What is the role of a Director of Accounting at Ellis County Coalitn For Hlth?

The Director of Accounting position at Ellis County Coalitn For Hlth is a Full-time or part-time position opportunity in the relevant field.

Where is this Director of Accounting job located?

Waxahachie, Texas, 75165, United States

What type of employment is offered for this Director of Accounting role?

Full-time or part-time position

What industry does this Director of Accounting position belong to?

This role spans multiple industries.

What is the expected salary for this Director of Accounting job?

Compensation will be discussed during the hiring process.

How can I apply for the Director of Accounting position at Ellis County Coalitn For Hlth?

You can apply directly through the application link provided.

Director of Accounting at Ellis County Coalitn For Hlth

GENERAL SUMMARY

The Director of Accounting serves as the organization’s principal financial executive, functioning in a capacity equivalent to a Chief Financial Officer and bearing ultimate accountability for the integrity, strategy, and performance of all financial operations. Reporting directly to the Chief Executive Officer (CEO), the Director of Accounting provides executive-level leadership across all accounting and finance functions, ensuring that all financial activities are conducted in strict accordance with Generally Accepted Accounting Principles (GAAP), applicable federal and state regulations, and the unique compliance requirements governing Federally Qualified Health Centers (FQHCs). This position is instrumental in shaping the organization's financial strategy and long-term fiscal health, with direct responsibility for budgeting, financial reporting, audit preparation, grant accounting, and internal controls. The ideal candidate is a highly analytical, results-driven financial executive with deep experience in healthcare finance — particularly within the FQHC environment — and a demonstrated track record of leading high-performing teams, driving process innovation, and delivering timely, accurate financial intelligence that supports mission-aligned, executive-level decision-making.

DUTIES & RESPONSIBILITIES

Financial Reporting & General Ledger Management

Oversee all accounting department operations, ensuring efficient workflows, adherence to reporting timelines, and continuous quality of financial outputs.Direct the maintenance of the general ledger, ensuring accuracy, completeness, and timely posting of all journal entries, including accounts payable, accounts receivable, cash receipts, payroll, and adjusting entries.Review and approve account coding and supporting documentation for all general ledger transactions prior to posting to ensure accuracy and proper classification.Lead the preparation and presentation of comprehensive monthly, quarterly, and annual financial statements for review by the CEO and senior leadership.Ensure the integrity of all financial data and reports presented to internal and external stakeholders, including leadership, auditors, and regulatory bodies.Prepare and maintain monthly bank reconciliations and cash flow reports, providing regular summary analysis to the CEO.

FQHC Compliance & Healthcare Finance

Ensure full compliance with all financial reporting requirements specific to FQHCs, including Bureau of Primary Health Care (BPHC) reporting, Uniform Data System (UDS) financial data, and Health Resources & Services Administration (HRSA) grant compliance.Lead the preparation and submission of Medicare and Medicaid cost reports, ensuring accuracy and alignment with applicable cost accounting standards.Prepare and coordinate the annual Form 990 filing in collaboration with external tax advisors.Maintain thorough knowledge of FQHC financial regulations, Section 330 grant requirements, sliding fee scale policies, and changes to federal and state healthcare funding that may impact the organization's financial standing.Serve as a key resource for financial compliance questions and audit inquiries related to federally funded health programs.

Budgeting & Financial Planning

Lead the development, preparation, and monitoring of the organization’s annual operating budget, ensuring alignment with strategic priorities and grant-funded program requirements, and presenting recommendations to the CEO.Assist in the preparation of grant budgets, including multi-year projections, budget modifications, and narrative justifications for federal, state, and private funding sources.Monitor budget-to-actual variances monthly; analyze trends, identify risks, and provide actionable recommendations to the CEO and department leaders.Support pro forma development and financial modeling for new service lines, capital projects, and organizational growth initiatives.

Grant Accounting & Management

Direct grant accounting functions, including tracking grant expenditures, maintaining grant files, and ensuring compliance with all funder requirements for allowable costs and documentation.Prepare and submit accurate financial reports to grant funders on required schedules, coordinating with program staff to reconcile programmatic and financial data.Monitor grant spending to ensure funds are expended within approved budgets and timelines; flag and resolve any issues related to under- or over-expenditure.Support post-award grant management activities, including close-out reports and audit documentation.

