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Health Level Seven International

Accountant

Remote — United States (see country and timezone requirements)

Check who can apply and the requirements below before continuing.

Job description

ABOUT HL7 INTERNATIONAL

HL7 International is a global, member-driven non-profit dedicated to advancing healthcare data interoperability. The organization is accredited by the American National Standards Institute (ANSI) as an international Standards Development Organization (SDO). Our widely adopted standards and frameworks are the foundation of health information exchange worldwide, enabling data to be shared, accessed, and applied to improve health outcomes and system performance.

We are entering an exciting new chapter of growth and transformation. Our strategic vision emphasizes brand recognition, revenue diversification and growth, and the ability to innovate in response to emerging healthcare challenges.

We seek an Accountant who will be responsible for accounting operations for all HL7 entities, revenue sources and programs, including Membership and Education. Reporting to the Controller, the Accountant supports HL7’s financial integrity through accurate accounting, timely reporting, and strong internal controls, and will:

Ensure reliable day‑to‑day accounting operations across a multi‑entity nonprofit environment.

Maintain precise financial records and deliver timely reconciliations that support informed decision‑making.

Strengthen accounting processes that promote clarity, consistency, and accountability.

Manage payroll.

*This is a full-time fully remote employee position and HL7 is accepting candidates in Illinois, Florida, Maryland, Michigan, New Jersey, North Carolina, Ohio, Pennsylvania and Virginia.

Key Responsibilities

Prepare and post all routine and adjusting journal entries; maintain the accuracy of the general ledger across all entities; perform monthly bank, credit card, investment, and balance sheet reconciliations; maintain the chart of accounts; calculate and post depreciation, allocations, deferred revenue, and intercompany transfers; produce monthly financial statements for Accelerators; maintain complete documentation for audit readiness; and ensure all GL activity complies with GAAP and internal controls.

Daily bank review; post deposits, incoming ACHs and wire payments to multiple QuickBooks files (HL7, 2 Foundations, Accelerators, BPM Catalyst).

Generate AR invoices by project/grant; track AR, make collection calls/emails; produce/distribute annual invoices to funders/members; manage federal portal invoicing (PIEE, WAWF, IPP) as directed.

Process AP: receive/validate invoices, enter invoices, maintain vendor database and vendor portal admin (Ariba, Oracle, SAP), prepare payment batches for Controller/COO approval.

Process payroll inputs, onboarding/offboarding in payroll software/Global EOR and employee benefit plans, support employee benefit open enrollment, post payroll allocations in QBO, reconcile payroll deductions and quarterly 941.

Prepare and post monthly/quarterly/annual adjusting journal entries, depreciation, insurance allocations, membership/deferred revenue entries (export Fonteva reports), and intercompany transfers.

Maintain master deposit worksheet; reconcile corporate credit cards; perform monthly bank reconciliations for FHIR Accelerator accounts and HL7 sweep account; reconcile bank, investment, and balance sheet accounts.

Produce monthly financial statements for HL7 and each FHIR Accelerator (IS, BS, AR reports) for Controller review; support annual audit and returns (1099/1096 prep for HL7 & Accelerators).

Support chart of accounts maintenance, grant accounting entries, respond to funder/program manager inquiries, and provide documentation for audits and external reviewers.

Required Qualifications and Experience

Bachelor's degree in Accounting, Finance, or related field; advanced coursework or certification preferred.

5-10 years of progressive accounting experience, including responsibility for payroll, general ledger management, reconciliations, and month‑end close in a nonprofit or multi‑entity environment.

Demonstrated mastery of GAAP (Generally Accepted Accounting Principles) and ability to maintain audit‑ready documentation, internal controls, and accurate financial records.

Hands‑on experience with multi‑entity accounting, including intercompany transactions, restricted funds, grant accounting, and diverse revenue streams (e.g., memberships, education programs, grants, sponsorships).

Proficiency with payroll, accounting systems and financial tools, payroll platforms (ADP), QuickBooks/Intuit, and employee retirement and health benefit provider portals.

Strong communication and collaboration skills, including the ability to respond promptly to program managers and funders, and work with colleagues across functions.

Demonstrated discretion when handling sensitive data, payments, and compliance‑related tasks.

Experience supporting annual audits, tax filings, and regulatory reporting.

Comfort working in a fully remote environment, with strong organizational skills, self-management, and reliability in meeting deadlines.

Originally posted on Himalayas

Who can apply

Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.

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