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Health Quest Systems, Inc. Senior Staff Accountant in LaGrangeville, New York

Nuvance Health is a family of award-winning nonprofit hospitals and healthcare professionals in the Hudson Valley and western Connecticut. Nuvance Health combines highly skilled physicians, state-of-the-art facilities and technology, and compassionate caregivers dedicated to providing quality care across a variety of clinical areas, including Cardiovascular, Neurosciences, Oncology, Orthopedics, and Primary Care.

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations. For more information about Nuvance Health, visit

TITLE: Senior Stff Accountant

DEPARTMENT: Corporate Finance

REPORTS TO: Director of Finance

SUMMARY: Performs a wide range of complex duties related to keeping accounts and records in Corporate Finance. Acts as a point person for problem resolution. Analyzes General Ledger accounts to trace and correct discrepancies. Completes process to ensure that the Hospital’s detailed activity conforms to generally accepted accounting principles and practices.


Responsibility I

Coordinate and monitor flow of work for month end close process.

1.1 Acts as liaison as problems arise of a complex nature, between General Accounting, Hospital departments and/or Practice Management staff to resolve them efficiently.

1.2 Review and approve journal entries prepared by staff accountants prior to input.

1.3 Prepare accrued expenses journal entry for review with Director of Finance

1.4 Completes and reviews the accuracy of multiple system interfaces into the general ledger (i.e. payroll, accounts payable, revenue and allowances, PMM and Non-Nova accruals)

1.5 Oversees the daily operation of the area to ensure efficient workflow. Provides assistance as necessary due to illness, vacation, etc.

1.6 PMM Superuser

Responsibility II

Assists in the monthly preparation of financials statements per predetermined schedules. Completes process on a monthly basis to provide management with financial date upon which management decisions are made.

2.1 Prints and maintains the financial schedules supporting the monthly financial statements. The Accounting staff uses these documents and external auditors as needed.

2.2 Maintain and monitor monthly close checklist to ensure completeness of all account analyses to ensure proper recording of journal entries. Our external auditors for audit purposes use these analyses. Completes analysis and data enters any adjusting entries by established time frames.

2.3 Prepares and maintains necessary worksheets, including, but not limited to financial statement notes, to support financial statements and all analytical work.

2.4 Reviews account analyses workpapers prepared by staff accountants.

2.5 Performs month-end close procedures of the general ledger system after financials are approved.

2.6 Monthly review of department variances and interaction with directors to resolve budget variances or coding issues.

2.7 Directly involved in completing or assisting with special requests or projects as determined by management.

Responsibility III

Oversees the performance the reconciliations of various Hospital bank accounts on a monthly basis. Maintains all records relative to cash management and externally restricted accounts and wire transfer activity.

3.1 Reviews the reconciliation of the Hospital’s checking and savings accounts on a monthly basis. Ensures complete reconciliation to the General Ledger.

3.2 Acts as a liaison between finance and the bank. Handles all stop payments, returned checks, deposit corrections and variances.

3.3 Reviews detailed forms for submission to the State of New York relative to abandoned property on an annual basis.

Responsibility IV

Assists in the planning and execution of external and internal audits for the finance areas.

4.1 Provides documentation and records as requested by outside audit firms for the interim and year-end audits as efficiently as possible.

4.2 Conducts unannounced internal audits of the various imprest cash funds maintained.

Responsibility V

Assist in the preparation of the 990 tax returns.

5.1 Gather supporting documentation required for submission.

5.2 Prepare 990 for review with Director and submit return.

Responsibility VI

Guest Relations – Demonstrated regard for the dignity and respect of all patients, family members, visitors, and hospital personnel as defined in the philosophy of Health Quest.

6.1 Displays a caring and courteous attitude and represents the hospital in a positive manner to all persons noted above.

6.2 Promotes and contributes positively to intra-departmental and inter-departmental relationships with no more than two complaints in a six-month period.

6.3 Maintains the confidentiality of employees and departmental information with no infractions.

6.4 Adheres to departmental and hospital dress codes as observed by supervisor, and wears a Nuvance Health picture identification badge 100% of the time.

6.5 Demonstrates willingness to assist co-workers and/or to accept additional assignments as requested to support department’s efficiency as observed by the supervisor.

6.6 Responds to all supervisor’s requests for information and assists in a timely and courteous manner.

6.7 Demonstrates a high level of mental and emotional tolerance and even temperament when dealing with people; uses tact, sensitivity and sound judgment at all times.


Education: Requires a BS degree in Accounting.

Experience: Requires a minimum of five years of experience in Accounting and related jobs in the organization.

License: N/A


Physical: Occasionally requires light physical effort as in periods of standing at files or worktables, repeated changes of position within the work routine or prolonged setting. Periodic eye or ear strain included in this level (less than 50% of the time).

Mental: Some irregularity in scheduled hours because of work requirements, occasional stress due to periodic or cyclical workload pressures.


Physical surroundings are pleasant and comfortable with no exposure to injury or other related hazards.

Requisition #: 27392

Primary Shift: Day

Hours Per Week: 40.00

External Company Name: Health Quest Systems, Inc.

External Company URL:

Street: 1351 Route 55