Under the general supervision of the the Accounting Manager, prepares general ledger reconciliations, completes internal and external reporting, prepares and participates in outside audits and trains/mentor staff.
This role plays a critical role in supporting the financial integrity and operational effectiveness of this nonprofit, community-based rural hospital. This position is responsible for overseeing key accounting functions, ensuring compliance with nonprofit and healthcare financial regulations, and contributing to financial planning and reporting processes. The ideal candidate brings strong technical accounting expertise, attention to detail, and a commitment to supporting the hospital’s mission of delivering high-quality care to a rural population. The Senior Accountant is expected to support and uphold the hospital’s mission to provide accessible, high-quality healthcare services to the surrounding rural community, ensuring financial stewardship that enables long-term sustainability and growth.
Flexibility to work HYBRID or REMOTE after new hire orientation.
EDUCATION:
Minimum: BS in Accounting
WORK EXPERIENCE:
Minimum: 3 years computerized accounting experience
SKILLS:
Minimum: Experience using a spreadsheet application to complete complex analytical review.
Preferred: Healthcare experience, Experience with Microsoft Office products including word, excel and power point.

UR Medicine Finger Lakes Health is a not-for-profit health system that provides a full range of acute and long-term care health services to residents of the Finger Lakes region in Upstate New York. Finger Lakes Health is comprised of Geneva General Hospital, Soldiers & Sailors Memorial Hospital, The Homestead at Soldiers & Sailors, Huntington Living Center and the Living Centers at Geneva – North and South. Services are provided on three campuses located in Geneva, NY (Ontario County), Waterloo, NY (Seneca County) and Penn Yan, NY (Yates County). The 660-bed health system is governed by a common Board of Directors and is served by a common management team. With 85 active staff physicians, the health system offers a broad range of primary, specialty and sub-specialty services to residents of the Finger Lakes region. No one will be denied access to services due to inability to pay. Discounts for essential services at our outpatient clinics are offered based on family size and income.