Assistant Controller

Who We Are:

Neighborhood Health Center is a non-profit organization local to Portland, OR serving underserved patients in the areas of primary care, internal medicine, dental services and more. Our patient-centered approach to care honors the unique needs and circumstances of each individual patient. NHC sees people, not problems, and recognizes that the time spent as a patient in a doctors office is only one factor in a persons overall health.

Our leading edge, integrated clinical teams work in partnership with patients, their families, and the communities we serve to provide whole-person care, prevention, and ongoing support.

NHC is an Equal Opportunity Employer. We celebrate differences in the workplace and do not discriminate in employment opportunities or practices on the basis of race, color, religion, gender (sex), national origin, age, veteran status, sexual orientation, gender identity, disability, genetic information or any other characteristic protected by law.

Why work with us?

We are a non-profit organization, passionate about providing the underserved population with medical and dental services across the greater Portland area, committed to making a difference daily.

We offer our employees a competitive compensation and benefits package which includes 20 days of PTO (based on full time employment), 9 paid holidays, health/dental/vision insurance, quarterly wellness reimbursements, generous 401k retirement plan with employer match, employer paid disability insurance, EAP and life insurance.

Our employees voted NHC a Top Workplace in 2020, 2021, 2022, 2023, 2024 and 2025!

Job Title:

Assistant Controller Department:
Administrative

Reports To:

Director of Finance Work Type:
Hybrid Classification:
Exempt Language Differential:
IneligibleSUMMARYThe 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 with holdings, 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

Performs other duties as assigned

Education and/or Experience Bachelor's degree in accounting or finance required5+ years of progressive accounting experience (healthcare or nonprofit preferred)
Strong knowledge of GAAP and financial reporting required

Experience supporting audits and financial close cycles required3+ 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…