Senior Accountant
Location: New Paltz, NY
Work Schedule: 100% On-Site
We are seeking an experienced Senior Accountant to join the finance team of a well-established hospital and its affiliated entities. This role offers high visibility, autonomy, and impact, with direct responsibility for complex accounting areas, financial reporting, and mentorship within a mission-driven healthcare environment.
This position is ideal for an accounting professional who enjoys ownership, problem-solving, and serving as a trusted resource to both finance leadership and cross-functional teams.
Why This Role?
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Senior-level ownership in a stable, mission-driven healthcare organization
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Broad exposure to financial reporting, budgeting, and compliance
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High level of visibility and trust within the finance leadership team
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Opportunity to influence processes and mentor others
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Competitive compensation and long-term stability
What You’ll Be Responsible For
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Lead preparation and review of monthly and annual financial statements for multiple entities, ensuring accuracy and timely close
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Oversee general ledger integrity, balance sheet reconciliations, and audit-ready workpapers
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Prepare and review complex journal entries, including accruals, prepaid expenses, and estimates
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Manage internal and external reporting requirements, including financial surveys, IRS filings, cost reports, and cash assessments
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Play a key role in annual budget preparation, forecasting, and ICR reporting
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Prepare and review schedules supporting annual tax filings (Forms 990, 1120, and CHAR500)
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Oversee preparation of the Consolidated Fiscal Report for Special Needs Preschool programs
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Analyze monthly expense and FTE budget variances, identifying trends, risks, and improvement opportunities
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Monitor and reconcile capital leases, long-term debt, and related liability accounts
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Maintain oversight of fixed asset accounting, including additions, disposals, depreciation, and capitalization policies
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Serve as a finance partner to hospital departments, addressing accounting questions and supporting operational needs
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Maintain and improve financial data tables, system interfaces, and reporting processes
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Review daily cash activity, bank reconciliations, and weekly cash disbursement reports
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Support external audits and respond to auditor requests
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Escalate complex issues, recommend solutions, and support special projects as needed
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Provide guidance and informal mentorship to junior accounting staff
What We’re Looking For
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Bachelor’s degree in Accounting
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Healthcare or multi-entity experience preferred
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Strong knowledge of GAAP and financial reporting
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Proven ability to work independently and manage complex responsibilities
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Strong analytical, communication, and problem-solving skills
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Experience supporting audits and cross-functional stakeholders
EB-1855627995
