Senior Accountant, Health Care/FQHC (REMOTE)

Full-Time

MCHC Health Center is seeking an experienced Senior Accountant to support the financial integrity and long-term sustainability of our Federally Qualified Health Center (FQHC). This role offers the opportunity to work in a mission-driven organization while applying advanced accounting expertise in a complex, highly regulated healthcare environment. The Senior Accountant plays a critical role in financial reporting, budgeting, audits, and regulatory compliance, and works closely with the CFO and Controller to improve processes, strengthen internal controls, and support a collaborative, cross-trained accounting team.

Key Responsibilities

• Lead monthly close processes, including journal entries and account reconciliations
   
• Prepare annual operating and capital budgets
  
• Manage and support the annual financial audit
  
• Prepare Medicare Cost Reports and PPS Reconciliations
   
• Assist with Form 990, UDS, OSHPD, and other regulatory and grant reporting
   
• Ensure timely and accurate reporting to grantors and regulatory agencies
   
• Support ad hoc financial analysis and special reporting requests
   
• Collaborate with leadership to improve accounting processes and documentation
   
• Assist with developing training materials and cross-training staff across accounting functions
   

Why Join MCHC

• Flexible work options: onsite, hybrid, or fully remote
   
• Opportunity to work closely with executive leadership
   
• Meaningful work supporting underserved communities
   
• Collaborative, mission-driven culture that values both excellence and well-being
   
• Role with depth, variety, and long-term impact
   

As a Federally Qualified Health Center, MCHC is deeply committed to its mission and to fostering a positive and supportive work environment. We are seeking someone who brings technical expertise, integrity, and a genuine passion for serving underserved populations.

Minimum Qualifications

• Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or a related field; or a minimum of five (5) years of relevant experience.
• Proficiency in Microsoft Excel, including advanced functions
• Experience working in a Federally Qualified Health Center (FQHC) setting.
• Non-profit or healthcare accounting experience
• Experience working with multiple entities and segments

 Preferred Qualifications:

• Knowledge of and experience with the Abila MIP accounting application.
   
• Experience working with healthcare practice management systems, including OCHIN Epic, NextGen, and eClinicalWorks.
   
• Experience working in a Federally Qualified Health Center (FQHC) setting.