Senior Accountant, Health Care/FQHC (REMOTE) at MCHC Health Centers – Ukiah, California

MCHC Health Center is seeking an experienced Regular, Full-Time, 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.

• 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
  

• 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.

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.