**Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Sanford Business Center Building **Location:** Sioux Falls, SD **Address:** 2200 E Benson Rd, Sioux Falls, SD 57104, USA **Shift:** Day **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $27.50 - $44.00 **Job Summary** The Senior Accountant provides timely and accurate reporting (in accordance with Generally Accepted Accounting Principles (GAAP) and organizational objectives) and analysis to support leadership on financial decisions. Work is complex, consisting of both transactional accounting and multi-faceted financial analysis. Routinely identifies and analyzes detailed financial issues while keeping a broad, enterprise-wide perspective. Must understand relationships between all subsidiaries. Regularly identifies appropriate level of data for analysis; reports findings relevant to audience. Responsible for financial reporting and maintaining the general ledger system for assigned entities. Demonstrates expert knowledge of financial systems and procedures relevant to the enterprise and its subsidiaries. Collaborates with colleagues in accounting department and cross-functional areas to assure the integrity of financial information. Identifies areas for improvement and proactively addresses problems within scope of responsibility, while escalating issues to leadership as needed. Regularly makes recommendations for new processes and implementation of internal controls; modifies existing tools, techniques, and processes with approval from leadership. May serve as a project leader and a subject matter expert, keeping current on emerging professional issues. Collaborates with assigned departments and functional areas to stay current on projects and initiatives, while keeping leadership informed. Must have excellent communication skills and problem-solving skills. Must have solid understanding of the global accounting system and its applications. Must be able to organize and prioritize tasks effectively. Must demonstrate accuracy and attention to detail. Must demonstrate initiative and be able to maintain a high level of energy. Requires a professional commitment to continuous learning and development. **Qualifications** The Foundation Senior Accountant supports the financial stewardship of philanthropic funds by managing month‑end close activities, fund disbursements, reconciliations, donation revenue, endowment accounting, and specialized trust/annuity responsibilities across multiple Foundation regions. This role ensures accurate reporting, compliance, and strong internal controls while supporting Development, Treasury, Operations, and Finance teams. **Qualifications** + Bachelor's degree in Accounting, Finance, or other Business-related degree with an Accounting minor required. Accounting degree is preferred. + Must have at least 4 years of related work experience, preferably in a nonprofit, fund accounting, or healthcare environment. + Strong knowledge of GAAP, restricted/unrestricted net assets, and endowment accounting. + Certified Public Accountant (CPA), Certified Management Accountant (CMA) or other professional certification is desirable but not required. + High proficiency in Excel and experience working across multiple financial systems. **Software & Systems Used** + **Inform FSM** – Journal entries, general ledger activity, financial reporting. + **Blackbaud Financial Edge (FE / FE NXT)** – Fund accounting, endowment management, fund disbursement entry. + **Blackbaud Raiser’s Edge (RE / RE NXT)** – Donation revenue, receivables, gift batch matching. + **Smartsheet** – Fund disbursement workflows, process documentation. + **Various donation/payment platforms** – Classy, Venmo, PayPal, Benevity, BBMS, Stripe, GoFundMe Pro, CMN tools. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0247315 **Job Function:** Finance **Featured:** No