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Senior Accountant

Job in Chicago, Cook County, Illinois, 60601, USA
Listing for: TCA Health, Inc., N.F.P.
Full Time position
Listed on 2026-08-18
Job specializations:
  • Accounting
    Financial Reporting, Senior Accountant, Financial Compliance, Financial Analyst
  • Finance & Banking
    Financial Reporting, Financial Compliance, Financial Analyst
Job Description & How to Apply Below

Senior Accountant

The Senior Accountant is responsible for supporting the financial integrity, compliance, and reporting needs of TCA Health. This position plays a key role in month-end close, general ledger maintenance, reconciliations, financial reporting, grant accounting, audit support, and internal controls. As a mission-driven member of the finance team, the Senior Accountant helps ensure accurate, timely, and compliant financial operations in a nonprofit FQHC environment.

Essential Duties and Responsibilities:

  • Prepare and post journal entries to the general ledger in an accurate and timely manner.
  • Perform monthly account reconciliations, including balance sheet accounts, grants, payroll, benefits, prepaid expenses, accruals, and other key accounts.
  • Assist with monthly, quarterly, and year-end close processes.
  • Prepare internal financial reports, schedules, and analyses for leadership.
  • Support budget development, budget-to-actual analysis, and forecasting.
  • Monitor grant-related revenues and expenses to ensure proper accounting and compliance with grant restrictions.
  • Assist with preparation of financial reports for federal, state, and private grants.
  • Support audit preparation and respond to auditor requests for schedules, documentation, and analyses.
  • Maintain internal controls and assist with process improvements to strengthen financial accuracy and efficiency.
  • Review coding and support proper classification of expenses and revenues.
  • Assist with payroll-related accounting, benefits reconciliations, and accruals as needed.
  • Help ensure compliance with GAAP, nonprofit accounting standards, and FQHC-related reporting requirements.
  • Collaborate with program, operations, and leadership teams to support financial decision-making.
  • Perform other accounting and finance duties as assigned.

Required Qualifications:

  • Bachelor's degree in accounting, Finance, or a related field.
  • Minimum of 3 to 5 years of progressive accounting experience.
  • Experience in nonprofit, healthcare, FQHC, or grant-funded accounting preferred.
  • Strong knowledge of GAAP and general ledger accounting.
  • Experience with account reconciliations, journal entries, and financial reporting.
  • Proficiency in Microsoft Excel and accounting software.
  • Strong organizational, analytical, and problem-solving skills.
  • Ability to manage multiple priorities and meet deadlines.

Preferred Qualifications:

  • Experience with federal grants, Uniform Guidance, and fund accounting.
  • Prior work in a community health center, FQHC, or healthcare nonprofit.
  • Experience supporting audits and nonprofit compliance requirements.
  • CPA or CPA track preferred.

Knowledge, Skills, and Abilities:

  • Strong attention to detail and accuracy.
  • Ability to work independently and as part of a collaborative team.
  • Excellent written and verbal communication skills.
  • Ability to present financial information clearly to non-finance staff.
  • Commitment to confidentiality, professionalism, and mission-driven service.
Position Requirements
10+ Years work experience
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