Grants Accountant

POSITION SUMMARY This position is requested as a critical component of MCR Health's new Enterprise Grants Operating Model and is necessary to establish dedicated financial ownership and execution of the organization's governmental grant portfolio within Finance.

The Grant Accountant will serve as Finance's dedicated financial resource for MCR Health's clinical trials, medical education partnerships, governmental grants and contracts, including significant and highly regulated awards such as HRSA Section 330, Ryan White Parts B and C, Rural Health Transformation, state grants, foundation awards, and other federal and state pass-through funding.

The position will be responsible for the day-to-day financial execution of the grant portfolio, including: Grant/program reconciliations and budget-to-actual monitoring Grant/program invoicing and reimbursement requests Federal and state draw support Expenditure and financial reporting Payroll and personnel-cost reconciliation Time-and-effort validation and cost allocation Accounts receivable monitoring Grant/program budget development and revisions Financial documentation for audits, monitoring reviews, and site visits Financial grant closeout and final reconciliations Preparation and maintenance of SEFA (Schedule of Expenditures of Federal Awards) This position is intentionally separate from the Senior Manager, Government Grants within Executive Operations.

The Senior Manager will maintain responsibility for grant governance, compliance, funding-agency requirements, reporting timelines, coordination, and enterprise oversight.

The Grant Accountant will reside within and report through Finance, maintaining Finance's accountability for financial controls, accounting standards, financial accuracy, and fiscal execution.

Establishing this dedicated position is important to both the sustainability of the new operating model and MCR Health's financial risk management.

Without dedicated Finance capacity, there is a significant risk that grant financial activities will continue to be distributed among existing staff or migrate back into the Grants function, recreating the same blurred accountability and dependency the new structure is designed to eliminate.

The Grant Accountant will provide consistent financial oversight across MCR Health's governmental grant portfolio, strengthen segregation of duties and internal controls, improve visibility into grant spending and reimbursement activity, identify potential underspending, overspending, receivable delays, and financial compliance concerns earlier, and strengthen organizational readiness for audits and funding-agency monitoring.

CROSS-FUNCTIONAL ACCOUNTABILITY The Grant Accountant works within an enterprise grant governance model: Senior Manager, Government Grants Owns grant governance for Government Grants, including compliance coordination, funder requirements, deadlines, agency relationships, and portfolio oversight.

Senior Grant Writer Owns the Foundation & ...