General Ledger Accountant - Healthcare & Grants

Gateways Hospital and Mental Health Center; Los Angeles (CA); On-site; USD 70,000 - 95,000; Full time

Job summary

Gateways Hospital and Mental Health Center seeks an Accountant - General Ledger to manage a broad set of accounting tasks, ensuring accurate financial records and compliance with GAAP. The role includes journal entries, monthly closings, reconciliations, and collaboration with FP&A and program teams.

The position emphasizes accuracy, strong analytical skills, and the ability to work independently in a healthcare nonprofit environment while supporting audits and regulatory reporting.

Qualifications

• Strong understanding of GAAP and general ledger accounting practices.
• Strong analytical, problem-solving, and reconciliation skills.
• Proficiency in Microsoft Excel and accounting software.
• Excellent attention to detail, accuracy, and organizational skills.
• Effective written and verbal communication skills.
• Ability to work independently, manage competing priorities, adapt to changing demands, and meet deadlines.
• Ability to maintain confidentiality and integrity when handling financial information.

Responsibilities

• Prepare and post general ledger journal entries, including recurring, accrual, prepaid, reclassification, allocation, and adjusting entries.
• Perform monthly bank, balance sheet, and general ledger account reconciliations; investigate outstanding transactions and discrepancies, and prepare necessary adjustments.
• Reconcile assigned subledger activity, including accounts payable, accounts receivable, payroll, fixed assets, and cash, to the general ledger and coordinate with responsible staff to resolve discrepancies.
• Review financial transactions and supporting documentation for accuracy, completeness, appropriate accounting periods, and proper classifications in accordance with GAAP and the chart of accounts.
• Support monthly and year-end financial close processes, including analysis of account balances, revenue and expense activity, and investigation of variances.
• Maintain accurate financial schedules and documentation for balance sheet and income statements for audits and regulatory reviews.
• Reconcile general ledger activity related to grants, restricted funds, government contracts, and other funding programs with FP&A, Grants, and Program Teams.
• Prepare financial analyses, account details, schedules, and ad hoc reports for reporting, budgeting, cost reporting, audits, and management review.
• Assist with external audits, regulatory filings, cost reports, and other compliance-related reporting with reconciliations and supporting schedules.
• Coordinate with internal departments and external parties to resolve discrepancies and improve financial reporting accuracy and efficiency.
• Provide backup support for assigned accounting functions and subledger activities as needed.

Skills

GAAP knowledge

General ledger accounting

Reconciliations

Microsoft Excel

Accounting software

Attention to detail

Communication skills

Independent work capability

Time management

Education

Bachelor's degree in Accounting or related field

Tools

Accounting software

Job description

Gateways Hospital and Mental Health Center seeks an Accountant - General Ledger to manage a broad set of accounting tasks, ensuring accurate financial records and compliance with GAAP. The role includes journal entries, monthly closings, reconciliations, and collaboration with FP&A and program teams.

The position emphasizes accuracy, strong analytical skills, and the ability to work independently in a healthcare nonprofit environment while supporting audits and regulatory reporting.