Controller, Finance & Banking, CFO

At One Community Health (OCH), we’re redefining the way healthcare is delivered. As a forward‑thinking Federally Qualified Health Center (FQHC) located in the picturesque Columbia River Gorge, OCH is at the forefront of innovation and evidence‑based practices to provide comprehensive, patient‑centered care through an integrated health care model.

Our mission goes beyond treating illness; we’re committed to empowering individuals to take control of their well‑being through education, prevention, and early intervention. If you’re looking to be part of a dynamic team that’s shaping the future of healthcare, OCH offers a supportive environment where your ideas are valued and your contributions make a real difference in the lives of others.

We are seeking a dedicated and experienced Controller to join our finance team. The successful candidate will perform a variety of intermediate accounting and fiscal record‑keeping activities, ensuring organizational compliance with generally accepted accounting principles for non‑profit organizations. The role includes processing of accounts payable, accurate and timely bi‑weekly payroll, reconciliation of financial institution accounts, maintenance of financial records, and other projects as needed.

This position is full‑time and qualifies for a hybrid‑remote work arrangement after an in‑office training period. Required onsite workdays will be at our clinic in Hood River, Oregon.

• Embrace the philosophy, mission, and values of OCH.
• Adhere to the guidelines and procedures of OCH.
• Oversee all accounting operations including general ledger, accounts payable/receivable, payroll, and grants management.
• Prepare accurate and timely monthly, quarterly, and annual financial statements in accordance with GAAP and nonprofit standards.
• Monitor and analyze financial performance against the budget.
• Lead the annual budget development process in coordination with department heads and the CFO/CEO.
• Prepare cash flow forecasts and long‑term financial planning reports.
• Support scenario planning and projections based on funding and operational changes.
• Ensure proper accounting and tracking of federal, state, and private grants, especially HRSA grants.
• Monitor compliance with grant terms and conditions, including allowable costs and reporting requirements.
• Coordinate with program teams to ensure timely and accurate grant reporting.
• Coordinate the annual financial audit and Single Audit (OMB Uniform Guidance).
• Maintain and improve internal controls to safeguard assets and ensure regulatory compliance.
• Respond to audit inquiries and implement recommendations.
• Develop, maintain, and enforce financial policies and procedures, ensuring alignment with best practices and FQHC requirements.
• Provide training and guidance to staff on financial protocols.
• Ensure compliance with IRS 990 filing, HRSA regulations, UDS reporting, and other federal/state/local financial reporting requirements.
• Oversee Medicaid/Medicare cost reports.
• Supervise accounting staff and ensure effective workflow and professional development.
• Work closely with the CFO, executive team, and Board of Directors (especially the Finance Committee) to provide financial insights and support strategic planning.
• Oversee the maintenance and optimization of accounting software (MIP).
• Ensure data integrity and streamline financial reporting processes.
• Perform other job‑related duties as needed and/or assigned.

• Knowledge of finance and accounting processes and practices, including period end close, financial consolidations, budgeting, forecasting, management reporting and financial analysis.
• Knowledge of Wage and Hour compliance and proactive approach to staying current with payroll and tax compliance and best practices.
• Able to coordinate the work of others over whom one has no direct authority, gaining cooperation and consensus through a team‑based approach.
• Able to prioritize and organize work according to multiple and, at times, competing projects and timelines.
• Able to meet timelines for team and organizational goals safely and with high level of quality.
• Maintain a high degree of professionalism and confidentiality.
• Strong…