Senior Accountant

Neighborhood Healthcare•Escondido, CA

13d•$80,200 - $115,500

About The Position

The Senior Accountant is a key member of the Finance team responsible for ensuring the financial accuracy, regulatory compliance, and operational integrity of the Federally Qualified Health Center (FQHC). This role leads critical components of the organization’s accounting operations—including general accounting, financial reporting, tax compliance, and capital project oversight—and provides proactive financial insights that support informed operational decisionmaking. This position requires a highly independent, analytical, and detaildriven individual who can confidently manage complex accounting tasks with minimal direction. The Senior Accountant reports to the Senior Accounting Manager and maintains a dottedline reporting relationship with the Accounting Supervisor.

Requirements

Bachelor’s degree in Accounting, Finance, or related field required
4 - 6+ years of progressive accounting experience required
Strong knowledge of GAAP.
Advanced Excel skills (pivot tables, XLOOKUP, complex formulas, data validation).
High attention to detail, accuracy, and documentation standards.
Strong analytical abilities with the capacity to interpret and communicate complex financial data.
Demonstrated ability to work independently, prioritize effectively, and exercise sound judgment.
Proactive problem‑solver with a continuous‑improvement mindset.

Nice To Haves

CPA or MBA preferred
Non-profit or healthcare experience preferred
Experience with ERP systems; Microsoft Dynamics 365 Business Central strongly preferred.

Responsibilities

Prepare, review, and post journal entries; independently support monthend and yearend close activities.
Reconcile balance sheet accounts and maintain accurate, wellsupported general ledger records.
Maintain organized audit documentation and prepare audit schedules with minimal oversight.
Identify and recommend improvements to strengthen internal controls, workflows, and efficiencies.
Collaborate crossfunctionally with the Controller, Grants, Operations, Revenue Cycle, HR, and Facilities teams.
Produce month-over-month financial reports, KPIs, and variance analyses.
Prepare financial packages for departments, leadership, and programs.
Identify financial trends, risks, and operational opportunities for improvement.
Track certificates of insurance (COIs), CAM allocations, property tax schedules, exemptions, and related entries.
Maintain compliance for nonprofit property tax exemption filings.
Monitor bank covenants; prepare lender compliance reports.
Track line‑of‑credit activity, repayments, and interest.
Support Form 990 Schedule K and bond compliance documentation.
Monitor construction‑in‑progress and maintain accurate CIP schedules.
Support percentage‑of‑completion calculations.
Assist with asset capitalization and fixed‑asset documentation.