Audit Preparation & Internal Controls

Serve as the primary accounting liaison for the organization's annual external financial statement audit; coordinate preparation of schedules, work papers, and supporting documentation.Lead internal efforts to ensure audit readiness throughout the year, maintaining organized and accurate financial records and documentation.Lead the assessment, design, and implementation of a robust internal controls framework to safeguard organizational assets and ensure the reliability of financial reporting.Conduct periodic internal work audits and compliance reviews as directed by the CEO; report findings and implement corrective actions.Monitor ongoing compliance with current accounting policies and procedures; develop and recommend improvements that enhance efficiency, transparency, and control.

Team Leadership & Development

Provide direct supervision, mentorship, and professional development to accounting staff, including accountants, accounts payable/receivable personnel, and payroll staff.Set clear performance expectations, conduct regular performance evaluations, and foster a culture of accountability, collaboration, and continuous improvement within the accounting team.Manage workload distribution across the accounting team to ensure deadlines are met, and staff capacity is appropriately leveraged.Serve as a resource and escalation point for complex accounting questions and issues raised by staff.

Technology & Process Improvement

Lead the identification and implementation of technology solutions and automation tools that improve accounting department efficiency and reduce reliance on manual, paper-based processes.Maintain and optimize the organization’s accounting software and financial systems; work collaboratively with IT leadership on system upgrades, integrations, and enhancements.Drive continuous improvement initiatives across accounting processes, developing and documenting standardized procedures to ensure consistency and scalability.

Fixed Assets & Inventory

Oversee the annual fixed asset inventory process, ensuring accurate tracking, depreciation schedules, and capitalization in accordance with organizational policy and GAAP.Manage the annual supply inventory process and ensure proper reconciliation to the general ledger.

General & Compliance Responsibilities

Maintains confidentiality in all aspects of the position, including patient, employee, and organizational financial information.Participates in all safety programs, which may include assignment to an emergency response team.Reports all safety concerns and issues to the CEO immediately.Attends continuing education, in-service meetings, staff meetings, and workshops as required to maintain proficiency and advance skills relevant to healthcare finance and FQHC operations.Establishes and maintains cooperative, professional relationships with patients, staff, leadership, and external partners.Meets or exceeds organizational attendance and punctuality standards.Complies with all Human Resources and Clinical Policies and Procedures.Performs other duties as assigned by the CEO.

EDUCATION, SKILLS, AND EXPERIENCE

Required

Bachelor’s degree in accounting, Finance, or a closely related field from an accredited university.Minimum of five (5) years of progressive accounting experience, with at least two (2) years in a supervisory or management capacity.Demonstrated expertise in GAAP, financial reporting, budgeting, grant accounting, and general ledger management.In-depth knowledge of healthcare finance principles, including cost reporting, third-party billing reconciliations, and revenue cycle accounting.Proven ability to prepare and coordinate external audits and work directly with auditors.Strong proficiency in Microsoft Office Suite, particularly Excel (pivot tables, financial modeling, VLOOKUP/advanced functions).Experience with accounting or ERP software (e.g., QuickBooks, Sage Intacct, or comparable systems).Exceptional analytical, organizational, and problem-solving skills with strong attention to detail.Strong written and verbal communication skills; ability to present complex financial information clearly to both financial and non-financial audiences.Ability to manage multiple priorities simultaneously in a fast-paced, deadline-driven environment.Demonstrated ability to lead, develop, and motivate accounting staff.

Highly Preferred

Five (5) or more years of accounting experience within a Federally Qualified Health Center (FQHC) or community health center setting.CPA (Certified Public Accountant) licensure or active candidacy.Direct experience with HRSA/BPHC financial reporting, UDS data submission, and Section 330 grant compliance.Familiarity with Medicare/Medicaid cost reports (CMS-2552, CMS-222) and FQHC prospective payment system (PPS) billing.Experience with Form 990 preparation and nonprofit financial management.Advanced proficiency in healthcare-specific financial systems (e.g., eClinicalWorks, NextGen, Greenway, or similar EHR-integrated financial platforms).Job Types: Full-time, Permanent

Benefits:

Paid Time OffPaid HolidaysFlexible SchedulesHealth insuranceDental insuranceVision insuranceLong/Short Term Disability401(k) matchingLife insurance

Work Location: In person, Waxahachie, TX

Director of Accounting at Ellis County Coalitn For Hlth – Waxahachie, Texas

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