Senior Accountant I
Southeast Health • Full Time
Posted on Sat, Jul 25, 2026
Southeast. Always the right career direction.
Job Description Summary
The Senior Accountant I is responsible for maintaining accurate and complete financial records, preparing financial statements and regulatory reports, and ensuring compliance with GASB and other accounting standards. This role supports budgeting, forecasting, and audits, while also collaborating with leadership to provide essential accounting guidance and identify process improvements.
Job Description
Essential Functions
- Prepare, analyze, and present complex financial statements (income statements, balance sheets, cash flow statements) and various financial reports, ensuring accuracy, completeness, and adherence to Governmental Accounting Standards Board (GASB) and other relevant accounting standards.
- Maintain the integrity and accuracy of the general ledger, including preparing and reviewing complex journal entries, performing comprehensive account reconciliations, and executing efficient month-end, quarter-end, and year-end closing procedures.
- Play a key role in the annual capital and operating budget preparation, providing detailed analysis and support. Assist with financial forecasting and conduct thorough variance analysis to provide actionable insights for strategic decision-making.
- Ensure strict compliance with GASB pronouncements, federal and state regulations, and internal accounting policies. Proactively identify, recommend, and assist in the implementation of improvements to internal control processes to enhance financial integrity and mitigate risks.
- Serve as a point of contact and provide comprehensive support for internal and external audits, including preparing detailed audit schedules, providing requested documentation, and responding to auditor inquiries independently.
- Independently perform and review complex account reconciliations, analyze variances, and efficiently research and resolve discrepancies in a timely manner.
- Proactively identify opportunities to streamline accounting processes, enhance operational efficiency, and improve data accuracy. Lead or actively participate in the design and implementation of process improvement initiatives and system enhancements.
- Collaborate effectively with hospital/clinic managers, directors, and vice presidents, serving as a trusted resource by providing expert accounting guidance, ensuring accurate invoice coding, and offering financial insights to support operational goals.
- Provide guidance and support to less experienced accounting staff on complex accounting issues and best practices.
- Complete special projects, financial analysis, and ad-hoc reports as requested by management, delivering insightful data and recommendations to support strategic and operational initiatives.
- Performs other duties as requested by primary manager that do not compromise moral code of conduct or protocols set in place for patient or employee safety
Supervised Positions
- None
Qualifications
Minimum Education Required
- Bachelor’s degree in accounting or finance
Minimum Education Preferred
- MBA and/or CPA preferred.
Minimum Experience Required
- One to two (1-2) years of experience in accounting, often with experience in public or private industry accounting.
Minimum Experience Preferred
- Three to five (3-5) years of experience in accounting, often with experience in public or private industry accounting; hospital accounting experience preferred.
Required Knowledge/ Skills/ Abilities
- Demonstrates commitment to organizations five (5) priorities and Six Ground Rules
- Person in this position is required to understand, agree upon and follow our Six Ground Rules:
- No excuses.
- We are a team.
- Bring up your ideas.
- Poor performance will be addressed.
- ‘That’s not my job’ is not acceptable
- Manage Up.
- Excellent analytical and problem solving skills,
- Ability to communicate both orally and in writing at multiple levels.
- High attention to detail and accuracy.
- Strong time-management and prioritization skills.
- Strong computer skills including advanced Microsoft Excel skills.