• Perform daily accounting operations, including journal entries, reconciliations, accounts payable/receivable, cash, and grant accounting • Assist in the preparation of monthly and year-end financial statements in accordance with GAAP and nonprofit healthcare standards • Support the month-end and year-end close process, ensuring accuracy and timeliness • Maintain internal controls to safeguard assets and ensure compliance with organizational policies and applicable regulations • Prepare schedules and documentation to support the annual financial audit, Form 990, and other regulatory filings • Assist in grant reporting and compliance with Uniform Guidance and other funding requirements • Partner with the Accounting Manager to support budgeting, forecasting, and variance analysis activities • Identify opportunities for process improvements and help implement system enhancements to increase accuracy and efficiency • Provide accurate and timely responses to financial data requests from leadership and program staff • Ensure financial systems are maintained to support multiple funding streams and donor reporting requirements