/general audit may not have the hands-on accounting background required for this position.


The Senior Accountant reports to the Controller and supports the Finance Department's accounting and financial reporting responsibilities.


What You'll Own and Support


Your work will include:


  • Performing key activities supporting the monthly and year-end accounting close.
  • Preparing and reviewing general ledger account reconciliations and journal entries.
  • Researching account discrepancies and accounting issues and ensuring transactions are recorded in accordance with GAAP and applicable federal requirements.
  • Assisting with preparation of monthly financial reports.
  • Reconciling bank accounts and maintaining accurate accounting records.
  • Maintaining fixed asset and capital asset records, including depreciation schedules.
  • Performing indirect cost allocations across programs, grants, and cost centers.
  • Supporting annual budget preparation and periodic financial and budget analysis.
  • Preparing grant invoices and reconciliations and supporting Federal Financial Reports, including the SF-425.
  • Reconciling patient service revenue, sliding fee discounts, payer remittances, and cash receipts.
  • Supporting the annual financial statement and Single Audit processes.
  • Assisting with FQHC Medicare/Medicaid cost reporting, UDS financial reporting, Form 990 preparation, and other accounting requirements.


What We're Looking For


We want an accountant who understands the accounting cycle beyond reviewing someone else's work.


Required qualifications include:


  • Bachelor's degree in accounting or relevant field.
  • Minimum of four years of general accounting experience.
  • Advanced understanding of GAAP.
  • Strong working knowledge of general ledger accounting, payroll, accounts payable, and cash processes.
  • Experience with automated accounting systems.
  • Advanced Excel skills and strong analytical, organizational, and problem-solving abilities.
  • Demonstrated ability to manage deadlines and produce accurate work in a deadline-driven environment.


Even Better If You Bring


  • Nonprofit or grant accounting experience.
  • FQHC or healthcare accounting experience.
  • Experience with Abila/MIP and ADP Workforce Now.
  • Master's degree in accounting, Finance, or related field.
  • CPA designation or active CPA candidacy.


The Experience That Will Help You Succeed


If you've been responsible for closing the books, reconciling GL accounts, preparing journal entries, investigating variances, and supporting financial statement preparation, we want to hear from you.


Bring your accounting expertise and help support the financial stewardship behind our mission of providing inclusive, high-quality and compassionate care.


Apply today and put your accounting expertise to work for a mission that matter

Salary.com Estimation for Senior Accountant in Carlisle, PA
$74,796 to $90,998
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