Accountant Senior

Access Community Health Network; Chicago (IL); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Access Community Health Network is seeking a Senior Accountant to maintain accurate financial records, lead month-end close, and support audits. The role partners with departments to ensure strong internal controls and compliant reporting, leveraging automation and AI tools to improve efficiency.

You will supervise junior staff, prepare analyses, and contribute to budgeting, forecasting, and strategic initiatives in a mission-driven nonprofit healthcare setting.

Qualifications

• Bachelor’s degree in accounting is required.
• CPA designation strongly preferred.
• Five years of progressive accounting experience required.
• Three years of supervisory or leadership experience required.
• Experience in healthcare, nonprofit, or highly regulated environments preferred.
• Experience with automated general ledger and payroll systems preferred.
• Advanced proficiency in Microsoft Excel and the Microsoft Office Suite preferred.

Responsibilities

• Support month-end, quarter-end, and year-end close processes to ensure timely financial statements per GAAP.
• Prepare, review, and approve journal entries, reconciliations, and analyses for GL integrity.
• Analyze financial results and identify trends and variances.
• Assist in development of annual budgets, forecasts, and projections; monitor performance vs targets.
• Maintain internal controls and GAAP compliance; adhere to funding source requirements.
• Support external, grant, and regulatory audits with schedules and documentation.
• Manage cash transactions, reconciliations, and cash flow monitoring.
• Collaborate with department leaders to record financial activity and provide guidance.
• Coach and develop junior accounting staff; foster accountability and growth.
• Drive process improvements via automation and data analytics.

Skills

Leadership

Analytical skills

Advanced Excel

Education

Bachelor’s degree in accounting

CPA designation

Tools

Great Plains General Ledger

Dayforce/Ceridian Payroll

Microsoft Excel

AI-enabled tools

Job description

We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive the organization forward, and recognize the positive impact they can bring to our communities.

Who We Are

If you want to work for a mission-driven organization that’s impacting community health care both on a local and national level, then Access Community Health Network (ACCESS) may be the perfect place for you. As a nationally recognized leader in community health, we continue to innovate and improve our integrated care model to address the total health and wellness of our patients. Our dedicated staff is committed to advancing health equity and making a long-term impact on the health outcomes of the more than 150,000 patients who count on ACCESS as their medical home each year.

Position Summary

The Senior Accountant is responsible for maintaining the accuracy, integrity, and timeliness of the organization's financial records and reporting. This position manages complex accounting activities, including month-end and year-end closing, account reconciliations, audit support, cash management, financial analysis, and compliance reporting. The Senior Accountant serves as a key business partner across departments, provides leadership and development to junior accounting staff, strengthens internal controls, and supports financial evaluation of strategic initiatives. This role leverages technology and automation, including AI, to improve operational efficiency, reporting accuracy, and data-informed decision-making while ensuring compliance with applicable accounting standards, healthcare regulations, and funding requirements.

Core Job Responsibilities

• Support month-end, quarter-end, and year-end close processes to ensure the timely and accurate preparation of financial statements in accordance with GAAP and organizational policies.
• Prepare, review, and approve complex journal entries, account reconciliations, and financial analyses to maintain the integrity of the general ledger and financial reporting.
• Analyze financial results, identify trends and variances.
• Support the development of annual operating budgets, forecasts, and financial projections, including monitoring performance against established targets.
• Maintain and strengthen internal controls, ensuring compliance with GAAP, regulatory requirements, organizational policies, and funding source requirements.
• Support external audits, grant audits, and regulatory reviews by preparing schedules, documentation, and responses to audit inquiries.
• Support cash management activities, including cash reconciliations, banking transactions, and monitoring cash flow to support organizational financial stability.
• Partner with operational and administrative department leaders to ensure the accurate recording of financial activity and provide financial guidance that supports organizational goals.
• Supervise, coach, and develop junior accounting staff, fostering a culture of accountability, continuous improvement, and professional growth.
• Drive process improvements through technology, automation, and data analytics to enhance efficiency, reporting accuracy, internal controls, and decision-making capabilities.
• Performing other duties as assigned.

Requirements And Preferences

• Bachelor’s degree in accounting required; CPA designation strongly preferred.
• Minimum five (5) years of progressive accounting experience required.
• Minimum of three (3) years of supervisory or team leadership experience required.
• Experience within healthcare, FQHC, nonprofit, or other highly regulated environments preferred.
• At least one (1) year of experience using fully automated general leader and payroll systems.
• Advanced proficiency in Microsoft Excel and the Microsoft Office Suite.
• Experience with Great Plains General Ledger and Dayforce/Ceridian Payroll systems preferred.
• Experience with AI-enabled technology tools is preferred.

Working Conditions And Physical Requirements

• Work is performed primarily in a standard office environment with occasional presence at health centers.
• Local travel between sites and community events is required.
• For remote or hybrid work arrangements, employees must maintain a suitable and secure workspace, reliable internet connectivity, and appropriate dependent care arrangements.
• Ability to sit for extended periods (up to 4 hours), stand for up to 2 hours, and regularly use standard office equipment, including a computer, laptop, telephone, copier, scanner, and fax.
• Hybrid position required to work at Fulton on occasions

ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on position applied/being recruited for, candidates may be required to be vaccinated against communicable diseases and provide supporting documentation proving that they are properly vaccinated, or apply for religious and/or medical vaccination exemption as a part of the application process.

The pay ranges provided represent the minimum to mid-range for positions. Actual compensation will be determined based on a combination of factors including years of experience, educational background, market conditions, and available grant funding.