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The Sr Accountant is responsible for ensuring accurate financial reporting, compliance, and accounting functions for its related entities. This position manages complex tasks including grant billing, fixed asset management, lease accounting, and financial reporting in alignment with GAAP and FQHC regulations. The Sr Accountant will work closely with program managers and grant coordinators to support budget forecasting, track spending, and ensure compliance across multiple funding sources.

Responsibilities

Prepare and record journal entries, including lease accounting, patient revenue, and adjustments for related entities.Reconcile balance sheet accounts monthly.Manage fixed assets, ensuring accurate capitalization and depreciation, and lead the annual physical inventory process.Track, report, and bill multiple grants and funding sources, ensuring compliance with federal, state, and local regulations.Prepare and submit cost and financial reports for funders and governmental agencies.Assist with the preparation of monthly, quarterly, and annual financial statements, ensuring all reporting is accurate, timely, and complies with GAAP and accounting standards.Support the development and monitoring of grant and annual budgets, ensuring proper allocation and compliance with funding guidelines.Monitor actual spending against budgets and provide variance analysis to management.Assist with audit preparations, including documentation gathering and responding to auditor inquiries.Ensure compliance with internal controls, FQHC regulations, and policies to mitigate financial risk.Collaborate with accounting colleagues, program managers, and grant coordinators to support budget forecasting for new and renewal grant funding and resolve discrepancies or compliance issues.Assist the Accounting Manager with other departmental tasks as assigned.

Essential Skills

Bachelor's degree in Accounting, Finance, or a related field.5+ years of experience in a similar role, with at least 3 years in a non-profit and/or healthcare setting preferred.Strong understanding of GAAP and non-profit accounting principles.Proficiency in accounting software (e.g., Sage Intacct, or similar), and advanced Microsoft Excel skills.Excellent organizational skills with attention to detail and the ability to manage multiple priorities.Strong communication skills and ability to collaborate with various departments.Excellent written and verbal communication and interpersonal skills.Commitment to HIPAA and ability to abide by standards of professional ethics and maintain confidentiality.

Additional Skills & Qualifications

Attention to detail and a commitment to accuracy.Must be a quick learner and flexible to thrive in a team setting or independently.Assist and support the Center/Department/Program to meet standards of High Reliability.Adherence to infection control procedures, including standard precautions of temperature monitoring, hand washing, symptom self-monitoring, masking, and social distancing.

Work Environment

The role is an in-office position with a standard 8am-5pm schedule. The accounting team consists of 15 members, including roles such as CFO, Controller, Accounting Manager, Assistant Controller, and others within purchasing, accounts payable, grants, and accounts receivable.

Job Type & Location

This is a Permanent position based out of Sacramento, California.

Pay and Benefits

The pay range for this position is $91900.00 - $91900.00/yr.

Successful candidate will receive regionally competitive salary, above average health benefits at reduced costs, company paid life insurance & long-term disability insurance, additional voluntary retirement plan with company match and no vesting schedule requirement.

•\tPaid bereavement and jury duty leave
•\t11 paid holidays per year
•\tPaid time off
•\tPaid sick leave
•\tFlexible Spending Program
•\tCompany paid malpractice insurance for all providers
•\tProfessional development hours offered annually

Workplace Type

This is a fully onsite position in Sacramento,CA.

Application Deadline

This position is anticipated to close on Oct 10, 2025.

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\n\nAbout Aston Carter:\n

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

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The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.

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