This position performs advanced accounting functions, supports monthly and annual close processes, prepares financial reports and account reconciliations, assists with grant and restricted fund accounting, and helps ensure compliance with Generally Accepted Accounting Principles (GAAP), federal grant requirements, HRSA expectations, and applicable internal policies. Assist with accounts payable, accounts receivable, payroll-related reconciliations, fixed assets, depreciation schedules, prepaid expenses, accrued liabilities, and other core accounting activities.