Senior Accountant

Tapestry 360 Health

The Senior Accountant is a key member of the finance team responsible for ensuring accurate and timely financial reporting, with a strong focus on grant and general ledger accounting. This role supports organizational growth and impact by stewarding public and private funding, developing compliant grant budgets, and partnering with program teams. The Senior Accountant will also lead inventory tracking, cash reconciliation, and monthly close support. This is an excellent opportunity for an experienced accountant passionate about community health and mission-driven work.

Essential Duties and Responsibilities:

Develops federal and foundation grant budgets in collaboration with the Director of Grants & Individual Giving and program staff.
Manages both operating and grant-related general ledger accounting; ensures accurate recording of all revenues and expenses using Sage Intacct.
Monitors and reports on grant revenue, expenses, and variances from budget; prepares monthly grant reports.
Reconciles monthly vouchers and balance sheet accounts; inputs journal entries.
Manages data and coding for monthly reporting and assists managers in interpreting financial data.
Routinely audits payments and recorded revenues.
Prepares monthly financial reports, including revenue and expense analysis and cash flow.
Audits and records cash handling and inventory at multiple sites.
Supports compliance with HRSA and other funder requirements.
Collaborates cross-functionally with development, program, and clinical teams to support grant execution and tracking.
Provides training and technical assistance to program managers on financial policies and budget interpretation.
Assists with preparation for audits, site visits, and cost reporting submissions required by federal or state funders.
Performs other job-related duties as assigned.

Qualifications:

This role requires a detail-oriented finance professional who can manage complex grant and healthcare accounting while supporting compliance, reporting, and cross-functional collaboration in a mission-driven environment.

Bachelor’s degree in Accounting, Finance, or related field required; CPA or Master’s in Accounting/Finance preferred.
Minimum three years of progressive accounting experience, including grant accounting and financial reporting in a nonprofit or healthcare setting; experience with Federally Qualified Health Centers (FQHCs) strongly preferred.
Demonstrated experience managing federal, state, and foundation grants.
Proficiency in Excel for financial analysis and reporting.
Familiarity with Sage Intacct or similar accounting systems preferred.
Strong written and verbal communication skills and the ability to interact effectively with all levels of the organization.
Excellent organizational skills and attention to detail with the ability to manage multiple tasks and meet deadlines.

Benefits: Tapestry 360 Health offers a comprehensive benefits package including health insurance, dental insurance, retirement savings plans, paid time off, continuing education support and eligibility for the Public Service Loan Forgiveness (PSLF) program.

Pay Transparency: The salary range for this position is $70,000 – $85,000 annually. Actual compensation will be determined based on factors including, but not limited to, relevant experience, qualifications, internal equity, and organizational needs.

EEO Statement
Tapestry 360 Health is an equal opportunity employer. We make employment decisions without regard to race, color, religion, age, sex, gender identity or expression, sexual orientation, national origin, ancestry, disability, genetic information, veteran or military status, marital or parental status, arrest or conviction record (as permitted by law), receipt of an order of protection, use of protected leave (including FMLA and VESSA), or any other status protected by applicable law.

American with Disabilities Act (ADA) Statement
Tapestry 360 Health complies with the Americans with Disabilities Act (ADA) and provides reasonable accommodations to qualified applicants and employees with disabilities. If you need assistance or an accommodation during the application or hiring process, please contact Human Resources.

Tapestry 360 Health reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.

Find Your Perfect Job

Find Your Perfect Job