Grants Accountant II | Hybrid (LMA)

Legacy Community Health
Houston, TX

Benefits

  • Paid Time Off & Paid Company Holidays
  • Medical, Dental, Vision & Life Insurance
  • Flexible Spending Account (FSA)
  • 403(b) Retirement Plan with Company Match
  • Short-Term & Long-Term Disability
  • $0 Copay for Legacy Provider visits
  • $0 Copay for prescriptions filled at Legacy Pharmacies
  • Travel Insurance & Pet Insurance
  • Subsidized Gym Membership
  • And much more!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Location: Legacy Montrose Allen Parkway - 2929 Allen Pkwy, Houston, TX 77019

Grants Accountant II | Hybrid (LMA) - Job Overview

Schedule: 8AM-5PM | Hybrid

Welcome to Legacy Community Health, where you aren't just taking a job—you're becoming part of our family. Here, we believe in the power of community to transform lives, and as an Accountant II focusing on Grants, you will be pivotal in this mission. Your role is crucial in maintaining financial accuracy and compliance, directly supporting our community-focused initiatives.

  • Role Highlights: Immerse yourself in grant accounting, where your expertise ensures our community health initiatives are financially robust and compliant.
  • Work Environment Benefits: Thrive in a supportive atmosphere where collaboration is key, and your efforts are recognized and valued.
  • Impact and Growth Opportunities: Play a vital role in ensuring our grant-funded programs are financially sound, with opportunities for professional growth and development.
  • Team Collaboration: Collaborate with program managers and finance teams in an inclusive and dynamic environment.
  • Mission-Driven: Contribute to a purpose-driven organization dedicated to delivering high-quality healthcare to everyone.

Key Responsibilities

  • Extract and validate encounter data for medical visits to support grant-funded reimbursement requests.
  • Prepare and submit reimbursement requests/invoices to grant funders in accordance with contractual requirements.
  • Reconcile grant revenue to supporting documentation and general ledger.
  • Monitor grant receivables and follow up on outstanding reimbursements.
  • Prepare accurate and timely Financial Status Reports (FSRs) and other required financial reports.
  • Review expenditures to ensure allowability, allocability, and compliance with grant agreements and applicable regulations.
  • Monitor budgets to prevent overspending and identify variances.
  • Maintain documentation to support audits.
  • Prepare and post journal entries related to grant activity.
  • Reconcile assigned general ledger accounts monthly.
  • Assist with month-end and year-end close processes.
  • Support annual audit and grant-specific audits.
  • Partner with program managers to ensure financial compliance and accurate reporting.
  • Assist with grant analysis and other special projects as requested.
  • Perform other duties as assigned.

Minimum Qualifications

  • Bachelor's degree in accounting is required.
  • Three (3) years of accounting experience is required; Five (5) years preferred.
  • Previous experience with encounter-based billing and/or government grant reimbursement is preferred.
  • Proficient with Microsoft Office applications, including intermediate skill level in Microsoft Excel
  • Advanced analytical capabilities.
  • Ability to manage and meet multiple deadlines
  • Excellent communication skills and customer service skills
  • Ability to work cooperatively and collaboratively with all levels of employees, management, and external agency personnel
  • Highly detail-oriented, organized, and quality-focused.

About Legacy Community Health

As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years. With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you.

At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department:

Approachable & Collaborative

We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility.

Driven & Committed

We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve.

Perceptive & Thoughtful Communicators

We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all.

Posted 2026-02-20

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