SENIOR STAFF ACCOUNTANT / BUDGET ANALYST

US-CA-OceansideTri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval® from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community.Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.Position Summary:Provides assistance in the maintenance and accuracy of the general ledger and cost accounting system. Prepares monthly financial statements, monitors results against plans, utilizes budgets and forecasts. Gathers and organizes documents and relevant financial data.Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.Accounting and Financial ReportingMaintains a safe, clean working environment, including unit based safety and infection control requirements.Prepare general ledger reconciliations, journal entries, accruals and month-end close activitiesPrepare and review monthly, quarterly, and annual financial statements Prepare general ledger reconciliations, journal entries, accruals and month-end close activitiesBalances accounts, analyzes and interprets trends & variances requiring senior management’s attentionPrepare daily flash report for distribution to management.Prepare daily and bi-weekly productivity reports for distribution.Assists in maintaining records and reports related to capital purchases.Assists with data loads.Maintain understanding of system flow of internal systems.Balances accounts, analyzes and interprets trends & variances requiring senior management’s attention.Prepares monthly statements or reports:Statistical and Revenue Summary packageFinancial and Statistical Highlights & Graphs packagePrepare P&L, including deductions for outpatient and clinic cost centersPrepare Trended Labor reports by cost centerBudgeting and Financial AnalysisLead or support the annual budgeting and forecasting process in collaboration with department leaders. Assists in preparing annual operating and capital budget.Monitor budget performance and analyze variances between actuals, budget, and forecast.Prepare detailed budget reports and present findings to management.Compliance and ControlsEnsure compliance with internal financial policies, procedures, and applicable regulations.Support the development and maintenance of internal controls to safeguard organizational assets.Assist in implementing process improvements to enhance efficiency and accuracyCollaboration and Support Partner with cross-functional teams to provide financial guidance and budget oversight.Serve as a financial resource for department managers, assisting with budget development and cost management.Mentor and provide guidance to junior accounting or finance staff as needed.Perform other duties as assigned.Qualifications: Minimum five (5) years’ general accounting experience, required. Experience with budgeting process and financial statements, required.Minimum two (2) years’ financial analysis experience, required.Understanding of all aspects of generally accepted accounting principles, required.Understanding of budget process, required.Effective written and verbal communication skills, required. Ability to work with various levels of personnel, required.Proficient skills in MS Excel, required. MS Access, preferred.High level of personal accountability for accuracy, attention to detail and completion of work assignments, required.Independent, analytical thinker who can move from detailed transactions to big picture, required.Capacity to work under conditions of constant change, deadlines, and scrutiny, required.High level of professional demeanor required: confidentiality, timelines, prioritization, and judgment, required.Education:Bachelor’s degree in Finance, Accounting, Business or related field, required.Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.*Salary/Hourly wage range for this position is posted. Actual pay will be determined based on verified experience as well as internal equity.TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Created: 2026-02-13