Finance Manager

Rural Staffing Services•Boardman, OR

21h•Onsite

About The Position

Columbia River Health is seeking an experienced Finance Manager to provide hands-on financial leadership for a mission-driven community health organization in Boardman, Oregon. This position requires much more than general accounting experience. The successful candidate must understand the financial realities of rural healthcare and bring prior experience working within either a Federally Qualified Health Center, Community health center, Critical Access Hospital, or a comparable rural healthcare organization with complex reimbursement and regulatory requirements. This is not a role for someone learning healthcare finance for the first time. Columbia River Health needs a seasoned professional who can understand the numbers, strengthen financial systems, ensure accuracy, improve accountability, and help leadership make informed decisions.

Requirements

Significant professional accounting or healthcare finance experience
Previous financial experience within an FQHC, community health center, Critical Access Hospital, or comparable rural healthcare organization
Strong knowledge of generally accepted accounting principles
Experience with general ledger accounting, reconciliations, financial reporting, and month-end close
Experience preparing and monitoring organizational budgets
Knowledge of healthcare reimbursement, including Medicare and Medicaid
Experience with internal controls, audit preparation, and financial policies
Strong analytical and problem-solving abilities
Ability to identify financial trends, risks, and operational concerns
Experience communicating financial information to non-financial leaders
Strong attention to accuracy, documentation, and follow-through
Ability to manage sensitive and confidential financial information
Ability to work on-site in Boardman, Oregon

Nice To Haves

Direct FQHC financial management experience
Knowledge of HRSA Health Center Program financial requirements
Experience managing federal grants and restricted funding
Experience with Medicare and Medicaid cost reporting
Knowledge of 340B-related financial processes
Experience with sliding-fee discount programs
Experience partnering with revenue cycle, billing, and collections teams
Experience preparing for HRSA operational site visits
Experience supporting nonprofit healthcare boards or finance committees
Bachelor's degree in accounting, finance, business administration, or a related field
CPA, CMA, MBA, or other relevant advanced credential
Equivalent education and extensive directly related experience may be considered

Responsibilities

Managing day-to-day accounting and financial operations
Overseeing general ledger activity, account reconciliations, journal entries, and month-end closing
Preparing timely and accurate monthly, quarterly, and annual financial reports
Supporting annual operating and capital budget development
Monitoring actual performance against budget and identifying meaningful variances
Preparing financial forecasts, cash-flow analyses, and leadership reports
Maintaining effective internal controls and financial policies
Ensuring appropriate segregation of duties and accountability across financial processes
Supporting federal grant accounting, reporting, and compliance
Tracking restricted funds, grant revenue, expenditures, and supporting documentation
Ensuring financial activity is consistent with approved budgets and funding requirements
Supporting Medicare, Medicaid, commercial insurance, self-pay, and other healthcare revenue streams
Partnering with revenue cycle and billing teams to improve collections and financial performance
Monitoring accounts receivable, denials, contractual adjustments, and reimbursement trends
Supporting the organization's sliding-fee discount, billing, and collections processes
Coordinating accounts payable, purchasing, payroll-related accounting, and cash management
Preparing schedules and documentation for annual audits
Supporting HRSA reviews, operational site visits, and other regulatory examinations
Assisting with Medicare and Medicaid cost reporting, as applicable
Working with external auditors, accountants, consultants, banks, and vendors
Reviewing financial workflows and correcting inefficiencies or control gaps
Developing useful financial dashboards and key performance indicators
Translating complex financial information into practical guidance for organizational leaders
Supporting executive leadership and the governing board with clear, accurate financial information
Helping strengthen the organization's long-term financial stability