Accountant, Financial Reporting

Job Description

Posted Wednesday, July 15, 2026 at 8:00 AM

Are you ready to work where breathtaking mountain views meet exceptional care?

At Bitterroot Health, we combine the beauty of Montana's Bitterroot Valley with our commitment to high-quality, personalized healthcare.

As the largest employer in Ravalli County, Bitterroot Health is deeply woven into the fabric of the Bitterroot Valley, offering accessible care and building lasting relationships with our neighbors.

Located in Montana’s scenic Bitterroot Valley between the Bitterroot and Sapphire Mountains, we offer rewarding careers paired with an exceptional outdoor lifestyle. Enjoy top-rated schools, a safe, family-friendly community, and year-round recreation including hiking, fishing, skiing, biking, and access to nearby rivers, trails, and lakes in one of Montana's most stunning regions.

Our Employee Connections & Wellness Team is dedicated to supporting our staff by providing resources and activities that promote occupational, physical, emotional, social, and inclusionary well-being. We believe that your happiness is key to success, which is why we also host regular employee gatherings to foster community and connection.

Grow with us! From tailored pathway training in nursing, laboratory, and surgical departments to scholarships and tuition reimbursement, we are invested in your success.

Join a team recognized for excellence! See for yourself HERE ! Named a 2025 top 20 in the nation Critical Access Hospital by the National Rural Health Association. Voted 'Bitterroot’s Best Employer' in 2022 and 2023, we were also honored as the #1 Employer of Choice for large companies in Montana in 2023.

If you're passionate about making a difference in healthcare while enjoying the unmatched beauty of Montana, Bitterroot Health is the place for you. Discover the rewarding career you deserve—
apply today!

Accountant opportunity in beautiful Hamilton, Montana!!

Bitterroot Health is seeking candidates to fill an Accountant I position in our Fiscal Services department. The Accountant I provides accounting services that ensure timely and meaningful financial reporting. Focus on accounting information integrity by recording, verifying and entering transactions.

Under general supervision, assists in preparation of hospital, clinic and departmental financial statements; maintains records and follow up documentation. Provides support to department directors regarding monthly Responsibility Reports. Monitors, maintains, and reports activity related to facility fixed assets. Develops and maintains Excel spreadsheets for various accounting and financial projects. Provides Controller support with preparing the annual budget;
Medicare cost report, 990 tax return, and other regulatory reporting requirements. Provides audit support for internal and external audit requests. Analyzes and monitors financial data, trends, and indicators. Accumulates facts and information in specific accounting areas and summarizes in proper form. Analyzes and reconciles financial data for discrepancies and/or errors. Other duties as assigned.

Minimum Qualifications:

• Education/
  
  Experience:
  
  Bachelor’s Degree or minimum of two years of progressive general accounting experience including financial statement preparation.
• Licensures, Certifications, Registrations: None Required
• Job Knowledge/Skills/Abilities: Account analysis and reconciliation; excellent interpersonal and communication skills; strong organizational /time management skills; flexibility to adapt to a variety of work assignments; the ability to manage stressful situations, and work independently; support participation in team oriented projects.

Schedule: Full-time, 40 hours/week

Benefits: This position is eligible for the full benefit package.