Sr Staff Accountant: Accounting

Posted Yesterday
Be an Early Applicant
Costa Mesa, CA, USA
In-Office
Senior level
Healthtech
The Role
Lead ownership of a $1B+ fixed asset portfolio (including ~$750M CIP). Manage end-to-end fixed asset lifecycle, CIP tracking and inservice transitions, journal entries, reconciliations, audit support, and cross-functional partnership to ensure accuracy, internal controls, and process improvement in a regulated healthcare environment.
Summary Generated by Built In

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 role for 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: https://www.hoag.org/about-hoag/awards-accreditations/.

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.

Skills Required

  • 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 and manage priorities with minimal supervision.
  • 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 (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.

Hoag Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Hoag and has not been reviewed or approved by Hoag.

  • Healthcare Strength Health, dental, vision, mental health, disability, and wellness programs are extensive, with additions like FSAs and pet insurance. These offerings are presented as comprehensive and a meaningful component of total rewards.
  • Leave & Time Off Breadth Generous PTO, paid holidays and sick time, and parental leave feature prominently. These time-off provisions are described as supportive of work-life balance across roles, including fellowship programs.
  • Career-Linked Recognition & Rewards Tuition reimbursement, continuing education stipends, certification bonuses, and a clinical ladder link development to higher pay and broader involvement. Promote-from-within practices further connect performance and growth to compensation over time.

Hoag Insights

Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Newport Beach, CA
7,000 Employees
Year Founded: 1952

What We Do

Since 1952, Hoag has been serving the local communities of Orange County by providing personalized health care services of an unsurpassed level. Hoag Digital Health is a new customer-centric product management, design, and engineering unit on a mission to bring together Hoag's nationally renowned care in key medical specialties with the everyday experience of primary, urgent, and preventative care and well-being through a variety of digital mediums.

Why Work With Us

To date, we have been helping fundamentally rethink the care experience for multiple customer groups with hybrid digital-physical solutions – from becoming go-to guides for first-time parents delivering at Hoag through re-imagining the primary care and annual wellness experience to improving Hoag’s “digital front doors,” including its websites.

Gallery

Gallery

Similar Jobs

GRAIL Logo GRAIL

Staff Software Engineer

Artificial Intelligence • Big Data • Healthtech • Machine Learning • Software • Biotech
Hybrid
Menlo Park, CA, USA
918 Employees
169K-224K Annually

GRAIL Logo GRAIL

Development Engineer

Artificial Intelligence • Big Data • Healthtech • Machine Learning • Software • Biotech
Hybrid
Menlo Park, CA, USA
918 Employees
169K-224K Annually

Boeing Logo Boeing

MUOS SLE Payload IPT Manager

Aerospace • Information Technology • Software • Cybersecurity • Design • Defense • Manufacturing
In-Office
El Segundo, CA, USA
170000 Employees
218K-295K Annually

Boeing Logo Boeing

Payload IPT Lead

Aerospace • Information Technology • Software • Cybersecurity • Design • Defense • Manufacturing
In-Office
El Segundo, CA, USA
170000 Employees
180K-244K Annually

Similar Companies Hiring

Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account