The Controller is responsible for overseeing the day-to-day accounting operations of the Health Center in compliance with the HRSA Health Center Program, Uniform Guidance (2 CFR Part 200), and generally accepted accounting principles (GAAP). This position provides leadership for accounting staff, ensures strong internal controls, manages cash and investments, oversees payroll and retirement plans, supports procurement activities, and prepares accurate financial reports. The Controller plays a critical role in audit readiness, grant compliance, and financial integrity.
RESPONSIBILITIES:
Accounting Operations & Internal Controls
Oversee and perform daily cash reconciliations, ensuring timely and accurate posting of patient payments and deposits
Prepares monthly bank reconciliations and resolve discrepancies
Prepare and log journal vouchers/journal entries
Maintain and enforce internal controls over cash, payroll, and grants in accordance with HRSA requirements
Cash Management
Manage daily cash flow and monitor bank balances
Coordinate transfers between operating, payroll, and investment accounts
Grant & Compliance Oversight
Oversee grant reconciliation to ensure expenses align with approved HRSA Notices of Award (NOA)
Ensure compliance with Uniform Guidance (2 CFR Part 200), including cost allowability and documentation
Maintain grant-related schedules and supporting documentation for audits and OSVs
Fixed Assets
Oversee the fixed asset system, including disposals and asset tracking
Ensure compliance with federal asset management and record retention requirements
Payroll & Retirement Plans
Oversee payroll processing, reconciliations, and payroll-related journal entries
Ensure compliance with payroll tax reporting and deadlines
Manage and administer the Health Center’s retirement plan(s), including contributions, reconciliations, and coordination with plan administrators and auditors
Procurement & Purchasing Support
Support and monitor procurement activities in accordance with federal procurement standards (2 CFR Part 200)
Review purchasing documentation to ensure compliance with Health Center procurement policies
Assist departments with procurement processes and documentation requirements
Financial Reporting
Assist with quarterly and annual reporting required by management
Management & Supervision
Supervise, train, and mentor accounting staff
Assign work, review performance, and support staff development
Ensure cross-training and coverage for key accounting functions
Additional Duties
Perform other duties as assigned to support Health Center operations
Attend PCMH in-house training.
QUALIFICATIONS:
Bachelor’s degree in Accounting, Finance, Business, or related field preferred
(Associate’s degree with significant experience may be considered)
Minimum 3–5 years of progressive accounting experience
Supervisory experience preferred
Experience in an FQHC, nonprofit, healthcare, or grant-funded organization strongly preferred
Strong knowledge of GAAP, internal controls, and nonprofit accounting
Strong analytical, organizational, and problem-solving skills
Proficiency in Microsoft Excel (reconciliations, spreadsheets, basic formulas)
Ability to manage multiple deadlines in a regulated environment
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