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Henry J Austin Health Center

FQHC providing primary, dental, behavioral health

Assistant Accounting Controller

Full-TimeUpdated on 10/23/2026
$82.5k - $155k
Mid
Bachelor's
Trenton, NJ, USA
In PersonOn-site position.
AccountingFinancial Accounting

About the job

Requirements
  • A bachelor's degree in finance, accounting, or a related field is required.
  • At least 3 years of accounting experience is required.
  • CPA certification or progress toward CPA certification is required.
  • Strong Excel skills and experience with automated accounting systems, including MIP and Microix, are required.
  • Strong analytical skills and attention to detail are required.
  • Ability to use logic and reasoning to evaluate options, identify strengths and weaknesses, and recommend effective solutions is required.
  • Demonstrated leadership abilities to motivate and develop finance team members are required.
  • Ability to set performance expectations, provide feedback, conduct evaluations, identify training needs, and support staff development is required.
  • Strong problem-solving skills and ability to make data-driven decisions are required.
  • Ability to implement process improvements, optimize workflows, and resolve conflicts professionally is required.
  • Ability to multitask, prioritize work, meet deadlines, own deliverables, work independently and collaboratively, and maintain organization and reliability is required.
  • Ability to maintain patient confidentiality and provide customer service is required.
  • Ability to walk, stand, handle objects, and occasionally lift 10–25 pounds is required.
  • Visual acuity and ability to adjust focus are required.
Responsibilities
  • Support the Accounting Controller in day-to-day financial operations, including month-end close, general ledger oversight, grant accounting, account reconciliations, and financial reporting.
  • Complete assigned projects and tasks within deadlines and ensure accounting staff complete assigned work on time.
  • Coordinate audit preparation and support accounting functions including pharmacy revenue recognition, grant reconciliation, accounts payable and receivable oversight, cost reporting, Form 990, and financial and 401(k) audits.
  • Lead or support monthly close tasks as assigned.
  • Manage and assist with accounting team task completion and oversee preparation and reconciliation of key general ledger accounts, including cash, accounts receivable, accounts payable, prepaid expenses, fixed assets, pharmacy receivables, and accruals.
  • Assist the Controller in reviewing and posting journal entries and preparing monthly and quarterly financial statements and variance analyses.
  • Work with the Grants Team to ensure grants align with Notices of Award, internal budgets, Uniform Guidance, HRSA compliance, and cost principles.
  • Validate that expenses are allowable, properly coded, and charged to the correct grant, program, and cost category.
  • Reconcile grant activity monthly and identify variances early.
  • Maintain source codes and support federal and state reporting requirements.
  • Provide documentation for drawdowns, Federal Financial Reports, HRSA reporting, and audits.
  • Ensure invoice coding accuracy in accounting systems, including Microix and MIP.
  • Collaborate with program managers on spending compliance, forecasting, and grant utilization.
  • Support grant year-end closeout, corrections, and final expenditure reporting.
  • Strengthen internal controls, support annual and federal audits, and help update standard operating procedures and policies for compliance with GAAP, HRSA, and Uniform Guidance.
  • Support pharmacy revenue recognition and 340B reconciliation processes; gather pharmacy revenue data and reconcile it to MIP general ledger postings.
  • Book and reverse monthly revenue accruals and verify cutoff accuracy.
  • Assist with pharmacy margin reporting and financial analytics.
  • Verify 340B eligibility, claims accuracy, accumulators, fees, shared savings, and compliance.
  • Partner with Billing and Revenue Cycle teams on accounts receivable reconciliation, aging, denials, and corrections.
  • Support WRAP encounter reconciliation, accruals, submissions, and revenue posting.
  • Manage letter-of-agreement payment reconciliation and correct general ledger classification.
  • Prepare assigned audit schedules for financial, 401(k), Single Audit, and UDS reporting, and serve as a point of contact for external auditors in assigned areas.
  • Support accounts payable staff, accountants, and finance staff with reviews and guidance; review reconciliations, journal entries, and accounts payable batches; act as Controller when needed.
  • Perform financial analyses and special projects, and support budgeting, forecasting, and cash projections.
  • Support coding accuracy and communication with departments.
  • Monitor working capital, debt covenants, and banking relationships.
  • Manage vendor relationships and assist with accounts payable and accounts receivable prioritization.
  • Work with the Controller and Director of Finance to create training manuals for accounting and grants positions.
  • Communicate financial concepts to internal stakeholders and present high-level financial and operational data to senior leadership.
  • Support and collaborate with internal departments and promote cross-departmental collaboration.
  • Attend annual reviews, trainings, and departmental in-services.
  • Maintain a professional appearance in accordance with dress code standards and respect cultural diversity in the workplace.
Desired Qualifications
  • Experience in a healthcare, Federally Qualified Health Center, or public health setting is preferred.
  • Bilingual proficiency is preferred.

About the company

H

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