2026

Confederated Tribes of Siletz Indians•Siletz, OR

1h•Onsite

About The Position

This position manages and supervises the day-to-day activities of the Finance Office. The incumbent is expected to serve as an active member of the Siletz Tribal Health Department’s leadership team and help plan, implement and monitor the overall delivery of quality health care services for the clinic. Requires strong leadership and analytical skills, including critical thinking in financial operations including accounts payable, budgetary and financial reporting, billing and collections, and grant reporting and administration. The Finance Manager will ensure that financial transactions are compliant with State and Federal guidelines.

Requirements

Bachelor’s degree in accounting or related field; experience in lieu of education may be considered, and Five (5) years of experience in Accounting, Finance, or related field and 3 years of supervisory experience -OR- an equivalent combination of education and/or experience.
Knowledge of: Legal and policy constraints pertaining to patient billing
Knowledge of: Auditing concepts and principles
Knowledge of: Regulations related to Medicare, Medicaid and commercial insurance.
Knowledge of: Continuous process/system improvement concepts and practices.
Experience in: Advanced Computer skills with specific knowledge of database, word processing, spreadsheets applications, Electronic Health Record/Electronic Medical Record systems and basic on-line billing and transmission procedures.
Experience in: Hiring, Supervising and performance reviews of team members.
Experience in: Tracking and auditing third-party and private payments.
Ability to: Communicate professionally with clinicians, nurses, allied health staff, administrative staff, frontline staff, contractors, governmental agencies, insurance payers, patients, family members of patients, suppliers, and the general public, of all age levels from child to senior citizen.
Ability to: Analyze complex medical records and identify billable services
Ability to: Gather data, compile information and prepare reports to meet regulatory compliance.
Ability to: Coordinate and implement prevention efforts by developing and strengthening collaborative relationships to promote the necessary changes and implement improvements.
Ability to: Increase community involvement in the development of the prevention plan.
Ability to: Build a strong foundation for effective prevention efforts and interface with tribal leaders to give voice and response to emerging trends and needs
Ability to: Promote teamwork.
Other: Must possess a valid driver's license, insurance and be eligible to drive a GSA vehicle.

Nice To Haves

Preferred knowledge of: Medical terminology, diagnosis, coding and insurance terminology
Preferred knowledge of: Medical billing procedures
Preferred knowledge of: Electronic and manual billing
Advanced Budget development, monitoring and analysis experience, preferred.

Responsibilities

Prepares various reports and statements of financial conditions.
Oversees the health system budgets; evaluates and monitors expenses within budgets.
Monitors and supervises the accumulation of costs and records in appropriate journals, ledgers and accounts.
Maintains the accounting system by interpreting, supplementing and revising the system and by interpreting governmental accounting compliance standards.
Identify fiscal deficiencies and grant management matters to the Health Director to determine training opportunities with grants, budgets and financial responsibilities for departments.
Assists in the development of new budget management techniques.
Assists in providing accounting-related information to Federal, State and local grant agencies and auditors.
Prepares journal entries/cash receipts/check requests to correct general ledger balance and gives to appropriate staff to process.
Assists in the preparation of fiscal year budgets.
Performs statistical, cost, and financial analysis of data reported in the various financial systems.
Assists with grant management of budgets to ensure spending program funds according to grant agreement goals and objectives.
Evaluates programs and recommends changes regarding financial, budgetary, billing and collections issues.
Assists with preparing Medicare cost reports, with business office staff.
Oversees the fee schedule charge-outs within all Health & Human Services departments, which includes negotiations of contracts.
Develops financial reports for forecasting, trending, and budgeting.
Records, classifies, and summarizes financial transactions and events in accordance with generally accepted accounting principles.
Other duties as assigned.