Accountant
Altru Health System • Grand Forks, ND • Full Time
Posted on Fri, May 15, 2026
Everything we do is underscored by a why — and that why is one another.
Location:
Altru Health System
PO Box 6002
Grand Forks, ND 58201Pay Range: $60,715.20 - $91,083.20Summary:
The Accountant II manages intermediate to complex accounting tasks with a strong grasp of accounting principles and practices to support the organization's financial operations and decision-making. Responsibilities include preparing, auditing, and posting journal entries, reconciling general ledger accounts, and maintaining financial software and systems. This role also involves assisting with financial audits, regulatory reporting, and financial analysis. The Accountant II leads specialized projects as needed and contributes to the preparation of financial statements and other operational reports.Essential Job Functions:
Prepares journal entries with supporting schedules, reviews interface transactions from subsidiary systems and makes adjustments as appropriate.
Oversees financial systems and ensuring accuracy in recording transactions. Identify and implement opportunities to enhance financial processes and streamline accounting procedures and procedures to increase efficiency and accuracy.
Reviews monthly operational results with leadership, makes additional entries as requested, and explains variance from budget. Assists departments and leadership to gather financial information, resolve advanced issues, and support organizational initiatives.
Initiates month-end general ledger close process for Altru and Affiliates. Reconciles general ledger accounts with subsidiary ledgers and reports monthly.
Assists in prepare financial statements, presentations, and reports as requested by leadership, bondholders, and external auditing firms.
Assists in the preparation and coordination of audits and provide necessary documentation in a timely manner.
Monitors development of internal control procedures to safeguard financial assets and ensure accuracy in financial processes.
Monitors compliance with regulatory agencies and relevant accounting standards. Researches as needed and assists with implementation of accounting standards.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Education:
• Required: Bachelors - Accounting- OR -Bachelors - FinanceWork Experience:
• Required: A minimum of 3 years Related ExperienceLanguage Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Frequently (34-66%)• Stand: Occasionally (5-33%)• Walk: Occasionally (5-33%)• Stoop/Bend: Occasionally (5-33%)• Reach: Frequently (34-66%)• Crawl: Not Applicable• Squat/Crouch/Kneel: Occasionally (5-33%)• Twist: Occasionally (5-33%)• Handle/Finger/Feel: Continuously (67-100%)• See: Continuously (67-100%)• Hear: Continuously (67-100%)Weight Demands:
• Lift -Floor to Waist Level: Sedentary (<10 pounds)• Carry: Sedentary (<10 pounds)• Push/Pull: Sedentary (<10 pounds)• Slide/Transfer: Not ApplicableWorking Conditions:
• Indoor: Continuously (67-100%)• Outdoor: Not Applicable• Extreme Temperature: Not ApplicableDriving Requirement Definitions:
- Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Infrequent DriverReference ID: R7636Making a real difference. For one another.
To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)