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Sr Staff Accountant: Accounting

Hoag Memorial Hospital Presbyterian

Costa Mesa, CA

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JOB DETAILS
SKILLS
Accounting, Acute Care, Analysis Skills, Asset Disposal, Capital Project, Certified Public Accountant (CPA), Construction, Cost Reporting, Cross-Functional, Depreciation, Documentation, ERP (Enterprise Resource Planning), External Audit, Finance, Fixed Asset Management, Fixed Assets, Generally Accepted Accounting Principles (GAAP), Healthcare, Healthcare Providers, Hospital, Journal Entries, Leadership, Medical Billing, Nonprofit, Office of Statewide Health Planning and Development, Outpatient Care, Patient Care, People Management, Process Improvement, Project/Program Management, Quality of Care, Reconciliation, Standard Operating Procedures (SOP), Tax Reporting, Time Management, Urgent Care, Vendor/Supplier Evaluation
LOCATION
Costa Mesa, CA
POSTED
Today
Job Description

We are seeking a Senior Accountant to take full ownership of a $1B+ fixed asset portfolio, including approximately $750M in Construction-in-Progress (CIP). This is a hands-on, lead-level rolefor a seasoned professional who has managed fixed assets at scale and can independently direct the function with confidence and authority.

Why This Role

This is an opportunity for a senior-level accountant professional who is ready to lead , not learn, and make an immediate impact overseeing a highly material, visible, and complex asset portfolio.

Performs general accounting functions for the department and work closely with other members of the Accounting Team. May supervise personnel, and lead within the department when the manager/supervisor is unavailable. Knowledgeable of GAAP principles and, for Hospital Accounting roles, OSHPD guidelines for financial preparation. Maintains a working knowledge of department standard operating procedures. Projects an image of professionalism in communication, appearance, and conduct.

Role Overview
  • Own the end-to-end fixed asset and CIP lifecycle, including capitalization, depreciation, transfers, disposals, and reconciliations.
  • Lead CIP tracking and Inservice transitions for large, multi-year capital projects.
  • Serve as the fixed-asset subject matter expert, including review and oversight of journal entries prepared by others.
  • Partner cross-functionally with Facilities, IT, Finance, Project Management, and external auditors.
  • Act as the primary audit contact for fixed assets and CIP.
  • Drive accuracy, strong internal controls, and continuous process improvements in a complex, highly regulated environment.
Responsibilities

Key Functions
  • Complete account analyses, bank reconciliations, and supporting schedules in a consistent and timely manner; research, resolve, and report anomalies to management.
  • Review designated accounts for reasonableness and accuracy, evaluating and recording necessary adjustments prior to period close.
  • Prepare and post journal entries accurately and timely, ensuring appropriate account classification, balanced entries, and adequate supporting documentation.
  • Serve as a subject matter expert for journal entries, including review of entries prepared by others.
  • Perform special analyses and research for departments, vendors, audits, cost reports, tax reporting, fixed asset management, and cash-related items.
  • Perform other duties as assigned, consistent with a senior-level accounting role.
Qualifications

Minimum Qualifications
  • Bachelor's degree in accounting or finance.
  • 8+ years of progressive accounting experience, with substantial responsibility for fixed assets and/or CIP.
  • Demonstrated experience managing large fixed-asset portfolios (at least hundreds of millions of dollars).
  • Strong knowledge of GAAP, including capitalization, depreciation, disposals, and asset controls.
  • Proven experience preparing and reviewing journal entries and account reconciliations.
  • Experience supporting external audits.
  • Proficiency with ERP systems and fixed-asset modules.
  • Ability to work independently, take ownership, and manage priorities with minimal supervision.
Preferred Qualifications
  • CPA or CPA-eligible.
  • Experience managing fixed assets at the $1B+ portfolio level and/or large CIP balances.
  • Healthcare, nonprofit, or other highly regulated industry experience.
  • Familiarity with California healthcare reporting requirements, including OSHPD and cost reports.
  • Experience leading or improving fixed-asset processes and internal controls.
  • Advanced Excel skills and experience with asset sub-ledgers and reporting tools.


About Us

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag's awards and accreditations, visit:

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

About the Company

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Hoag Memorial Hospital Presbyterian

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