Health Services Accountant

Job Description:

Health Services Accountant

Description

The Position

****Re-Announcement****

Why Join Contra Costa Health?

Contra Costa Health (CCH) is the largest department of the Contra Costa County government, with over 4,800 employees. CCH is an integrated system of health care services that covers health at every level: the individual, the family, and the community. For low-income and uninsured residents of Contra Costa County, CCH is the safety net, providing medical services not available to them elsewhere. CCH is seeking to fill one (1) vacancy located in Martinez, CA.

Health Services Finance is the centralized accounting department with a dedicated accounting unit for each program operated by Contra Costa Health. With the responsibility of managing a budget of nearly three billion dollars, the Finance Department is seeking multiple qualified candidates to perform complex accounting work for the Mental Health, Alcohol and Other Drugs, Homeless, Detention, and Contra Costa Health Plan programs. Candidates will be matched with the program(s) that best fits their background and skill set and will report to the managers of these units.

The Health Services Accountants will be responsible numerous financial duties including monitoring program budgets, overseeing preparation of monthly financial projections and statistical reporting, managing grants and monitoring the associated grant audit reporting and regulatory requirements, adapting to financial system changes, responding to requests in a timely manner, performing analysis of various financial reports, directing or coordinating the work of other accounting staff and other assigned financial duties.

We are looking for someone who:

• Has a positive, solution-oriented attitude and a strong work ethic
• Is knowledgeable in governmental and fund accounting related to healthcare programs
• Is knowledgeable in Federal, State and County auditing practices and methods
• Is knowledgeable in County finance and the budgeting system
• Can analyze, interpret, and apply Federal and State fiscal regulations to financial and grant reporting guidelines
• Is able to work independently, prioritize workloads, and manage assignment deadlines
• Is professional and able to work in a team environment

What you will typically be responsible for:

• Assist in the preparation and monitoring the annual county budget for the assigned program(s) which includes preparing appropriation and revenue adjustments as necessary
• Assessing current expenditure and revenue patterns and reporting these findings on a monthly basis to the Department Controller, Chief Financial Officer and the Administration/Management section of assigned Divisions
• Selecting, training, evaluating, and monitoring the performance of subordinate personnel
• Managing and supervising a staff of professional accountants and clerical staff in the performance of their various accounting duties
• Reviewing and approving all contracts and grants, inter and intradepartmental agreements for assigned Divisions, ensuring that GAAP principles are applied and that all such agreements will pass any internal or external audits and forwarding all agreements requiring Departmental approval to HSD Controller and HSD Chief Financial Officer as necessary
• Providing financial direction to Division Directors and Managers to ensure that Department, County, Federal and State fiscal policies are strictly adhered to and that the Divisions/Grants will be in compliance with any audits
• Keeping management informed in a timely manner of any activities, problems or policy decisions that need attention
• Training staff and Division Management regarding supplemental data required by Federal, State or County internal audit to support incoming funds grants or interdepartmental agreements

A few reasons you might love this job:

• You will work in a dynamic environment with people who are passionate about their work and focused on continuous improvement and innovation
• You will have a support role in helping to provide medical care for the County’s most vulnerable populations
• You will join a team of experienced and skilled finance staff executing well-defined fiscal operations
• Continuous regulatory changes and incoming grants offer ongoing learning opportunities

A few challenges you might face in this job:

• You will need to be flexible and adaptable as Federal, State and County fiscal regulations are constantly updated
• On occasion, you may be required to work “off hours” to meet critical deadlines and to respond to emergent budget issues
• You will manage multiple and competing deadlines during year-end close and the budget development process

Competencies Required:

• Delivering Results: Meeting organizational goals and customer expectations and making decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks
• Innovative Problem Solving: Identifying, analyzing, interpreting, and logically evaluating problems in order to propose new ways to do business
• Legal & Regulatory Navigation: Understanding, interpreting, and ensuring compliance with laws and regulations
• Professional & Technical Expertise: Applying technical subject matter to the job
• Attention to Detail: Focusing on the details of work content, work steps, and final work products
• Displaying Ownership and Accountability: Holding self and others accountable for measurable high-quality, timely, and cost-effective results
• Oral and Written Communication: Engaging effectively in dialogue and in writing
• Presentation Skill: Formally delivering information to groups
• Interpersonal Savvy: Considering and responding appropriately to the needs and feelings of others in different situations
• Professional Impact: Presenting self as a positive representative of the organization
• Leadership: Guiding, encouraging, coaching, and developing others to accomplish a common goal
• Valuing Diversity: Appreciating the benefits of varied backgrounds and cultures in the workplace
• Thinking & Acting Systematically: Formulating objectives and priorities, and implementing plans consistent with the long-term interests of the organization in a global environment
• Project Management: Ensuring that projects are on-time, on-budget, and achieve their objectives
• Strategic Thinking & Perspective: Evaluating immediate actions in context of achieving long range objective

To read the complete job description, please visit the website: https://www.cccounty.us/hr .

The eligible list established from this recruitment may remain in effect for six (6) months.

Minimum Qualifications

Education: Possession of a Bachelor degree from an accredited college or university with a major in business administration, finance, accounting or a closely-related field.

Experience: Three (3) years of full-time or its equivalent experience as a professional accountant, at least eighteen (18) months of which was in a health care organization or program.

Substitution: One additional year of additional qualifying experience may be substituted for the academic major. Additional qualifying professional accounting experience may be substituted for the required education on a year for year basis up to a maximum of two (2) years. No substitution is permitted for the eighteen (18) months of experience in health care organization or program.

Selection Process

Application Filing and Evaluation: All applicants will be required to complete a supplemental questionnaire at the time of application. Applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.Virtual Oral Assessment: Candidates who possess the minimum qualifications will be invited to participate in an online assessment. The online video assessment will measure candidates' competencies as they relate to the job and candidates must achieve an average passing score of 70% or higher on each of the competencies, as well as an overall passing score of 70% or higher. These competencies may include but are not limited to: Attention to Detail, Displaying Ownership and Accountability, Innovative Problem Solving, Professional Impact, and Oral Communication. (Weighted 100%)

The Virtual Oral Assessment is tentatively scheduled to take place via computer (remotely) during the week of February 10, 2026.

The Virtual Oral Assessment will be administered remotely using a computer or mobile device such as a tablet or smartphone. You will need access to a reliable internet connection to take the assessment, as well as a computer or mobile device with a camera.

The Human Resources Department may change the examination steps noted above in accordance with the Personnel Management Regulations and accepted selection practices.

For recruitment questions, please contact Health Services Personnel, Recruitment Team at [email protected] . For any technical issues, please contact the Government Jobs’ applicant support team for assistance at +1-855-524-5627.

CONVICTION HISTORY

After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment.

DISASTER SERVICE WORKER

All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

EQUAL EMPLOYMENT OPPORTUNITY

It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

To find more information on Benefits offered by Contra Costa County, please go to https://www.contracosta.ca.gov/1343/Employee-Benefits

Closing Date/Time: 5/25/2026 11:59 PM Pacific

Salary:

$117,927.84 - $143,342.08 Annually