Finance Manager at Rural Staffing Services in Boardman, Oregon, United States

Job description

• Columbia River Health | Boardman, Oregon
• Full-Time | On-Site Leadership Opportunity
• Salary: $90K to $100K annually, depending on experience
• Comprehensive Benefits Package
• Please Apply Through RSS
• This opportunity is being managed in partnership with Rural Staffing Services®. If you learned about this position through RSS, please submit your application through our process rather than applying directly to Columbia River Health.
• RSS works closely with the organization and tracks candidate introductions, so applying directly does not create a separate or faster path. Applying through both channels can create confusion and may delay the process.
• By applying through RSS, you allow us to properly represent you, communicate directly with the leadership team, advocate for your candidacy, and support you throughout the process.
• At Rural Staffing Services, we are building a more transparent, honest, and human approach to rural healthcare recruitment. Our fees are intentionally reasonable and designed to remain accessible to rural healthcare organizations, and there is never a cost to the candidate.
• This model only works when candidates who discover an opportunity through RSS honor that connection and apply through RSS.
• Please apply through Rural Staffing Services so your candidacy can be handled clearly, professionally, and with the full support of our team.
• 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
• 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.

Responsibilities

• As Finance Manager, you will oversee key financial operations and help ensure that Columbia River Health maintains accurate, compliant, and reliable financial systems.
• 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
• This is a hands-on role. The Finance Manager must be comfortable both leading financial processes and working directly within the details.

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
• 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.

Skills

Required

• Take ownership of accuracy and deadlines
• Hold yourself and others accountable
• General ledger accounting
• Financial reporting
• Budgeting
• Internal controls
• Audit preparation
• Federal grant accounting
• Cash-flow analysis
• Financial dashboards and KPIs

Benefits

• Annual salary of $90K to $100K, depending on experience
• Full-time, on-site leadership position
• Comprehensive employee benefits
• The opportunity to work directly with organizational leadership
• A meaningful role in strengthening a rural community health organization
• The ability to influence financial systems, accountability, and long-term stability
• Final compensation will be based on the selected candidate's qualifications, depth of healthcare finance experience, and demonstrated ability to perform the responsibilities of the position.