Accountant II
Family Health Centers of San Diego • San Diego, California • Full Time • $100,000–$100,000 / year
Posted on Fri, Oct 16, 2026
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons.
FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy.
Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management.
The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region.
Family Health Centers of San Diego (FHCSD) is looking for an Accountant II to perform a variety of accounting related tasks, including the analysis, reconciliation, and ensuring the accuracy of assigned general ledger accounts and accounting programs. At this level, the Accountant II will be highly involved in internal and external audits, as well as providing guidance and leadership to lower level accounting staff and serving as a liaison to internal and external customers. Specific job duties may vary depending on assignment.
Responsibilities:
Communicates effectively with both internal and external customers, following up on questions and discrepancies. Acts as a liaison between Accounting and internal customers.
Conducts in-depth analysis, reviews and audits of assigned programs, processes, or accounting functions (such as payroll, A/P, Grant, etc.). Reviews and analyzes financial reports to identify errors, misstatements, or unrecorded transactions. Maintains documentation and resolves identified issues promptly and correctly. Guides lower-level staff on issue resolution and liaisons with internal departments and external customers in identifying, researching, and resolving discrepancies and issues.
Coordinates external audits. Prepares schedules for audits. Serves as a liaison with internal customers and external auditors/customers for audits. Researches and prepares materials for audits.
Gathers and compiles data from a variety of sources. Prepares, distributes, and maintains a variety of periodic and ad-hoc reports. Reviews and analyzes reports to identify errors, misstatements or unrecorded transactions. Implements prompt and proper corrections.
Performs other duties as assigned.
Prepares journal, payroll, and/or general ledger entries, maintaining documentation and ensuring timely payments/remittances are made. Ensures adherence to all state and federal rules and regulations, as well as departmental standards. Reviews entries by lower-level staff for accuracy and timeliness.
Provides high-level support to specific accounting functions, which may include budget preparation, grant management, budget proposals, and the utilization of resources.
Requirements:
3 years of specific functional accounting experience may be required depending on assignment (i.e., Grant Accounting, Payroll, Budgets, etc.).
5 years of Accounting experience required. Healthcare experience strongly preferred.
Bachelor's degree in Accounting or Finance required.
Or equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy.
Rewards:
Job type: Regular Full-time M-F 8am-5pm
Location: 823 Gateway Center Way San Diego, CA 92102
Competitive Salary with Excellent Benefits
Retirement Plan with Employer Match
Paid Time Off, Extended Sick Leave and Paid Holidays
Medical/Dental/Vision/FSA/Life Insurance
Employee Discounts and Wellness Programs
The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved.
We are excited to share that the salary range for this position is:
70,304.00 - 88,751.00Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net)
FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.
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What the data says about this job
- Advertised pay for Senior Accountant in San Diego: a median of $92,500 across 82 priced postings. This posting advertises $100,000 to $100,000, 8% above that median. Explore the market
Measured from employers' own postings and public filings. How we measure