Senior Grants and Financial Accountant

Rock River Community Clinic; Madison (WI); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Rock River Community Clinic in Wisconsin is seeking a Senior Grants and Financial Accountant to own the full general ledger, manage grants, AP, and month-end close while partnering with the CFO to strengthen controls. The role is hands-on in a small nonprofit setting with initial on-site training and a transition to hybrid work.

The position prepares UDS reporting, cost reports, and supports audits, with opportunities to mentor staff on financial procedures and improve accounting processes to

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field is required.
• 4+ years of progressive accounting experience; nonprofit or healthcare experience preferred.
• Strong knowledge of GAAP and nonprofit fund accounting; experience with grant accounting is a plus.

Responsibilities

• Own the full general ledger, including journal entries, reconciliations, and month-end close.
• Process accounts payable and maintain appropriate coding, approvals, and payment runs.
• Manage grant budgets, grant reporting, and compliance with fund requirements.

Skills

Communication skills

GAAP knowledge

Problem-solving

Education

Bachelor's degree in Accounting, Finance, or related field

Tools

QuickBooks Online

Excel/Google Suites

Job description

Rock River Community Clinic is dedicated to providing comprehensive healthcare services, including medical, dental, and behavioral health care, to individuals regardless of insurance status. Our mission is to deliver compassionate, accessible, and coordinated care to support community well-being.

Overview

The Senior Grants and Financial Accountant is responsible for the day-to-day accuracy and integrity of the organization's financial records, including bookkeeping, accounts payable, grants management, procurement oversight, and general ledger management, while also serving as a proactive partner to the CFO in strengthening internal controls, improving accounting processes, and ensuring timely, accurate financial reporting. This role is hands-on: this position will perform core accounting functions directly while also identifying and correcting errors, recommending process improvements, and helping the organization mature its financial infrastructure as it grows. This is an ideal role for someone who wants ownership over a small organization's full accounting function and enjoys both the detail work and the problem-solving.

Work Arrangement:We require full-time on-site presence during the initial training period. After full understanding of the job duties is achieved, the schedule may transition to a hybrid model.

CORE JOB RESPONSIBILITIES

• Own the full general ledger: journal entries, account reconciliations, and month-end/year-end close
• Process accounts payable, including invoice coding, approval routing, and payment runs
• Maintain the chart of accounts and ensure proper classification of revenue and expenses (including grant, PPS, and program-restricted funds)
• Ensure effective grant management through accurate tracking and ongoing monitoring of grant budgets, expenditures, spend-down requirements, reporting deadlines, and compliance obligations
• Reconcile bank and credit card accounts monthly
• Prepare monthly financial statements and supporting schedules for CFO and CEO review
• Support preparation of UDS financial reporting, cost reports, and grant financial reports
• Assist with single audit and annual financial statement audit preparation, including PBC schedules
• Maintain documentation to support financial program oversight
• Process Improvement & Internal Controls
• Identify gaps or recurring errors in current accounting processes and recommend corrective action without being asked
• Design and document accounting procedures and internal controls appropriate for the organization's size
• Implement improvements to AP workflows, approval processes, and reconciliation cadence to reduce error rates
• Partner with the CFO to strengthen segregation of duties and audit-readiness

Cross-Functional Support

• Serve as the primary point of contact for the payment management systems, vendors, and related community partners.
• Support the CEO and CFO with ad hoc financial reports and board reporting materials
• Help train or coordinate with administrative staff who touch financial processes (e.g., billing, purchasing, donations)

POSITION REQUIREMENTS

Qualifications

• Bachelor's degree in Accounting, Finance, or related field (or equivalent experience)
• 4+ years of progressive accounting experience; nonprofit or healthcare experience strongly preferred
• FQHC, community health center, or other healthcare/nonprofit grant-funded environment experience preferred
• Demonstrated experience owning full-cycle accounting in a small organization (i.e., comfortable doing both strategic and transactional work)
• Strong knowledge of GAAP and nonprofit fund accounting
• Experience with QuickBooks Online (or similar), Excel/Google Suites proficiency required
• Excellent attention to detail with a demonstrated ability to catch and correct errors independently
• Strong written and verbal communication skills; comfortable flagging issues proactively to leadership

Preferred (Not Required)

• Familiarity with FQHC-specific reimbursement (PPS, MCO wraparound), UDS reporting, 340B, or HRSA compliance requirements
• Experience transitioning an organization from outsourced to in-house accounting

STANDARDS OF PERFORMANCE & BEHAVIOR:

• Promotes a positive and professional environment that seeks to uplift both patients and staff.
• Looks for opportunities to celebrate and recognize teamwork from fellow staff members.
• Recognizes and uplift patient wins and achievements, no matter how small.
• Accepts constructive criticism well and with humility.
• Has the ability to approach job duties in an easygoing manner by leading with optimism.
• Navigates challenges by seeking to understand and approach with curiosity before casting judgements or blame.
• Always willing to learn and engage in continuous training.
• Avoids gossip, related negative self, staff, or patient talk.
• Takes initiative in their job duties and clinic needs without frequent requests and oversight.
• Looks to offer support when a need arises and seeks to better the department.
• Looks to identify and support creative solutions with a willingness to try new things.
• Thinks and acts with intention and purpose, and ethically and honestly in all daily work activities and decisions.
• Takes action to correct miscommunication and effectively problem solve.
• Is driven to work effectively and efficiently.

We Show Up, Together

• Welcomes new staff warmly and leads by example in modeling RRCC mission and core values.
• Respects and understands the values of each person’s role within the organization including but not limited to, religious and cultural beliefs.
• Takes personal accountability for one’s own actions/performance.
• Willing to work collaboratively and flexibly with all staff.
• Builds trusting relationships through empathy, compassion, and openness.