Senior Accountant

Overview

A private, non-profit organization established in 1973 to serve the health needs of migrant and seasonal farm workers and their families is seeking a Full-time Remote Senior Accountant to join their Rochester, MN team. The organization provides mental and physical healthcare to all individuals in the communities it serves, offering services on an affordable sliding fee scale for underinsured or uninsured patients. It operates multiple nurse-managed clinics, mobile medical units, and victim advocacy program centers across Minnesota and North Dakota.

Responsibilities

Accounting & Financial Management

• Perform and oversee advanced accounting functions including journal entries, account reconciliations, accruals, fixed assets, and general ledger maintenance.
• Lead monthly, quarterly, and year-end close processes to ensure timely and accurate financial reporting.
• Prepare and analyze monthly financial statements, supporting schedules, and variance analyses.
• Reconcile complex balance sheet and income statement accounts and proactively identify discrepancies.
• Assist with cash flow monitoring, revenue and expense tracking, and financial forecasting support.
• Support accounting system optimization and financial process improvement initiatives.

Grant Financial Management & Compliance

• Manage financial tracking and reporting for federal, state, and foundation grants including HRSA, state Medicaid, behavioral health, public health, and other restricted funding sources.
• Monitor grant expenditures for allowability, budget alignment, and compliance with funding requirements.
• Prepare grant financial reports, reimbursement requests, drawdown documentation, and supporting schedules.
• Collaborate with operational and program leadership to ensure expenditures align with grant budgets and objectives.
• Support development of grant budgets, budget modifications, and financial sustainability planning.
• Maintain documentation to support grant monitoring, external reviews, and audits.

Audit & Compliance Support

• Serve as a key finance lead in annual financial audits, Uniform Guidance/single audit requirements, and external financial reviews.
• Prepare audit schedules, reconciliations, and supporting documentation.
• Assist with implementation and maintenance of internal financial controls and compliance processes.
• Support corrective action implementation and documentation related to audits or monitoring findings.
• Ensure compliance with federal grant regulations, Generally Accepted Accounting Principles (GAAP), and FQHC-related reporting expectations.

Financial Systems & Process Improvement

• Support implementation, optimization, and ongoing management of financial systems and reporting tools.
• Identify opportunities to improve efficiency, standardization, and financial reporting accuracy.
• Develop and document finance workflows, procedures, and internal controls.
• Support automation and data integrity initiatives across accounting and grant management processes.

Collaboration & Leadership

• Partner with operational leaders, clinic leadership, HR, and program managers regarding budgets, expenditures, and financial reporting.
• Provide technical guidance and mentoring to finance team members as appropriate.
• Participate in cross-functional organizational initiatives supporting operational excellence and sustainability.
• Contribute to a culture of accountability, continuous improvement, and mission-driven service.

Requirements

Education & Experience

• Bachelor's degree in Accounting, Finance, Business Administration, or related field.
• Minimum of 5-7 years of progressive accounting experience, including financial reporting and account reconciliation responsibilities.
• Minimum 2-3 years of grant accounting or restricted fund management experience.
• Experience with complex accounting environments and multiple funding sources.
• Strong understanding of GAAP and nonprofit accounting principles.

Preferred Qualifications

• CPA or CPA-track preferred.
• Experience in healthcare, nonprofit, FQHC, or federally funded environments strongly preferred.
• Experience with federal grants, Uniform Guidance, HRSA funding, Medicaid reimbursement, or public health funding preferred.
• Experience with ERP/accounting system implementation or optimization preferred.
• Multi-entity or multi-location accounting experience preferred.

Knowledge, Skills & Abilities

• Strong analytical and problem-solving skills.
• Exceptional attention to detail and organizational abilities.
• Advanced proficiency in Microsoft Excel and financial reporting tools.
• Ability to manage multiple priorities and deadlines in a dynamic environment.
• Strong interpersonal and communication skills with ability to explain financial information to non-finance leaders.
• High degree of professionalism, integrity, discretion, and accountability.
• Commitment to continuous improvement and operational excellence.

Physical Abilities

• Ability to bend and crouch occasionally, sit continuously, and stand or walk frequently.
• Ability to lift up to 50 pounds occasionally.
• Ability to use hands/arms, feet/legs for repetitive fine to large motor skill movements.

Working Conditions

• Combination of office and remote work depending on organizational needs.
• Occasional travel to clinic sites and meetings may be required.
• Extended periods of computer and screen use.

Compensation & Benefits

• Executive Paid Time Off (PTO): 240 hours per year.
• Personal Days Off (PDO): 4 paid personal days annually in addition to PTO.
• Paid Holidays: 11 days of holiday pay.
• 401K Retirement Plan with a 4% company match.
• Health, Dental, and Vision insurance.
• Health Savings Account (HSA) and/or Flexible Spending Account (FSA).
• Life and Disability Insurance (Short Term Disability premiums paid by employer).
• Supplemental Voluntary Benefits.
• Loan Reimbursement Options for clinical employees up to $145,000 through the National Health Service Corps.

Equal Opportunity

The organization is an Equal Employment Opportunity/Affirmative Action/Veteran-friendly employer. It does not discriminate based on age, gender expression or identity, genetic information, marital status, national origin, physical or mental disability, pregnancy, race, religion, sexual orientation, or veteran status.

Facilities are deemed under the Federal Tort Claims Act (FTCA).