St. Mary’s Healthcare has been providing high-quality, compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Mary’s Hospital, the Rao Outpatient Pavilion and other locations, the local, independent healthcare organization offers the comprehensive, critical services its community needs and deserves. St. Mary’s Healthcare has also been named a 2026 Times Union Top Workplace—the first acute care hospital in the Capital Region to earn the distinction since the Times Union launched the recognition program 14 years ago.

Job Requisition: GRANT001438
Employment Type: Full-Time
Shift: Days
Hours Per Week: 40- hours week

Hiring Range: Starting at $70,000

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

Grant Accounting

• Maintain general ledger accounts for all grants, including revenue recognition, expenditures, and adjustments.
• Prepare and post journal entries for grant activity in accordance with GAAP and CFR requirements.
• Track budgets vs. actuals and identify variances for program and leadership review.
• Reconcile grant accounts monthly and ensure clean, auditable records.
• Assist with annual audits, including preparation of schedules and supporting documentation.

Grant Compliance & Monitoring

• Ensure compliance with federal, state, private, and foundation grant requirements.
• Maintain a comprehensive calendar for reporting deadlines, renewal requirements, and compliance checkpoints.
• Review grant expenditures for allowability, allocability, and reasonableness under OMB Uniform Guidance (2 CFR 200) when applicable.
• Monitor subrecipient contracts, invoices, and documentation for compliance.
• Ensure procurement, timekeeping, and cost allocation practices meet grant requirements.

Financial Reporting

• Prepare monthly, quarterly, and annual financial reports for grantors.
• Support program managers with financial updates, budget modifications, and reporting requirements.
• Assist in preparing financial components of grant proposals, renewals, and amendments.

Internal Controls & Process Improvement

• Recommend and implement internal controls related to grant-funded operations.
• Create and maintain policies and procedures for grant compliance.
• Train program staff on grant budgets, spending rules, and required documentation.

Additional Responsibilities:

• Other duties as assigned.

Supervisory Responsibilities:

• None

Education, Training & Experience:

• Bachelor’s degree in accounting or related field required.
• Minimum of three (3) years (5 years preferred) experience in Grant, Funding & Development accounting or related field required.
• Knowledge of federal grant regulations (Uniform Guidance) and CFR reporting requirements strongly preferred.
• Experience in Non-Profit Grant & Funding preferred.
• Knowledge of federal Uniform Guidance (2 CFR 200) and SEFA reporting requirements strongly preferred.

Required Skills and Attributes

• Strong understanding of accounting principles and practices, particularly fund accounting.
• Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.
• Must be able to multitask while remaining professional, focused, composed and positive.
• Excellent customer service skills.
• Displays integrity, friendliness, and compassion.
• Must be able to establish an appropriate and effective rapport with others.
• Demonstrates flexibility.
• Takes initiative.
• Able to work in a fast-paced environment.
• Embraces new opportunities to grow both personally and professionally.
• Effective critical thinking and problem-solving skills.
• Proficient with various Microsoft Office products (Word and Excel).
• Strong organizational skills.
• Effective interpersonal skills.
• Ability to take and follow direction in a positive and appropriate manner.
• Ability to work as part of a team and independently. Must be able to demonstrate effective and appropriate written and oral communication skills.
• Must be able to speak, read, write and follow instructions in English.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.