Controller, Finance & Banking, Financial Reporting

Controller Position At One Community Health

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. Complete tasks necessary to assure organizational compliance with generally accepted accounting principles for non-profit organizations including processing of accounts payable, accurate and timely processing of 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 hybrid-remote work 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 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 written and oral communication skills
• Successful relationship management skills involving multidisciplinary teams in a diverse, multicultural environment.
• Able to use initiative and good judgment to resolve problems and challenges
• Able to work effectively in an operation that expects and promotes teamwork and have demonstrated ability to work with ambiguity.
• Able to inspire trust and confidence, and communicate effectively with internal and external audiences
• High level computer skills, including use of Microsoft Office applications:
  Word, Excel, Outlook, and other systems
• Ability to communicate effectively, verbally and in writing.
• Ability to learn rapidly absorb and follow a wide range of business rules and workflows.
• Demonstrate positive and effective interpersonal,…