Health - Accountant

The accountant under the direction of the Health Comptroller is responsible for performing a variety of accounting procedures to provide the Health Division’s Management Team with accounting support and financial information, preparing internal and external financial statements by researching and analyzing the budgets and all health costs centers, conducting cash audits and setting up cash internal controls and procedures. The position is responsible for performing general accounting tasks including fixed assets, inventory, and preparing monthly budget and financial statements.

ESSENTIAL FUNCTIONS: (includes, but is not limited to, the following)

· Develops , implements, monitors, and analyzes complex financial reports and records for all Health Division accounting systems.

· Assists with the annual budget for each cost center, and as needed budget modifications, with individual managers and supervisors responsible for their assigned cost centers to prepare and make projections; track performance-based budgeting measures and prepare special reports and projects including Financial Services Requests (FSR) for grants.

· Updates all internal control policies and procedures and maintains compliance with established regulations including Fraud, Waste, and Abuse under Health and Human Services (HHS), 340B under Health Resources and Services Administration (HRSA) and are by General Accepted Accounting Principles (GAAP) and internal policies and procedures and compliance required under the Accreditation Association for Ambulatory Health Care (AAAHC) and Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation standards and all State, Federal and Tribal regulations.

· Collects and compiles financial data for the Annual Audits, including the Medicare cost report by compiling visit and cash collections financial data, as well as month-end, quarter-end, and year-end budget reconciliation and closing processes for all costs centers for journal entries into the general ledger and report to the Financial Controller and any grant Code of Federal Regulations (CFR’s) and year-end grant requirements reports.

· Maintains and provides accounting information for the Accounting Chart of Accounts, Fastrs, and working with the Senior Accountant as required by the Tribe’s Accounting Department for completion of any regulatory quarterly or annual filings and statutory statements for the Health Division or Tribe.

· Interprets statistical and accounting information to appraise operating results in terms of profitability, costs, trends, and other matters impacting the effectiveness of the operations of the Health Division and Programs.

ADDITIONAL RESPONSIBILITIES: (includes, but is not limited to, the following)

· Participates in the department and the organization’s special projects teamwork assignments and ad hoc committees.

· Reports to the Health Division CEO and Financial Controller in any areas of non-compliance with any regulations, laws, regulatory changes, internal controls, policies, and procedures and prepares corrective action plans in response.

· Attends meetings such as Program Managers/Direct Reports, occasional Board of Directors or Health Board meetings and attends various pieces of training related to IHS (Indian Health Services) Area Office for Annual funding agreement, shortfall reports, indirect rate calculation, user population calculations, various grant requirements, and other subject matter conferences and training to benefit the organization.

· All other job-related duties as assigned.

CONTACTS:

Immediate peers, peers in other departments, immediate supervisor/manager, managers in other departments, executives, Board of Directors, customers, and outside vendor/service providers

PHYSICAL REQUIREMENTS:

Position sedentary with lifting a maximum of 10 pounds. Physical factors include constant sitting and use of hearing; frequent walking, use of near/midrange and far vision, color, and field of vision, typing; and occasional standing, carrying/lifting, pushing/pulling, climbing, stooping, kneeling, manual handling, use of smell and depth perception and bending. Working conditions include occasional exposure to weather, extreme heat/cold, wet/humidity, and noise. Potential hazards include constant computer use; frequent equipment use, infectious exposure, and patient and/or client contact.

REQUIREMENTS:

Education: Bachelor’s degree in accounting or a bachelor’s degree in business with accounting emphasis is required.

Experience: One-year internship or experience as an Accountant is required.

Certification/License:

· Certified Public Accountant (CPA) preferred.

· Certified Internal Auditor (CIA) preferred.

Knowledge, Skills, and Abilities:

· Must have experience and working knowledge of accounting systems and software, word processing, expertise with Excel spreadsheets, inventory systems, and GAAP standard accounting practices supported by internship or coursework grades.

· Must have knowledge of accounting, budget preparation, inventory management, and data entry procedures, including journal entries, accounts payable and receivable, bank reconciliation procedures, cash handling, purchasing documentation, timekeeping, filing and archiving systems, and organizational management principles and practices supported by coursework grades demonstrating the competence.

· Must possess intermediate Microsoft skills as well as mathematical and computational skills, basic statistics, and the ability to create formulas in Excel, and produce spreadsheets and reporting templates and formats to present accounting data demonstrated by internship or coursework grades to demonstrative competency.

· Must possess analytical skills to interpret accounting data to present in comparative and/or forecasting or trended format that is concise, accurate, and reliable to the Management Team for operational results impacting the effectiveness of the programs and services.

· Must have strong interpersonal, oral, and written communication skills.

· Must possess strong problem-solving skills, work ethic, organizational skills, attention to detail, and decision-making skills and be able to work with others and work independently and be self-directed.

· Must be a self-starter, focused, energetic, and a team player who enjoys challenges and increasing responsibilities.

· Must be aware of HIPAA regulations as they pertain to financial confidentiality, the transmission of information, and corporate business associates agreements.

· Knowledge of JD Edwards, financial analysis spreadsheet tool and report writer (FSR), software, Microsoft Office suite, and other accounting tools preferred.

· Knowledge of Tribal Governments and/or Tribal Health Clinics including year-end audit requirements, Federal and State grant requirements, and Tribal Accounting policies and procedures preferred.

· Knowledge of Health Division, Tribal Organization structure, programs and services, Federal IHS regulations, and Tribal Accounting Department procedures preferred.

· Experience and skill in reconciliation processes, intercompany transactions between cost centers and locations, and documentation for accruals and a strong general accounting skillset or coursework grades to support competence preferred.

· Must maintain a good moral character standing.

· Will be required to complete and pass pre-employment drug testing.

· Must maintain confidentiality.

· Native American preferred.