Description
More Than Numbers — Be Part of Something Bigger
Location: Tacoma & Fife, WA | On-Site
Schedule: Full-Time | Mon – Fri, 8:00 AM – 5:00 PM
Hiring Range: $57,103.07 - $65,668.60 per year
Position Close Date: July 29, 2026
At Puyallup Tribal Health Authority (PTHA), our work is rooted in service, community, culture, and family. We are dedicated to improving the health and well-being of Tribal members and the communities we serve through compassionate, culturally centered healthcare.
We're looking for an experienced Accountant who wants more than just a desk job. This is an opportunity to play a vital role in supporting healthcare services that make a real difference in people's lives. If you enjoy solving complex financial challenges, collaborating with mission-driven teams, and contributing to a strong community-focused organization, we invite you to apply!
What You’ll Do:
As our Accountant, you'll serve as a key financial resource supporting multiple Tribal healthcare entities. You'll work closely with leadership to ensure financial accuracy, compliance, transparency, and sound decision-making.
- Process bi-weekly payroll, including timesheet review, payroll verification, issue resolution, and retirement contribution reporting.
- Monitor Affordable Care Act (ACA) compliance by uploading payroll data, tracking employee hours, and maintaining accurate reporting records.
- Process accounts payable transactions accurately and timely using automated accounting and purchasing systems.
- Manage accounts receivable activities, including payment processing, banking transactions, and record maintenance in accordance with department procedures.
- Perform daily cash monitoring and monthly reconciliations to ensure accurate tracking of fund availability and financial activity.
- Prepare and maintain general ledger entries, financial reconciliations, and required monthly, quarterly, and annual accounting reports.
- Review purchase requisitions for budget availability, grant compliance, and adherence to established organizational guidelines.
- Provide excellent customer service and administrative support to staff, vendors, and external contacts regarding payroll, accounts payable, invoice inquiries, and other accounting-related matters.
Why PTHA?
We are more than a clinic — we're a culturally grounded, patient-first health and wellness center serving the Indigenous community. We value teamwork, integrity, and community well-being. Here, your work has meaning.
- Work in a mission-driven, accredited organization
- Serve a close-knit patient population in an urban reservation setting
- Enjoy opportunities for professional development and training
- Experience a strong support system and inclusive team culture
Perks of the Role:
- Meaningful Mission – Contribute to the financial wellness of a tribally operated health organization dedicated to serving the Indigenous community
- Competitive Compensation – Receive a fair salary that reflects your expertise and the impact of your work
- Supportive Team Culture – Join a collaborative and inclusive environment where respect and ethics are core values
- Cultural Enrichment – Work in an organization that values and integrates Indigenous traditions, community care, and cultural sensitivity
- Stability & Impact – Be part of a long-standing, accredited institution that plays a vital role in community health and development
PTHA Employee Benefits:
- Supportive environment that values a healthy work/life balance
- Medical/Dental/Vision monthly premiums paid 100% by PTHA for employees (health coverage begins the first of the month following hire date)
- (13) annual leave (vacation) days + (13) annual sick leave days
- (18+) annual paid holidays including a birthday holiday
- 401(k) with annual profit-sharing contributions after (1) years of service
- Life and AD&D insurance coverage
- Have student loans? PTHA is an approved loan repayment site for various student loan programs
If you're looking for a career where your accounting expertise supports something meaningful, this is your opportunity. Join a team that values connection, purpose, and community — and help us continue making a difference in the lives of those we serve.
In accordance with federal law, Native American Preference in employment applies and job placements are given on a competitive basis, using job related factors.
Requirements
- Bachelor's degree in accounting, Finance, or Business Administration, with an accounting emphasis that includes at least 24 credit hours in accounting from an accredited institution
- One (1) year of direct accounting related experience
- Must have full-cycle payroll experience for 50 or more employees using electronic systems
- Working knowledge of Generally Accepted Accounting Principles (GAAP) and the Affordable Care Act (ACA)
- Proficiency in Microsoft Excel and other Microsoft Office applications
- Experience using automated accounting and payroll systems
- Valid driver's license, reliable personal vehicle, and current liability insurance
Skills Required
- Bachelor's degree in Accounting, Finance, or Business Administration with at least 24 credit hours in accounting
- One (1) year of direct accounting related experience
- Full-cycle payroll experience for 50 or more employees using electronic systems
- Working knowledge of Generally Accepted Accounting Principles (GAAP) and the Affordable Care Act (ACA)
- Proficiency in Microsoft Excel and other Microsoft Office applications
- Experience using automated accounting and payroll systems
- Valid driver's license, reliable personal vehicle, and current liability insurance
What We Do
Puyallup Tribal Health Authority (PTHA) is a multispecialty clinic that serves eligible American Indians/Alaska Natives, providing quality healthcare and promoting wellness in a culturally appropriate manner.
