Accountant IV
Presbyterian System Services • Full Time
Posted on Wed, May 13, 2026
Location Address:
9521 San Mateo NE
Albuquerque, NM 87113-2237
Compensation Pay Range:
Minimum Offer $62,400.00
Maximum Offer $95,305.60
Now Hiring: Accountant IVSummary:
Build your finance experience by analyzing trends, costs, revenues, and financial commitments to forecast future revenues and expenses. Contribute significantly to the annual budget process, including meeting with department managers to review and refine budget assumptions. Prepare schedules for external audits and respond directly to auditor inquiries and issues

Type of Opportunity: Full time
Job Exempt: Yes
Job is based: Reverend Hugh Cooper Administrative Center
Work Shift: Days (United States of America)
Responsibilities:
As an Accountant IV, you prepare balance sheets, profit and loss statements, and other financial reports, including statistical reports for Board packets. Responsibilities also include analyzing financial data, ensuring accuracy and compliance, and supporting leadership with clear, timely reporting.
The ideal candidate will demonstrate:
Strong analytical skills, with experience in healthcare net patient revenue, reimbursement concepts, and reserve methodologies
Advanced Excel proficiency and the ability to work with large datasets to support reconciliations, variance analysis, and financial reporting
Experience with Kodiak RCA and Epic, or similar financial and clinical systems, which is strongly preferred
Core Functions:
Maintains Balance Sheet reconciliations — including preparing complete supporting documentation and providing guidance and expertise to Accountants III, II, and accounting technicians.
Prepares complex journal entries — handling higher‑level accounting areas and performing trend analysis to explain variances in financial statements.
Prepares financial statements and analysis schedules — including revenue and expense analysis and budget‑to‑actual reporting; communicates directly with managers regarding account variances and other financial issues.
Assists with budget preparation — collaborating with department managers and Administrators; prepares year‑end workpapers for annual audit, tax reporting, and cost reporting as required.
Qualifications:
Bachelor’s degree in Accounting or Finance and six to eight years of experience in accounting, finance, or a related field required. Healthcare experience preferred. CPA certification desirable.
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.