Chief Hospital Accountant

Natividad Medical Center (NMC); Salinas (CA); On-site; USD 120,000 - 160,000; Full time

Job summary

Natividad Medical Center in Salinas, CA is seeking a Chief Hospital Accountant to lead the accounting team, oversee the hospital's general ledger, and ensure robust financial reporting. You will design and monitor controls, supervise staff, and collaborate with hospital leadership on budgets and cost analysis.

This full-time, permanent role requires experience in acute care accounting and a bachelor’s degree in a related field. Strong analytical and leadership skills are essential for success.

Qualifications

• Four years of accounting experience, two years in an acute care hospital.
• Bachelor’s degree in Business or Public Administration, Accounting or closely related field.
• Must pass pre-employment physical and background checks.
• Ability to develop, implement and maintain general accounting systems and controls.

Responsibilities

• 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, budgets and projected operating costs.
• Prepares financial reports including Balance Sheet, Statement of Revenue and Expenses, and Statement of Cash Flow.
• Oversees government funding accounting and related intergovernmental transfers.

Skills

Accounting

Financial reporting

Budgeting

Staff supervision

Internal controls

Education

Bachelor's degree in Business or Public Administration, Accounting or closely related field

Tools

Accounting software

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 County of Monterey is committed to honoring the service and sacrifice of veterans and eligible military spouses and awards veterans’ preference points for this recruitment. To learn more about the eligibility requirements and the process, be sure to read the Hiring Preference for Veterans and Eligible Military Spouses section located towards the end of this job flier.

Examples of Duties

• 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

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;

Additional Information

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.
• REQUIRED APPLICATION MATERIALS AND SCREENING PROCESS**

Special Notes

• If you believe you possess a disability that would require test accommodation, please contact the Personnel Analyst for Natividad at [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.