Assistant Controller

The Assistant Controller supports the financial integrity, compliance, and operational effectiveness of the organization by overseeing day-to-day accounting operations, ensuring accurate and GAAP-compliant financial reporting, supporting audits and cost reporting, and strengthening internal controls. This role is critical in maintaining compliance with HRSA, Uniform Guidance (2 CFR 200), and healthcare-specific accounting requirements while enabling leadership with timely, reliable financial insights.

Essential Job Duties

  • Oversee general ledger activities, journal entries, reconciliations, and month-end close processes
  • Manage end-to-end payroll processing to ensure accurate, timely, and compliant compensation for all employees, including review of payroll calculations, tax withholdings, deductions, and adherence to applicable federal, state, and local regulations
  • Ensure accurate recording of revenue, grants, payroll, benefits, and inter-departmental allocations
  • Review balance sheet reconciliations and resolve variances in a timely manner
  • Provide support, review, and provide feedback on the monthly and annual financial statements
  • Support management reporting, dashboards, and variance analysis
  • Ensure compliance with GAAP and healthcare accounting standards
  • Support HRSA grant accounting, allowable cost tracking, and reporting requirements
  • Monitor compliance with Uniform Guidance (2 CFR 200) and internal financial policies
  • Assist with preparation of Uniform Data System (UDS) financial components
  • Support Medicare/Medicaid cost reports and related reconciliations
  • Serve as key support for annual financial audits, single audits, and HRSA site visits
  • Lead annual 401(k) audit, census preparation, and review, working with external consultants and auditors to finalize draft 5500 form and annual 401(k) financial statements
  • Coordinate with cross-functional departments to compile required documentation for annual filings and support management review of IRS Form 990 prior to board approval.
  • Maintain documentation to support internal controls and audit readiness
  • Assist in designing, documenting, and maintaining strong internal controls
  • Identify process inefficiencies and recommend improvements
  • Support system enhancements and automation efforts
  • Develop, mentor, and provide guidance/oversight to accounting staff as assigned, including timely feedback and annual reviews
  • Consistently provides effective and timely communication to the Director of Finance regarding month-end activities and projects
  • Partner with HR, Operations, Grants, and Clinical Leadership on financial matters
  • Write, update, and develop financial policies and procedures
  • Serve as a backup to the Director of Finance as needed

Qualifications

  • Bachelor’s degree in accounting or finance required
  • 5+ years of progressive accounting experience (healthcare or nonprofit preferred)
  • Strong knowledge of GAAP and financial reporting required
  • Experience supporting audits and financial close cycles required
  • 3+ years management experience required
  • CPA or CPA-eligible preferred
  • Experience in an FQHC, nonprofit healthcare, or grant-funded environment preferred
  • Familiarity with HRSA, UDS, Medicare/Medicaid cost reporting preferred
  • Experience with healthcare EHR/financial systems and payroll integration preferred

APPLY NOW

To apply for this job email your details to larsons@nhcoregon.org