Senior Accountant

Vacancy Posting

PureView Health Center has career opportunities for a  Part-time, Senior Accountant. This opportunity, located in Helena, Montana is within the Finance department and reports to the Controller.

Make an Impact on Our Community

PureView is dedicated to providing the communities we serve with quality, patient-centered, accessible healthcare with comfort. We strive in each encounter to be the leading provider of the highest quality healthcare for our community regardless of a person’s circumstance.

At PureView, we value treating our patients, their families and our colleagues with compassion, kindness, and respect. We customize our care according to patient needs and values. And we believe in employing talented, skilled, caring, and responsible people. To us, treating each patient with dignity and as an individual is essential.

The Opportunity

Responsibilities of this career opportunity include owning the accuracy, completeness, and timeliness of the organization’s financial records and related reporting, operating with a high degree of independence and professional judgement, ensuring that accounting activities support reliable financial statements, grant compliance, and informed decision-making. The ideal candidate has strong technical accounting skills, experience with nonprofit or healthcare accounting, and the judgment and initiative to manage critical finance functions independently when needed.

Key Responsibilities:

Core Accounting Functions 

• Maintain the general ledger, including preparation and posting of journal entries, accruals, and month-end and year-end close procedures. 
• Prepare and review monthly bank, cash, and balance sheet account reconciliations, researching and resolving discrepancies timely. 
• Oversee and/or perform accounts payable and accounts receivable functions, including vendor payments, patient/third-party payer reconciliations, and grant drawdowns. 
• Record and reconcile payroll journal entries, benefits accruals, and related liabilities in coordination with Human Resources and the payroll processor. 
• Maintain the fixed asset ledger, including additions, disposals, and depreciation schedules. 
• Assist in preparing monthly financial statements, budget-to-actual variance reports, and supporting schedules for management and the Board Finance Committee. 
• Support cash flow monitoring and short-term cash forecasting. 

Grant, Compliance, and Regulatory Reporting 

• Assist with tracking and reconciling restricted and unrestricted grant funds, including HRSA Section 330 funding and other federal, state, and private grants. 
• Support preparation of financial data for the Uniform Data System (UDS) report, Medicare/Medicaid cost reports, and other required regulatory filings. 
• Assist with indirect cost rate allocation and cost-center accounting across grants and programs. 
• Help ensure compliance with 2 CFR 200 (Uniform Guidance), GAAP, and other applicable federal, state, and payer requirements. 
• Assist in preparing schedules and documentation for the annual financial statement audit, single audit (Uniform Guidance audit), and cost report audits; serve as a point of contact for auditors as needed.  

Backup-to-Controller Responsibilities 

This role is cross-trained on the Controller's core functions to ensure uninterrupted financial operations, responsibilities include: 

• Reviewing routine disbursements, payroll funding, and cash transfers within delegated authority limits. 
• Overseeing the month-end close process and ensuring financial statements are completed and distributed on schedule. 
• Maintaining continuity of banking relationships, and internal controls over cash and revenue cycles. 
• Serving as a liaison to the auditors, and grantors on routine financial matters when necessary. 
• Escalating any material issues, unusual transactions, or compliance concerns to the controller, CEO, COO promptly. 
• Maintaining up-to-date desk procedures/documentation for key Controller processes to support smooth transitions of coverage. 

Other Duties 

• Recommend and help implement improvements to accounting processes, internal controls, and documentation. 
• Respond to internal requests for financial information from program directors and department leaders. 
• Maintain confidentiality of sensitive financial, payroll, and patient-related billing information consistent with HIPAA and organizational policy. 
• Perform other duties as assigned by the Controller.

 Qualifications:

Knowledge, Skills, and Abilities

• Working knowledge of GAAP and fund/nonprofit accounting principles.
• Familiarity with FQHC-specific financial operations, including the sliding fee discount program, UDS reporting, and Medicare/Medicaid cost reporting, is a strong plus.
• Proficiency with accounting software (e.g., Netsuite, QuickBooks, or similar) and advanced Microsoft Excel skills.
• Experience with practice management/EHR systems (e.g., NextGen, athenahealth, eClinicalWorks) as they relate to revenue reconciliation is a plus.
• Strong analytical and problem-solving skills with high attention to detail and accuracy.
• Demonstrated ability to work independently, exercise sound judgment, and manage competing priorities under deadline pressure.
• Excellent written and verbal communication skills, including the ability to explain financial information to non-financial staff and leadership.
• High degree of integrity and discretion in handling confidential financial and patient-related information.

What We Offer:

Paid time off including PTO, sick leave, holidays, and floating holidays.