Senior Accountant

Company: MCHC Health Centers
Location: Ukiah
Posted on: February 5, 2026

Job Description:

Job Description Job Description Description: Full-Time | Onsite, Hybrid, or Fully Remote MCHC Health Center is seeking an experienced Senior Accountant to support the financial integrity and long-term sustainability of our Federally Qualified Health Center (FQHC). This role offers the opportunity to work in a mission-driven organization while applying advanced accounting expertise in a complex, highly regulated healthcare environment. The Senior Accountant plays a critical role in financial reporting, budgeting, audits, and regulatory compliance, and works closely with the CFO and Controller to improve processes, strengthen internal controls, and support a collaborative, cross-trained accounting team. Key Responsibilities - Lead monthly close processes, including journal entries and account reconciliations - Prepare annual operating and capital budgets - Manage and support the annual financial audit - Prepare Medicare Cost Reports and PPS Reconciliations - Assist with Form 990, UDS, OSHPD, and other regulatory and grant reporting - Ensure timely and accurate reporting to grantors and regulatory agencies - Support ad hoc financial analysis and special reporting requests - Collaborate with leadership to improve accounting processes and documentation - Assist with developing training materials and cross-training staff across accounting functions Why Join MCHC - Flexible work options: onsite, hybrid, or fully remote - Opportunity to work closely with executive leadership - Meaningful work supporting underserved communities - Collaborative, mission-driven culture that values both excellence and well-being - Role with depth, variety, and long-term impact As a Federally Qualified Health Center, MCHC is deeply committed to its mission and to fostering a positive and supportive work environment. We are seeking someone who brings technical expertise, integrity, and a genuine passion for serving underserved populations. Requirements: Minimum Qualifications - Bachelor’s degree in Accounting, Business Administration, Healthcare Administration, or a related field; or a minimum of five (5) years of relevant experience. - Proficiency in Microsoft Excel, including advanced functions - Experience working in a Federally Qualified Health Center (FQHC) setting. - Non-profit or healthcare accounting experience - Experience working with multiple entities and segments Preferred Qualifications: - Knowledge of and experience with the Abila MIP accounting application. - Experience working with healthcare practice management systems, including OCHIN Epic, NextGen, and eClinicalWorks. - Experience working in a Federally Qualified Health Center (FQHC) setting. Compensation details: 40-50 Hourly Wage PI73812540553c-25405-39489133

Keywords: MCHC Health Centers, Roseville , Senior Accountant, Accounting, Auditing , Ukiah, California