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Senior Accountant

Outreach Community Health Centers
United States, Wisconsin, Milwaukee
220 West Capitol Drive (Show on map)
Dec 17, 2025

Position Summary

Under the direction of the Chief Financial Officer and in accordance with agency policies and procedures, the Senior Accountant serves as the organization's primary expert in grant financial management and compliance. This role is responsible for administering all grant funding activities, ensuring accurate financial reporting to federal and state funders, and maintaining strict compliance with federal grant regulations including Uniform Guidance (2 CFR 200). The Senior Accountant ensures that financial transactions are recorded accurately, common agency costs are allocated appropriately in accordance with federal requirements, and cash receipts are properly recorded. This position works collaboratively with program staff, The Controller, grant project officers, and funding agencies to support the organization's mission through sound financial stewardship of restricted funds.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

Grant Financial Management & Compliance



  • Administer, oversee, and monitor all grant funding activities for the agency.


  • Analyze, review, and ensure expenditures for grants and contracts comply with grant guidelines and regulations.
  • Prepare and submit all documentary, budgetary, and financial reporting requirements to grantors.
  • Correspond with grant funders to respond to inquiries, provide justifications, and resolve billing discrepancies.
  • Regularly monitor all grants and contracts to ensure internal controls and budgetary compliance in collaboration with other departments.
  • Prepare and record monthly cost reports for grant reimbursement, monitor grant receivables, and ensure prompt payment.
  • Coordinate UDS financial data preparation and validation.
  • Serve as a liaison between program directors, coordinators, and funding sources.
  • Collaborate with program staff to monitor program objectives and outline how to allocate the budget effectively.
  • Manage grant closeouts processes, including financial reports and reconciliations.
  • Prepare analytical reports and expense tracking to ensure proper allocation of project disbursements to various grants.


General Accounting & Financial Reporting



  • Perform account reconciliations, including complex balance sheet accounts, and resolve discrepancies in a timely manner.
  • Conduct month-end closing procedures, including the balancing of various accounts and the preparation of journal entries and account adjustments to correct deficiencies.
  • Conduct detailed budget-to-actual variance analysis and prepare monthly reports for management.
  • Ensure the accurate recording of financial transactions and the appropriate allocation of common agency costs.
  • Properly record all cash receipts and prepare related reconciliations.


Audit, Compliance & Analysis



  • Assist with the annual year-end audit and single audit under Uniform Guidance processes, providing outside auditors with requested documentation and serving as a key point of contact for grant testing.
  • Monitor various program statistics for financial reporting and grant compliance.
  • Assist with the financial administration of the representative payee program to ensure compliance with Social Security Administration reporting requirements.


Education & Experience:



  • Bachelor's degree in Accounting or Finance required.
  • Minimum 3-5 years of experience of progressive healthcare accounting, preferably in a community health center or FQHC setting. (FQHC experience highly preferred)


Outreach Community Health Centers, Inc. is an Equal Opportunity Employer
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