Senior Staff Accountant

We are seeking a Senior Staff Accountant to manage accounting and financial reporting, ensure compliance, and support healthcare-specific financial operations in Sierra Vista, AZ. This role is ideal for a detail-oriented professional experienced in general accounting, grant management, and financial reporting within a healthcare or non-profit environment.

This is a remote-friendly role with occasional onsite requirements in Sierra Vista, AZ — approximately 3 times per year, typically during the summer months. Travel and accommodations will be coordinated accordingly.

Compensation & Benefits:

·         Salary: $65,021.69 - $ 81,277.11

• Comprehensive health, dental, and vision insurance
• Paid time off and holidays
• Retirement plan options
• Stable, mission-driven work environment

Responsibilities

• Manage day-to-day accounting operations, including general ledger maintenance, journal entries, reconciliations, and month-end/year-end close.
• Prepare, review, and analyze financial statements, budgets, and reports to support organizational decision-making.
• Oversee accounting activities for restricted grants, federal funding, and healthcare-specific programs, ensuring GAAP and regulatory compliance.
• Support internal/external audits, regulatory reporting, and specialized healthcare accounting, including 340B pharmacy financial activity and lease accounting.
• Assist with administration and optimization of accounting and payroll systems.
• Oversee Accounts Receivable and Payroll functions to ensure accurate billing and payroll processing.
• Provide guidance and support to finance staff on accounting processes, reporting standards, and compliance matters.
• Stay current on accounting standards, healthcare finance practices, and regulatory requirements; perform other duties as assigned.

Qualifications

Required

• Bachelor’s degree in Accounting, Finance, or related field
• 8+ years of experience in general accounting, including full-cycle bookkeeping and financial statement preparation
• Strong working knowledge of GAAP accounting principles
• Mandatory attendance at a one-week New Hire Orientation in Sierra Vista, AZ

Preferred

• Experience with an FQHC, community health center, or non-profit organization
• Experience managing restricted grants, federal funding, and compliance reporting (UDS)
• Proficiency with enterprise-level accounting systems (e.g., Sage Intacct)
• Knowledge of 340B pharmacy financial accounting and compliance

Sierra Vista is a vibrant southeastern Arizona community near the Huachuca Mountains. It offers outdoor recreation, mild climate, and a strong healthcare and military presence, with easy access to hiking, nature, and nearby Tucson—all at a lower cost of living than larger metro areas.