Accountant

Accountant, Rural Health Transformation Program

Reports To: Compliance Officer, Rural Health Transformation Program

Location: Charleston, West Virginia (On site)

Position Type: Full-Time, Exempt (At-Will)

Position Overview

The Accountant will perform advanced-level accounting, auditing, and financial management duties to support the comprehensive fiscal framework of the WV Rural Health Transformation Program (RHTP). Handling complex expense management and funding infrastructure for a historic statewide healthcare initiative, this role ensures strict compliance with federal and state regulations, funding constraints, and financial standards. The position supports the Rural Health Transformation Program by monitoring financial risks, verifying subrecipient stewardship, and ensuring alignment with complex grant mechanics.

Key Responsibilities

Federal Grant Oversight & Subrecipient Monitoring

• Manage the financial administration, tracking, and compliance of federal grants and subrecipient awards.

• Design and execute robust monitoring frameworks to ensure subrecipients strictly adhere to accountability milestones and financial stewardship standards.

• Perform financial risk assessments and performance reviews on external grantees and funding allocations.

• Conduct Funding Integration Reviews by auditing transactions to guarantee that incoming RHTP dollars are strictly expanding services and not supplanting existing state funding or covering healthcare services that could otherwise be reimbursed by public or private insurance.

Office of Shared Administration (OSA) Collaboration: Budget Tracking & CMS Reporting

• Collaborate closely with the OSA financial team to execute complex budgeting, statutory cap tracking, and time-sensitive federal reporting workflows.

• Monitor and enforce rigid statutory caps to prevent compliance failures, including the 10% administrative cost cap, initiative-specific line-item limits, and the HHS Executive Level II Salary Cap guidelines for personnel and subrecipient clinician charges.

• Manage expenditure deadlines by monitoring tight CMS timelines, ensuring funds from a budget period are completely spent or obligated by the end of the subsequent fiscal year to avoid federal recovery.

• Jointly prepare quarterly and annual financial progress reports, comprehensive annual Federal Financial Reports (FFR), and ensure accurate Federal Funding Accountability and Transparency Act (FFATA) tracking for all subawards exceeding $30,000.

CFR 200 Compliance & Auditing

• Apply deep knowledge of Uniform Guidance (2 CFR 200) to evaluate financial records for completeness and accuracy.

• Plan, write, and execute comprehensive audit programs, including testing accounting records, general vouchers, and related reconciliations.

• Ensure all funding activities comply with state and federal laws, as well as national accounting and auditing standards.

Financial Reporting & Analysis

• Prepare and review highly complex expense, revenue, variance, and reconciliation reports.

• Maintain ledgers, profit and loss statements, and supporting financial documents.

• Formulate suggested improvements or structural solutions for complex administrative and technical problems.

• Review audit reports and financial statements to evaluate financial positions and operational results.

• Assist program staff in understanding departmental procedures, federal funding mechanics, and subrecipient compliance requirements.

Core Competencies

• Federal Subrecipient Monitoring: Superior capacity to proactively identify financial, contractual, and regulatory vulnerabilities within subrecipient grant distributions and execute systemic compliance reviews.

• Advanced Financial & Grant Analysis: Mastery of generally accepted professional accounting/auditing principles and governmental accounting methods, with a proven ability to interpret and execute complex financial oversight.

• Analytical Problem-Solving: Ability to interpret complex and sometimes ambiguous federal frameworks, translate multi-faceted financial constraints into precise entries, and resolve structural accounting risks rapidly and accurately.

Minimum Qualifications

• Education: A bachelor’s degree in accounting, finance, business administration, or a closely related field is required. A master’s degree is preferred.

• Experience: 3–5 years of advanced professional accounting or auditing experience is required. Direct experience working with federal grants, subrecipient awards, and Uniform Guidance (2 CFR 200) is required. Direct experience in financial monitoring and compliance frameworks is highly preferred.

• Specialized Knowledge: Deep familiarity with Uniform Guidance (2 CFR 200), computerized accounting applications, complex spreadsheet systems (Excel), database principles, and the administrative structures unique to West Virginia.

Compensation & Benefits

• Compensation: Up to $75,000 annually, commensurate with experience.

• Health & Wellness: Comprehensive medical, dental, and vision insurance plans.

• Work-Life Balance: Generous paid leave accrual (vacation and sick time) alongside paid state holidays.

Limited-Term Notice: This position is a full-time, term-limited appointment for a period of up to four (4) years and is contingent upon the award and continued availability of federal funding through the Rural Health Transformation Program. Continued employment beyond the project period is not guaranteed.