Leads the accounting function and supervises accounting staff for a community healthcare clinic. Oversees monthly and annual close, general ledger, reconciliations, financial reporting, budgeting, forecasting, grant accounting, payroll accounting, audits, internal controls, and regulatory compliance. Partners with executive and operational leaders to interpret financial results, improve processes, and support planning. Ensures adherence to GAAP, nonprofit accounting practices, federal grant requirements, and healthcare finance regulations.