Senior Accountant

Senior Accountant

Are you looking to work for an organization that values providing healthcare to underserved communities? Apply today.

The Senior Accountant is responsible for ensuring accurate financial reporting, compliance, and accounting functions. This position manages complex tasks including grant billing, fixed asset management, lease accounting, and financial reporting in alignment with GAAP and FQHC regulations. The Senior Accountant will work closely with program managers and grant coordinators to support budget forecasting, track spending, and ensure compliance across multiple funding sources.

Essential Duties

• Prepare and record journal entries including lease accounting, patient revenue and adjustments as needed.
• Reconcile balance sheet accounts monthly.
• Manage fixed assets, ensuring accurate capitalization, depreciation, and leading the annual physical inventory process.
• Track, report, and bill multiple grants and funding sources, ensuring compliance with federal, state, and local regulations (e.g., 330 grants, HRSA, Medicaid / Medicare, etc.).
• Prepare and submit cost and financial reports for funders and governmental agencies.
• Assist with the preparation of monthly, quarterly, and annual financial statements, ensuring all reporting is accurate, timely, and complies with GAAP and accounting standards.
• Support the development and monitoring of grant and annual budgets, ensuring proper allocation and compliance with funding guidelines.
• Monitor actual spending against budgets and provide variance analysis to management.
• Assist with audit preparations, including documentation gathering and responding to auditor inquiries.
• Ensure compliance with internal controls, FQHC regulations, and policies to mitigate financial risk.
• Collaborate with accounting colleagues, program managers, and grant coordinators to support budget forecasting for new and renewal grant funding and resolve discrepancies or compliance issues.
• Assist the Accounting Manager with other departmental tasks as assigned.

Skills & Qualifications

Work Environment

This is a fully onsite position located in Sacramento, CA.

Pay and Benefits

The pay range for this position is $44.18 - $44.18 / hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following :

Workplace Type

This is a fully onsite position in Sacramento, CA.

Application Deadline

This position is anticipated to close on Oct 16, 2025.

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.