Chief Hospital Accountant

POSITION DESCRIPTION

Application materials must be received by Friday, September 4, 2026 to be considered for this position. Additionally only current county employees are eligible for this promotional opportunity. Natividad is currently seeking to fill a full time, permanent Chief Hospital Accountant in our Accounting Department. Under direction, this incumbent provides technical support to the Hospital Controller at Natividad in the development, implementation and maintenance of Natividad’s general accounting system;

prepares financial reports and designs financial controls for the institution and does other work as required. Exam# 26/20B91/08SS

• Develops, implements and maintains general accounting systems and controls; supervises and participates in the review and analysis of accounting records
• Assists in the preparation of detailed financial plans for Natividad by analyzing and evaluating statistical and financial data and preparing budgets, projected patient levels, proposed staffing requirements and projected operating costs
• Defines the accounting requirements for Natividad for incorporation into the patient accounting system, fiscal and statistical information system and other medical center accounting systems
• Analyzes data and proposes methods for tracking and reporting financial information to various external agencies
• Prepares financial reports including cost reimbursement plans for Medi Care, Medi Cal and other insurance providers; prepares reports of Natividad Enterprise Fund activities to meet County requirements
• Plans, assigns, and reviews the work of subordinate accountants and clerical personnel; trains and evaluates personnel
• Prepares and publishes monthly financial statements including Balance Sheet, Statement of Revenue and Expenses, and Statement of Cash Flow
• Oversees the accounting and accuracy of over $40 million in government funding
• Prepares Intergovernmental Transfers to the State; bills State for government programs
• Prepares and files Hospital Surveys for Public Health Agencies and economic bureaus
• Acts as Hospital liaison for Medi Cal and Medi Care audits

• Principles and practices of hospital and healthcare budgeting and financial management
• Laws, rules and regulations influencing medical center fiscal operations, including Medi Cal and Medi Care requirements; GAAP, OCBOA, OSHPD reporting and government program accounting
• Accounting principles, theories, concepts and their practical applications to medical center operations in general and to cost accounting and cost recovery in specific
• Automated systems related to Clinical Services, Operations and Support Services of an acute care hospital. (i.e., MEDITECH)
• Principles of mathematical and statistical analysis, preparation and presentation
• The uses of standard computer-based business applications
• Financial modeling

• Principles and practices of financial management
• Principles of governmental accounting
• Principles and practices of personnel management, including recruitment, planning and organizing work, delegating authority, motivating subordinates, appraising performance and administering discipline
• Principles and practices of medical staff interaction and organization in an acute care facility

• Develop financial and other operational systems to accurately control Natividad activities
• Train and supervise accounting personnel
• Make sound financial decisions and recommendations to management in regards to professional accounting problems in maintaining fiscal control of Natividad
• Interpret and apply legal requirements and administrative policies to accounting functions
• Interpret financial data for non-financial managers
• Implement appropriate changes in accounting systems and procedures
• Coordinate deadlines and data requests including those from all Health units in the County of Monterey
• Accurately analyze fiscal data and adopt an effective course of action
• Establish and maintain effective working relationships with all levels of staff and other contacts
• Prepare clear and comprehensive financial, narrative and…