Senior Accountant

Company: Madison Approach
Location: Poughkeepsie
Posted on: January 15, 2026

Job Description:

Job Description Job Description Senior Accountant Job Type: Temporary (12 months with possibility of extension) Pay Rate: $34/hour Location: On-site (Poughkeepsie, NY) | Monday-Friday, 8:30am-5:00pm Job Overview Madison Approach Staffing is recruiting for a Senior Accountant to join our client's Finance Department. Our client is a large healthcare organization seeking an experienced accounting professional to maintain books and records with limited supervision in accordance with Generally Accepted Accounting Principles (GAAP). This role is responsible for preparing financial statements from statistical and financial data, reconciliations, supporting schedules, and reports for the hospital and related subsidiaries. The ideal candidate will manage month-end close processes, prepare internal and external reporting, assist with budgets and tax returns, and maintain accurate general ledger and balance sheet audit worksheets. This is a long-term temporary assignment of 12 months with strong possibility of extension. Key Responsibilities Prepare and review analysis of multiple monthly and annual financial statements; participate in month-end financial close review meetings within preset timeframes Maintain accurate and timely general ledger and balance sheet audit worksheets ensuring compliance with GAAP standards Book monthly journal entries, both recurring and non-routine, including accruals and prepaid expense analysis Manage internal and external reporting including all financial surveys, IRS forms, pools, and cash receipts assessments Assist in annual budget preparation and ICR (Indirect Cost Rate) preparation reporting as needed Compile supporting schedules for annual tax returns including Form 990s, 1120s, and CHAR500s; ensure timely compliance and filing Assist with preparation of Consolidated Fiscal Report for Special Needs Preschool programs Analyze monthly expense and FTE budget variances and prepare variance explanations Monitor capital leases and all debt obligations of the facility; reconcile related long-term and short-term liability accounts Prepare and update monthly schedule of Property, Plant and Equipment acquisitions and disposals with estimated depreciation calculations Maintain effective communications between hospital departments to ensure Finance-related issues are addressed promptly Refer unresolved matters to management as appropriate with supporting documentation and analysis Monitor and maintain key data, tables, and interfaces/templates for key financial information systems Reconcile cash receipts and disbursements daily requiring verification to General Ledger and bank support documentation Prepare weekly cash disbursement outflow reports for cash reporting and forecasting purposes Perform other accounting and finance duties as assigned by management Required Skills & Experience Education: Bachelor's degree in Accounting required Experience: 3-5 years of accounting experience; healthcare setting preferred but not required GAAP Knowledge: Strong understanding of Generally Accepted Accounting Principles and financial reporting standards Financial Analysis: Strong financial analysis skills with ability to interpret complex financial data and prepare variance analyses Computer Proficiency:Complex computer skills required including: Microsoft Excel (advanced functions including pivot tables, VLOOKUP, complex formulas) Microsoft Word for professional documentation Microsoft PowerPoint for presentations Microsoft Access for database management Microsoft Outlook for communication and calendar management Power BI for data visualization and reporting Multi-tasking: Ability to prioritize multiple projects and meet strict deadlines in fast-paced environment Organization: Excellent organizational skills with strong attention to detail and accuracy Communication: Excellent written and verbal communication skills for cross-department collaboration Problem-Solving: Analytical mindset with ability to identify issues and develop solutions independently Preferred Skills & Experience Certified Public Accountant (CPA) license Experience with Veradigm (formally known as Allscripts/McKesson) healthcare financial system Experience with Strata healthcare decision support system Think-Cell PowerPoint software proficiency for creating financial presentations Prior experience in hospital or healthcare organization accounting Experience with consolidated financial reporting Knowledge of healthcare-specific regulations and reporting requirements Experience with tax return preparation for nonprofit organizations (Form 990, CHAR500) Familiarity with capital lease accounting and debt covenant compliance Experience with fixed asset accounting and depreciation schedules Understanding of ICR (Indirect Cost Rate) calculations and submissions Work Schedule & Details Full-time position: Monday through Friday, 8:30am - 5:00pm On-site position Long-term temporary assignment: 12 months with strong possibility of extension Sedentary work environment involving sitting most of the time with occasional walking and standing Requires lifting no more than 10 pounds and occasionally carrying light objects Collaborative finance department environment with exposure to hospital operations Participation in month-end close processes with specific deadline requirements To Apply: Please submit your resume to Madison Approach Staffing. Only qualified candidates will be contacted for interview consideration.

Keywords: Madison Approach, Freeport , Senior Accountant, Accounting, Auditing , Poughkeepsie, New York