Chief Hospital Accountant

Natividad Medical Center; Salinas (CA); On-site; USD 90,000 - 140,000; Full time

Job summary

Natividad Medical Center in Salinas, CA is seeking a Chief Hospital Accountant to lead the accounting function within the Accounting Department. Under direction, you will support the Hospital Controller in developing and maintaining the general accounting system, ensuring accurate financial reporting and strong internal controls for the organization.

The role requires extensive knowledge of hospital budgeting, GAAP and government program accounting, with responsibility for supervising a team,

Qualifications

• Knowledge of hospital and healthcare budgeting and financial management.
• GAAP, OCBOA, OSHPD reporting and government program accounting.
• Automated systems in a hospital setting, including MEDITECH.
• Financial modeling and data analysis.

Responsibilities

• Develop, implement and maintain general accounting systems and controls; supervise accounting staff.
• Prepare detailed financial plans, budgets, staffing, and operating cost projections.
• Define accounting requirements for patient accounting and related systems.
• Analyze data and report financial information to external agencies.
• Prepare financial statements and cost reports for government programs.

Skills

Hospital budgeting

GAAP knowledge

Financial management

Financial reporting

Staff supervision

MEDITECH systems

Education

Bachelor’s degree in Business or Public Administration, Accounting

Tools

MEDITECH

Job description

POSITION DESCRIPTION

Application materials must be received by Friday, September 4, 2026 to be considered for this position. Additionally only current county employees are eligible for this promotional opportunity. Natividad is currently seeking to fill a full time, permanent Chief Hospital Accountant in our Accounting Department. Under direction, this incumbent provides technical support to the Hospital Controller at Natividad in the development, implementation and maintenance of Natividad’s general accounting system; prepares financial reports and designs financial controls for the institution and does other work as required. Exam# 26/20B91/08SS

THE SIGNIFICANT DUTIES OF THE POSITION ARE AS FOLLOWS:

• Develops, implements and maintains general accounting systems and controls; supervises and participates in the review and analysis of accounting records
• Assists in the preparation of detailed financial plans for Natividad by analyzing and evaluating statistical and financial data and preparing budgets, projected patient levels, proposed staffing requirements and projected operating costs
• Defines the accounting requirements for Natividad for incorporation into the patient accounting system, fiscal and statistical information system and other medical center accounting systems
• Analyzes data and proposes methods for tracking and reporting financial information to various external agencies
• Prepares financial reports including cost reimbursement plans for MediCare, MediCal and other insurance providers; prepares reports of Natividad Enterprise Fund activities to meet County requirements
• Plans, assigns, and reviews the work of subordinate accountants and clerical personnel; trains and evaluates personnel
• Prepares and publishes monthly financial statements including Balance Sheet, Statement of Revenue and Expenses, and Statement of Cash Flow
• Oversees the accounting and accuracy of over $40 million in government funding
• Prepares Intergovernmental Transfers to the State; bills State for government programs
• Prepares and files Hospital Surveys for Public Health Agencies and economic bureaus
• Acts as Hospital liaison for MediCal and MediCare audits

MINIMUM QUALIFICATIONS

Thorough knowledge of:

• Principles and practices of hospital and healthcare budgeting and financial management
• Laws, rules and regulations influencing medical center fiscal operations, including MediCal and MediCare requirements; GAAP, OCBOA, OSHPD reporting and government program accounting
• Accounting principles, theories, concepts and their practical applications to medical center operations in general and to cost accounting and cost recovery in specific
• Automated systems related to Clinical Services, Operations and Support Services of an acute care hospital. (i.e., MEDITECH)
• Principles of mathematical and statistical analysis, preparation and presentation
• The uses of standard computer-based business applications
• Financial modeling

Working knowledge of:

• Principles and practices of financial management
• Principles of governmental accounting
• Principles and practices of personnel management, including recruitment, planning and organizing work, delegating authority, motivating subordinates, appraising performance and administering discipline
• Principles and practices of medical staff interaction and organization in an acute care facility

Skill and Ability to:

• Develop financial and other operational systems to accurately control Natividad activities
• Train and supervise accounting personnel
• Make sound financial decisions and recommendations to management in regards to professional accounting problems in maintaining fiscal control of Natividad
• Interpret and apply legal requirements and administrative policies to accounting functions
• Interpret financial data for non-financial managers
• Implement appropriate changes in accounting systems and procedures
• Coordinate deadlines and data requests including those from all Health units in the County of Monterey
• Accurately analyze fiscal data and adopt an effective course of action
• Establish and maintain effective working relationships with all levels of staff and other contacts
• Prepare clear and comprehensive financial, narrative and statistical reports
• Communicate ideas and information, effectively, both orally and in writing

EXAMPLES OF EXPERIENCE/EDUCATION/TRAINING

The knowledge, skills and abilities listed above may be acquired through various types of experience, education or training, typically:

Experience:

Four (4) years accounting experience, two years of which were in an acute care hospital, performing a full range of professional accounting duties

Education/Training:

Equivalent to a bachelor’s degree in Business or Public Administration, Accounting or a closely related field;

CONDITIONS OF EMPLOYMENT

• Natividad requires that all incumbents pass a pre-employment physical/medical assessment.
• Natividad will conduct a thorough background and reference check process which includes a Department of Justice fingerprint check.
• Employees who drive on County business to carry out job related duties must possess a valid Driver License for the class vehicle driven or have the ability to provide suitable transportation that is approved by the appointing authority.
• Employees must have and show their original Social Security Card and a valid Driver License or State ID prior to the first day of work (Social Security Card is required for payroll purposes only).
• Incumbents may be required to work all shifts, including irregular hours, nights, weekends, holidays, and emergency, on-call work as needed on a flexible schedule
• Incumbents may be required to work with potentially hazardous and infectious substances.

HIRING PREFERENCE FOR VETERANS AND ELIGIBLE MILITARY SPOUSES

The County of Monterey is committed to honoring the service and sacrifice of veterans and eligible military spouses (i.e., surviving spouses of veterans, spouses of totally disabled veterans, and spouses of active-duty service members) and awards veterans’ preference points for this recruitment. To obtain a Veterans and Eligible Military Spouse Preference Application, please visit the Human Resources website or click on the following link: Click Here to View the Veterans and Eligible Military Spouse Preference Application

To apply for veterans’ preference points, veterans or eligible military spouses must complete and email a Veterans and Eligible Military Spouse Preference Application with supporting documentation of their eligibility by the final filing deadline to: [e-mail]

SPECIAL NOTES

• If you believe you possess a disability that would require test accommodation, please contact the Personnel Analyst for Natividadat [phone].
• Employment is contingent upon acceptable documentation verifying identity and authorization for employment in the United States.
• If you are hired into this classification in a temporary position, your salary will be hourly and you will not be eligible for the benefits listed above.