Senior Staff Accountant (Healthcare Finance)
Grow into leadership Service-driven culture Immediate need Location : Fresno, CA
Why this role matters We're looking for a service-driven accounting professional to be the bridge between Finance and the rest of the organization. You'll keep month-end tight, capitation reconciliations accurate, and client / provider communication clearso our leaders can focus on growth. This is a backfill (our VP is currently doing two jobs), and we're ready to move fast for the right person.
What you'll do
- Serve as the liaison between Finance and cross-functional partners; communicate clearly with clients and providers as needed.
- Own monthly financial statementsprepare accurately and deliver on time.
- Reconcile monthly capitation reports from health plans.
- Prepare monthly journal entries and workpapers; support a rigorous, GAAP-compliant close.
- Run weekly / monthly check runs for assigned clients.
- Partner closely with internal teams to troubleshoot and resolve Finance-related issues.
- Mentor and train junior staff as assigned; potential to assume supervisory responsibilities as the department grows.
What success looks like
30 days : You understand client portfolios, close cadence, and our capitation reporting rhythms. You're reliably running assigned check runs.60 days : Month-end is smooth under your ownership; your reconciliations are clean and timely; partners see you as a go-to problem solver.90 days : You're driving improvements to close timelines and cross-team communication; you're actively mentoring junior staff and preparing for future supervisory scope.What we're looking for
Must-havesAssociate's degree (or higher) in Accounting or Finance preferred.35 years of accounting / finance experience.Strong foundation in GAAP accounting.Valid driver's license and proof of insurance (light local travel as needed).Track record of employment stability and positive references.Service mindset, outstanding communication, and the ability to multi-task in a fast-paced environment.Accuracy and attention to detail, with a no-task-too-small approach.Nice-to-havesHealthcare accounting experience (capitation exposure is a plus).What you'll love
Meaningful impactyour work reduces workload on leadership and strengthens client / provider trust.A team that invests in your growth into leadership.A culture that values service, stability, and excellence.Equal Opportunity
We're an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Type & Location
This is a Permanent position based out of Fresno, CA.
Pay and Benefits
The pay range for this position is $71000.00 - $82000.00 / yr. Sante is celebrating over 30 years of service to the community. We deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of talented, driven, dedicated, innovative, and service-driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home.
Workplace Type
This is a fully onsite position in Fresno, CA.
Application Deadline
This position is anticipated to close on Nov 28, 2025.