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.