Senior Accountant in Las Vegas, Nevada

Senior Accountant - Healthcare & Nonprofit

We are partnering with a mission-driven healthcare organization seeking an experienced Senior Accountant to join their growing finance team. This individual will play a key role in financial reporting, budgeting, grant accounting, compliance, and operational financial analysis. This position works closely with executive leadership and is responsible for supporting the financial health of the organization through accurate reporting, internal controls, and strategic financial insights.

Key Responsibilities

• Prepare and maintain general ledger activity, journal entries, and account reconciliations
• Assist with monthly, quarterly, and annual financial reporting
• Support budgeting, forecasting, and variance analysis
• Manage grant funding and related financial reporting requirements
• Maintain internal controls and ensure compliance with accounting standards and regulatory requirements
• Assist with audits, cost reports, and other financial compliance initiatives
• Analyze financial performance, operational trends, and program profitability
• Collaborate with leadership to support strategic financial decision-making

Qualifications

• Bachelor's degree in Accounting, Finance, or related field
• Minimum 5 years of accounting experience
• Experience working within a nonprofit organization required
• Experience working for a Federally Qualified Health Center (FQHC) required
• Strong understanding of GAAP and fund accounting principles
• Experience with grants management and financial reporting
• Knowledge of Medicare and Medicaid reimbursement practices preferred
• Advanced Microsoft Excel skills
• Strong analytical, organizational, and communication skills

Preferred Experience

• Healthcare industry accounting experience
• Cost accounting and budgeting experience
• Experience supporting audits and regulatory reporting
• Ability to work independently in a fast-paced environment

This is an excellent opportunity to join an organization that is committed to improving community health while making a meaningful impact through sound financial stewardship. All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status.

We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.