Senior Staff Accountant

The Senior Staff Accountant is responsible for supporting the organization’s financial operations with a focus on grant accounting, compliance, and nonprofit healthcare financial reporting. This position ensures accurate financial reporting, stewardship of restricted funds, and compliance with federal, state, and local regulations, including Oregon Health Plan (OHP/Medicaid) funding requirements. This role partners closely with program leadership and finance staff to ensure grant funds are properly managed, expenditures are allowable, and reporting obligations are met.

The position requires strong knowledge of nonprofit accounting, fund accounting, and government grant compliance, along with a commitment to supporting a mission-driven behavioral health organization.

• Support monthly, quarterly, and annual close processes, ensuring accuracy and timeliness
• Manage grant lifecycle activities, including budget setup, expenditure tracking, revenue recognition, reporting, and closeout
• Monitor grant expenditures to ensure compliance with Uniform Guidance (2 CFR Part 200) and applicable federal, state, and local regulations
• Prepare and review grant reimbursement requests, ensure invoices are submitted on time, and follow up on any delayed payments
• Prepare and submit financial reports to grantors, including state agencies such as the Oregon Health Authority (OHA)
• Collaborate with program managers to ensure proper use of restricted funds and alignment with approved budgets
• Track and reconcile multiple funding sources, including Medicaid (OHP), state general funds, grants, and contracts
• Assist with cost reporting, program-level financial analysis, and audit preparation
• Maintain documentation to support compliance with Oregon Administrative Rules (OARs) and funding requirements
• Identify and implement process improvements to strengthen internal controls and financial accuracy
• Support external audits and grant monitoring reviews by preparing schedules and responding to auditor requests
• Provide guidance and training to staff on grant compliance, allowable costs, and financial processes
• Analyze financial data and provide clear, actionable insights to leadership and non-financial staff

• Bachelor’s degree in accounting, Finance, or related field required
• 8–10 years of progressive accounting experience, including nonprofit and grant accounting
• Strong knowledge of GAAP and nonprofit fund accounting principles
• Experience managing federal, state, and/or Medicaid-funded grants and contracts
• Familiarity with Oregon Medicaid (OHP), OHA reporting, or similar state funding structures preferred
• Experience supporting audits and regulatory compliance reviews

• CPA or CMA certification a plus

• Experience in behavioral health, healthcare, or human services organizations
• Familiarity with cost reporting, encounter-based billing environments, and revenue cycle integration
• Experience with nonprofit accounting systems (e.g., Sage Intacct, MIP, Net Suite)
• Bilingual in English/Spanish a plus
• Strong understanding of nonprofit accounting, grant compliance, and financial reporting
• Knowledge of federal grant regulations and Oregon-specific funding requirements
• Excellent analytical, problem-solving, and organizational skills
• High attention to detail and accuracy and ability to continuously update knowledge and understanding
• Strong interpersonal and communication skills, including ability to explain financial concepts to non-financial staff and to convey complex information clearly

Best Care is committed to equity, diversity, and inclusion by fostering a culture of open-mindedness, cultural awareness, compassion, and respect for all individuals.