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?
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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.
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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.
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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: Ineligible
SUMMARY
The 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
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Oversee general ledger activities, journal entries, reconciliations, and month-end close processes
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Manage end-to-end payroll processing to ensure accurate, timely, and compliant compensation for all employees, including review of payroll calculations, tax withholdings, deductions, and adherence to applicable federal, state, and local regulations
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Ensure accurate recording of revenue, grants, payroll, benefits, and inter-departmental allocations
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Review balance sheet reconciliations and resolve variances in a timely manner
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Provide support, review, and provide feedback on the monthly and annual financial statements
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Support management reporting, dashboards, and variance analysis
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Ensure compliance with GAAP and healthcare accounting standards
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Support HRSA grant accounting, allowable cost tracking, and reporting requirements
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Monitor compliance with Uniform Guidance (2 CFR 200) and internal financial policies
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Assist with preparation of Uniform Data System (UDS) financial components
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Support Medicare/Medicaid cost reports and related reconciliations
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Serve as key support for annual financial audits, single audits, and HRSA site visits
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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
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Coordinate with cross-functional departments to compile required documentation for annual filings and support management review of IRS Form 990 prior to board approval.
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Maintain documentation to support internal controls and audit readiness
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Assist in designing, documenting, and maintaining strong internal controls
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Identify process inefficiencies and recommend improvements
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Support system enhancements and automation efforts
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Develop, mentor, and provide guidance/oversight to accounting staff as assigned, including timely feedback and annual reviews
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Consistently provides effective and timely communication to the Director of Finance regarding month-end activities and projects
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Partner with HR, Operations, Grants, and Clinical Leadership on financial matters
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Write, update, and develop financial policies and procedures
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Serve as a backup to the Director of Finance as needed
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Performs other duties as assigned
Education and/or Experience
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Bachelor's degree in accounting or finance required
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5+ years of progressive accounting experience (healthcare or nonprofit preferred)
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Strong knowledge of GAAP and financial reporting required
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Experience supporting audits and financial close cycles required
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3+ years management experience required
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CPA or CPA-eligible preferred
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Experience in an FQHC, nonprofit healthcare, or grant-funded environment preferred
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Familiarity with HRSA, UDS, Medicare/Medicaid cost reporting preferred
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Experience with healthcare EHR/financial systems and payroll integration preferred
Knowledge, Skills & Abilities
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Communicates financial information effectively to non-finance staff
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Maintains confidentiality of sensitive financial and personnel data
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Ability to analyze complex financial and grant data
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Intermediate to advanced proficiency of ERP systems and Excel
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Intermediate or higher proficiency in Microsoft Office Suite
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Strong verbal and written communication skills
- Ability to define problems, collect data, establish facts, and draw sound conclusions.
- Critical thinker who solves problems and makes sound decisions
WORKING CONDITIONS
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Must have reliable transportation and be able to travel locally for meetings and events, when required
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Regularly sit while working on the computer; use hands and fingers to handle, control, or feel objects, tools, or controls; repeat the same movements when entering data; ability to differentiate between colors, shades, and brightness; read from a computer screen for extended periods of time
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Frequently stand and walk around the office to gather supplies, required to do filing, use office equipment, or collaborate with employees
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Occasionally stand, stoop and lift or move objects, equipment and supplies weighing approximately 20-25 pounds up to 40-50 pounds
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The noise level in the work environment is usually moderate
Neighborhood Health Center Employment Offers are contingent on successful completion of reference checks, background checks, drug screening for illegal substances, Tuberculosis, and any position specific credentialing or licensure requirements.
