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Henry J Austin Health Center

FQHC providing primary, dental, behavioral health

Grants Accountant 1

Full-TimeUpdated on 10/15/2026
$50.3k - $70.4k
Mid
Bachelor's
Trenton, NJ, USA
In Person
AccountingFinancial Accounting

About the job

Requirements
  • A bachelor's degree in finance, accounting, or a related field is required.
  • A minimum of three years of experience in accounting professional practices and procedures is required.
  • Experience with automated accounting software, spreadsheets, and word processing is required; experience with Microsoft Dynamics and MIP is referenced.
  • Strong Excel skills are essential for data analysis and reporting.
  • Working knowledge of Generally Accepted Accounting Principles and 2 CFR Part 200, including cost allowability, allocability, documentation, and Single Audit requirements.
  • Strong reconciliation, analytical, organizational, problem-solving, and Excel skills, with close attention to detail.
  • Ability to manage competing deadlines, maintain confidential information, communicate clearly, and work independently and collaboratively.
  • Demonstrated ownership of assigned deliverables and commitment to accurate, timely, and well-supported work.
  • The position requires regular sitting, speaking, hearing, and computer use; occasional standing, walking, reaching, bending, or lifting and moving up to 25 pounds may be required.
Responsibilities
  • Prepare monthly grant reconciliations, journal entries, account analyses, and supporting schedules, and investigate and correct discrepancies before close.
  • Review grant-funded invoices, payroll allocations, fringe benefits, contracts, and other expenses for correct coding, adequate support, budget availability, and allowability.
  • Prepare monthly budget-to-actual reports by grant and cost category; identify variances, spending risks, incorrect charges, and awards approaching expiration, and follow up with program leaders.
  • Assist with annual and multi-year budgets for applications, renewals, continuations, supplements, and revisions, including personnel, fringe, contractual, supplies, equipment, travel, indirect costs, and budget narratives.
  • Maintain fiscal records for HRSA and other awards and support Electronic Handbooks submissions, Federal Financial Reports (SF-425), reimbursement requests, drawdowns, carryforward requests, and budget revisions.
  • Maintain and reconcile grant receivable, deferred revenue, cash receipt, and revenue recognition schedules, and follow up on outstanding reimbursements.
  • Assist in preparing and maintaining the Schedule of Expenditures of Federal Awards and Schedule of Expenditures of State Awards, reconciled to the general ledger, award records, and financial statements.
  • Maintain supporting award data, including grantor, pass-through entity, Assistance Listing Number, award number, grant period, approved budget, and expenditures.
  • Reconcile grant-funded payroll to approved budgets, employee funding allocations, payroll records, and time-and-effort documentation, and prepare supported reclassifications when needed.
  • Maintain complete, audit-ready electronic files for each award, including agreements, budgets, amendments, invoices, payroll support, reports, drawdowns, reconciliations, and journal entries.
  • Support Single Audit, financial statement audit, funder monitoring, and other reviews by preparing schedules and responding to assigned requests within established deadlines.
  • Maintain a grant reporting and closeout calendar; reconcile final expenditures, cash, receivables, revenue, and balances; and assist with timely final reports and closeout documentation.
  • Meet regularly with Finance and program staff to resolve fiscal issues, support compliant spending, and improve grant accounting processes.
  • Assist in implementing and maintaining accounting procedures compliant with GAAP.
  • Support grant accounting, including subsidiary ledger grant accounting and general ledger accounting.
  • Participate in cross-functional training within the department and undertake additional tasks and projects assigned by the Accountant Grants Manager or other senior staff.
  • Maintain consistency in processes and contribute to standardization within the Grants Department.
  • Perform other related duties and special projects assigned by the Accountant Grants Manager, Director of Grants & Fund Development, Controller, or CFO.
  • Manage multiple deadlines and project goals while maintaining a high volume of work and adapting to various responsibilities.
  • Attend staff meetings and deliver special presentations as required.
  • Collaborate with employees to achieve the goals and objectives of Henry J. Austin Health Center while adhering to established policies and procedures.
  • Support grant-related month-end and year-end close processes and prepare assigned reconciliations, schedules, and documentation for external audits under the direction of the Accountant Grants Manager and Controller.
Desired Qualifications
  • Experience in a public health care or community clinic setting, with knowledge of fiscal administration as applied to health care operations.
  • Experience with MIP, Microix, HRSA Electronic Handbooks, or comparable systems.
  • Experience in an FQHC, nonprofit healthcare organization, or community-based organization.

About the company

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Henry J Austin Health Center

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HJAHC delivers primary care, dental, behavioral health, women's health, HIV/Hepatitis C treatment, on-site pharmacy, nutrition services, and social supports across multiple Trenton locations as a Federally Qualified Health Center. It uses a patient-centered, integrated care model funded by Medicaid, Medicare, private insurance, and federal grants, with a sliding fee scale to keep care affordable for uninsured or underinsured patients. It stands out as Trenton's largest non-hospital ambulatory care provider and offers residency programs for nurse practitioners and pharmacists, uniting many services under one roof for a culturally diverse community. Its goal is to expand access to high-quality care, reduce financial and social barriers, and advance health equity in the community.

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Trenton, New Jersey

Founded

1986

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Simplify's Take

What believers are saying

  • HRSA funded expanded evening and weekend hours starting April 2025.
  • Direct Relief and Sanofi awarded $200,000 in November 2025 for respiratory-health programs.
  • June 2026 Career Pathways paid students from Trenton schools, deepening pipeline and community ties.

What critics are saying

  • Heavy Medicaid and grant dependence exposes HJAHC to reimbursement cuts after 2026 federal budgets.
  • Trenton shooting on August 29, 2026 underscores security costs and patient-access disruption risk.
  • A funding cliff could collapse HJAHC's extended-hours model and surrender patients to rivals.

What makes Henry J Austin Health Center unique

  • Largest non-hospital ambulatory provider in Trenton, with multiple sites and on-site pharmacy.
  • Offers sliding-fee primary, dental, behavioral, OB/GYN, HIV, and Hepatitis C care.
  • Runs residency programs and career pathways, linking care delivery with local workforce development.

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Benefits

  • Flexible Work Hours