Senior Accountant

TCA Health Inc.- NFP; Chicago (IL); On-site; USD 75,000 - 85,000; Full time

Job summary

TCA Health Inc.- NFP on Chicago's south side is seeking a Senior Accountant to join the Finance team and support month-end close, general ledger maintenance, and grant accounting in a nonprofit FQHC environment.

The role requires 3–5 years of accounting experience, strong GAAP knowledge, and proficiency with Excel and accounting software. Onsite work and collaboration with leadership are essential responsibilities.

Qualifications

• Bachelor’s degree in accounting, Finance, or a related field.
• Minimum of 3 to 5 years of progressive accounting experience.
• Experience in nonprofit, healthcare, FQHC, or grant-funded accounting preferred.
• Strong knowledge of GAAP and general ledger accounting.
• Experience with account reconciliations, journal entries, and financial reporting.
• Proficiency in Microsoft Excel and accounting software.
• Strong organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities and meet deadlines.

Responsibilities

• Prepare and post journal entries to the general ledger in an accurate and timely manner.
• Perform monthly account reconciliations, including balance sheet accounts, grants, payroll, benefits, prepaid expenses, accruals, and other key accounts.
• Assist with monthly, quarterly, and year-end close processes.
• Prepare internal financial reports, schedules, and analyses for leadership.
• Support budget development, budget-to-actual analysis, and forecasting.
• Monitor grant-related revenues and expenses to ensure proper accounting and compliance with grant restrictions.
• Assist with preparation of financial reports for federal, state, and private grants.
• Support audit preparation and respond to auditor requests for schedules, documentation, and analyses.
• Maintain internal controls and assist with process improvements to strengthen financial accuracy and efficiency.
• Review coding and support proper classification of expenses and revenues.
• Assist with payroll-related accounting, benefits reconciliations, and accruals as needed.
• Help ensure compliance with GAAP, nonprofit accounting standards, and FQHC-related reporting requirements.
• Collaborate with program, operations, and leadership teams to support financial decision-making.
• Perform other accounting and finance duties as assigned.

Skills

Analytical skills

Organizational skills

Problem-solving

Attention to detail

Communication skills

Education

Bachelor’s degree in accounting, Finance, or a related field

Tools

Microsoft Excel

Accounting software

Job description

About TCA
TCA Health, a Federally Qualified Health Center located on Chicago’s far south side, has been a provider of innovative, accessible, and quality primary care, dental, behavioral health services and more to Chicagoland’s underserved communities for over 50 years. The culture at TCA Health is one of service and commitment. Our team of dedicated professionals is the reason why TCA Health continues to be one of Chicago’s leading Federally Qualified Healthcare Centers.

Job Title: Senior Accountant

Department: Finance

Reports To: CFO

FLSA Status: Full Time Regular, Exempt

Salary: $75,000 – $85,000

Work Location: Onsite

TCA Values

• Compassion: We are kind, considerate, and caring.
• Accountability: We take ownership for each person’s experiences.
• Respect: We treat each person with dignity.
• Excellence: We seek the highest level of performance in all we do.
• Stewardship: We strive for racial and health equity, diversity, and inclusion by delivering quality health care and access for all.

Position Summary

The Senior Accountant is responsible for supporting the financial integrity, compliance, and reporting needs of TCA Health. This position plays a key role in month-end close, general ledger maintenance, reconciliations, financial reporting, grant accounting, audit support, and internal controls. As a mission-driven member of the finance team, the Senior Accountant helps ensure accurate, timely, and compliant financial operations in a nonprofit FQHC environment.

Essential Duties and Responsibilities

• Prepare and post journal entries to the general ledger in an accurate and timely manner.
• Perform monthly account reconciliations, including balance sheet accounts, grants, payroll, benefits, prepaid expenses, accruals, and other key accounts.
• Assist with monthly, quarterly, and year-end close processes.
• Prepare internal financial reports, schedules, and analyses for leadership.
• Support budget development, budget-to-actual analysis, and forecasting.
• Monitor grant-related revenues and expenses to ensure proper accounting and compliance with grant restrictions.
• Assist with preparation of financial reports for federal, state, and private grants.
• Support audit preparation and respond to auditor requests for schedules, documentation, and analyses.
• Maintain internal controls and assist with process improvements to strengthen financial accuracy and efficiency.
• Review coding and support proper classification of expenses and revenues.
• Assist with payroll-related accounting, benefits reconciliations, and accruals as needed.
• Help ensure compliance with GAAP, nonprofit accounting standards, and FQHC-related reporting requirements.
• Collaborate with program, operations, and leadership teams to support financial decision-making.
• Perform other accounting and finance duties as assigned.

Required Qualifications

• Bachelor’s degree in accounting, Finance, or a related field.
• Minimum of 3 to 5 years of progressive accounting experience.
• Experience in nonprofit, healthcare, FQHC, or grant-funded accounting preferred.
• Strong knowledge of GAAP and general ledger accounting.
• Experience with account reconciliations, journal entries, and financial reporting.
• Proficiency in Microsoft Excel and accounting software.
• Strong organizational, analytical, and problem-solving skills.
• Ability to manage multiple priorities and meet deadlines.

Preferred Qualifications

• Experience with federal grants, Uniform Guidance, and fund accounting.
• Prior work in a community health center, FQHC, or healthcare nonprofit.
• Experience supporting audits and nonprofit compliance requirements.
• CPA or CPA track preferred.

Knowledge, Skills, and Abilities

• Strong attention to detail and accuracy.
• Ability to work independently and as part of a collaborative team.
• Excellent written and verbal communication skills.
• Ability to present financial information clearly to non-finance staff.
• Commitment to confidentiality, professionalism, and mission-driven service.