Senior Accountant

Central North Alabama Health Services Inc; Huntsville (AL); On-site; USD 70,000 - 90,000; Full time

Job summary

Central North Alabama Health Services, Inc. in Huntsville, AL is seeking a Senior Accountant to support financial integrity and regulatory compliance for a Federally Qualified Health Center.

The role covers month-end close, grant accounting, audits, and internal controls in a healthcare nonprofit setting. The ideal candidate will have a Bachelor’s in Accounting, 5+ years of progressive accounting experience, and strong GAAP proficiency.

Qualifications

• Bachelor’s degree in Accounting or closely related field.
• Minimum of five years of progressive accounting experience, preferably in healthcare/nonprofit/grant-funded environments.
• Strong knowledge of GAAP, general ledger, reconciliations, financial reporting, and month-end close.
• Experience with federal grants, restricted funds, audits, and internal controls preferred.
• Proficiency with accounting systems and spreadsheet tools; healthcare/nonprofit platforms a plus.

Responsibilities

• Prepare, review, and post journal entries per GAAP and policy.
• Reconcile bank and balance sheet accounts monthly.
• Support month-end, quarter-end, and year-end close processes.
• Prepare monthly financial statements, variance analyses, and dashboards for leadership.
• Maintain GL and documentation for audits, grants, and reviews.
• Monitor restricted funds and grant reporting incl. HRSA requirements.

Skills

GAAP knowledge

General ledger

Month-end close

Financial reporting

Grant accounting

Communication with non-finance

Payer sources understanding

EHR systems familiarity

Education

Bachelor’s degree in Accounting

Tools

Microsoft Excel

Power BI

Job description

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

Senior Accountant

Organization:

Central North Alabama Health Services, Inc. (CNAHSI)

Location:

Huntsville, Alabama

Employment Type:

Full-time, Exempt

Reports To:

Chief Financial Officer or Controller

Position Summary

The Senior Accountant is a key member of the Finance team responsible for supporting the financial integrity, regulatory compliance, and operational sustainability of a mission driven Federally Qualified Health Center in Huntsville, Alabama. This position performs advanced accounting functions, supports monthly and annual close processes, prepares financial reports and account reconciliations, assists with grant and restricted fund accounting, and helps ensure compliance with Generally Accepted Accounting Principles (GAAP), federal grant requirements, HRSA expectations, and applicable internal policies.

The ideal candidate is detail-oriented, analytical, highly organized, and comfortable working in a healthcare and nonprofit environment where accuracy, deadlines, internal controls, and stewardship of public resources are essential.

Essential Duties and Responsibilities

• Prepare, review, and post journal entries in accordance with GAAP and organizational policies.
• Reconcile bank accounts, balance sheet accounts, subsidiary ledgers, and other assigned accounts on a monthly basis.
• Support timely and accurate month-end, quarter-end, and year-end close processes.
• Assist in preparing monthly financial statements, budget-to-actual reports, variance analyses, and financial dashboards for leadership review.
• Maintain accurate general ledger records and organized documentation to support audits, grant reporting, and management review.
• Monitor restricted funds, federal grants, state grants, and private funding sources to ensure proper coding, allowable cost treatment, and timely reporting.
• Support HRSA-related financial compliance, Uniform Guidance requirements, Single Audit preparation, and other grantor reporting needs.
• Assist with accounts payable, accounts receivable, payroll-related reconciliations, fixed assets, depreciation schedules, prepaid expenses, accrued liabilities, and other core accounting activities.
• Review transactions for proper authorization, documentation, coding, and compliance with internal controls.
• Prepare audit schedules and respond to information requests from external auditors, grantors, and management.
• Identify accounting discrepancies, research variances, recommend corrections, and help strengthen internal processes.
• Collaborate with operations, revenue cycle, grants, human resources, and program leadership to provide accurate financial information and resolve issues.
• Assist with annual budget preparation, forecasts, cost allocation schedules, and program-level financial reporting as requested.
• Maintain confidentiality of financial, employee, vendor, and patient-related information.
• Perform other finance and accounting duties as assigned.

Position Requirements

Required Qualifications

• Bachelor’s degree in Accounting, or a closely related field required.
• Minimum of five years of progressive accounting experience, preferably in healthcare, nonprofit 501(c)(3), or grant-funded environments.
• Strong working knowledge of GAAP, general ledger accounting, account reconciliations, financial reporting, and month-end close processes.
• Experience with federal grants, restricted funds, audit preparation, and internal controls preferred.
• Proficiency with accounting systems and Microsoft Excel, Power BI; experience with nonprofit or healthcare accounting platforms is a plus.
• Ability to analyze financial data, research variances, meet deadlines, and communicate clearly with non-finance stakeholders.
• High degree of accuracy, integrity, confidentiality, and attention to detail.
• Experience in payer source management, including Medicaid PPS, Medicare PPS, commercial insurance, and sliding fee scale programs.
• Experience working with Electronic Health Record (EHR) systems across multiple service lines, including medical, dental, pharmacy, chiropractic, urgent care, and home health.

Preferred Qualifications

• Certified Public Accountant (CPA), Certified Management Accountant (CMA), or CPA/CMA candidate preferred.
• Prior experience in a Federally Qualified Health Center, community health center, nonprofit healthcare organization, or similar mission-driven setting.
• Knowledge of HRSA grant requirements, Uniform Guidance, 340B-related financial activity, Medicaid/Medicare reimbursement, or healthcare revenue cycle concepts.
• Experience supporting annual audits, Single Audits, Form 990 preparation, or board-level financial reporting.

Core Competencies

• Financial accuracy and accountability
• Analytical thinking and problem solving
• Grant and compliance awareness
• Strong organization and deadline management
• Clear written and verbal communication
• Collaboration across departments
• Commitment to the mission of community-based healthcare

Compensation and Benefits

Compensation will be competitive and commensurate with experience, qualifications, and internal equity. The organization offers a comprehensive benefits package that may include medical, dental, and vision coverage; paid time off; paid holidays; retirement plan participation; life and disability insurance; professional development opportunities; and other benefits available to eligible employees.

Work Environment

This position operates in a professional office administrative environment. The Senior Accountant must be able to work independently, manage multiple priorities, maintain confidentiality, and meet recurring financial reporting deadlines.

Full-Time/Part-Time Full-Time

Position Senior Accountant

Exempt/Non-Exempt Exempt

Open Date 8/4/2026

Location 01-Corporate Headquarters

This position is currently accepting applications.