Senior Accountant

Here at Community Health Service, Inc (CHSI), our mission is to provide high quality health care to the overlooked and underserved. Sound rewarding? You bet it is! If you are looking for more than just a "job" and want to invest your time making an impact on the lives of others, this is your chance to join our CHSI team!

CHSI is a private, non-profit organization established in 1973 to serve the health needs of migrant & seasonal farm workers and their family members. Today, CHSI has expanded its services and provides mental & physical healthcare to all individuals in our communities. Our services are provided on a more affordable sliding fee scale to those who are underinsured or uninsured. We also accept ND and MN Medicaid, Medicare, and most private insurance plans.

We currently operate four nurse‑managed clinics, two mobile medical units, and two victim advocacy program centers in Minnesota & North Dakota.

We are searching for a Full‑time Remote Senior Accountant to join our Rochester, MN team.

The Senior Accountant - Finance, Accounting & Grants plays a critical leadership role in supporting the financial integrity, grant compliance, and accounting operations of Community Health Service, Inc. (CHSI), a Federally Qualified Health Center (FQHC) serving communities across Minnesota and North Dakota.

This position is responsible for advanced accounting functions including general ledger oversight, financial reporting, grant accounting, audit preparation, account reconciliations, and internal financial controls. The Senior Accountant will work collaboratively across departments to ensure timely and accurate financial management of federal, state, local, and foundation grants while supporting strong fiscal stewardship, regulatory compliance, and organizational sustainability.

The ideal candidate is detail‑oriented, highly analytical, collaborative, and comfortable working in a fast‑paced healthcare environment undergoing systems modernization and organizational growth.

• Perform and oversee advanced accounting functions including journal entries, account reconciliations, accruals, fixed assets, and general ledger maintenance.
• Lead monthly, quarterly, and year‑end close processes to ensure timely and accurate financial reporting.
• Prepare and analyze monthly financial statements, supporting schedules, and variance analyses.
• Reconcile complex balance sheet and income statement accounts and proactively identify discrepancies.
• Assist with cash flow monitoring, revenue and expense tracking, and financial forecasting support.
• Support accounting system optimization and financial process improvement initiatives.

• Manage financial tracking and reporting for federal, state, and foundation grants including HRSA, state Medicaid, behavioral health, public health, and other restricted funding sources.
• Monitor grant expenditures for allowability, budget alignment, and compliance with funding requirements.
• Prepare grant financial reports, reimbursement requests, drawdown documentation, and supporting schedules.
• Collaborate with operational and program leadership to ensure expenditures align with grant budgets and objectives.
• Support development of grant budgets, budget modifications, and financial sustainability planning.
• Maintain documentation to support grant monitoring, external reviews, and audits.

• Serve as a key finance lead in annual financial audits, Uniform Guidance/single audit requirements, and external financial reviews.
• Prepare audit schedules, reconciliations, and supporting documentation.
• Assist with implementation and maintenance of internal financial controls and compliance processes.
• Support corrective action implementation and documentation related to audits or monitoring findings.
• Ensure compliance with federal grant regulations, Generally Accepted Accounting Principles (GAAP), and FQHC‑related reporting expectations.

• Support implementation, optimization, and ongoing management of financial systems and reporting tools.
• Iden…