Assistant Accounting Controller

The Assistant Controller supports the Accounting Controller in managing the day-to-day financial operations of the organization, including month-end close, general ledger oversight, grants accounting support, account reconciliations, and financial reporting. This role serves as a key partner to the Controller to ensure accuracy, timeliness, compliance with GAAP, and strong internal controls.

Responsibilities

• The Assistant Controller accomplishes within deadlines, projects/tasks.
• Assistant Controller to complete and ensure that projects/tasks assigned to accounting staff are completed within deadlines.
• Assistant Controller, coordinate audit preparation, and support accounting team on functions such as pharmacy revenue recognition, grant reconciliation, and accounts payable/receivable oversight, cost reporting, completing form 990, financial and 401k audits.
• This position exists to offload select accounting responsibilities from the Controller and assist controller in timely completion of accounting tasks assigned to accounting team—allowing the Controller to focus on organization-wide financial management, audit strategy, and leadership initiatives.

Financial Reporting & Month-End Close

• Lead or support monthly close tasks as assigned.
• Manage and assist in task completion of accounting team and oversee preparation and reconciliation of key GL accounts (cash, AR, AP, prepaid, fixed assets, pharmacy receivables, accruals).
• Assist Controller in reviewing and posting journal entries.
• Assist Controller in preparation of monthly and quarterly financial statements and variance analysis.

Grants & Program Accounting Support

• Ensure grant alignment with NoAs, internal budgets, Uniform Guidance, HRSA compliance, and cost principles.
• Validate that all expenses are allowable, properly coded, and charged to the correct grant, program, and cost category.
• Reconcile grant activity monthly and identify variances early.
• Maintain source codes and support federal/state reporting requirements.
• Provide documentation for drawdowns, FFRs, HRSA reporting, and audits.
• Ensure invoice coding accuracy in accounting systems (i.e. Microix and MIP).
• Collaborate with program managers on spending compliance, forecasting, and grant utilization.
• Support grant year-end closeout, corrections, and final expenditure reporting.

Internal Controls, Policies & Compliance

• Strengthen internal controls and support annual and federal audits.
• Help update SOPs and policies to maintain compliance with GAAP, HRSA, and Uniform Guidance.

Pharmacy & Revenue Cycle Support

• Support pharmacy revenue recognition and all 340B reconciliation processes.
• Gather pharmacy revenue data and reconcile to MIP GL postings.
• Book and reverse monthly revenue accruals; verify cut-off accuracy.
• Assist with pharmacy margin reporting and financial analytics.
• Verify 340B eligibility, claims accuracy, accumulators, fees, shared savings, and compliance.
• Partner with Billing/Revenue Cycle on AR reconciliation, aging, denials, and corrections.
• Support WRAP encounter reconciliation, accruals, submissions, and revenue posting.
• Manage LOA payment reconciliation and correct GL classification.

Audit Preparation & External Reporting

• Prepare assigned audit schedules for financial, 401(k), Single Audit, and UDS reporting.
• Serve as point of contact for external auditors for specific areas.

Supervision & Staff Oversight (as assigned by controller)

• Support AP, accountants, and finance staff with reviews and guidance.
• Review reconciliations, journal entries, AP batches.
• Act as Controller when needed.

Additional Responsibilities- as assigned

• Perform financial analyses, special projects, budgeting, forecasting, and cash projections.
• Support coding accuracy and communication with departments.

Monito

• r working capital, debt covenants and banking relationships.
• Manage vendor relationships and assist with AP/AR priority setting.
• Work with Controller and Director of Finance to create training manual for each accounting and grants position.

Communication & Leadership

• Strong communication skills with the ability to simplify financial concepts for internal stakeholders.
• Demonstrated leadership abilities to inspire, motivate, and develop finance team members.
• Skilled in performance management, including setting expectations, providing feedback, and conducting evaluations.
• Ability to identify training needs and support staff development.
• Committed to exceptional customer service and maintaining patient confidentiality.

Professionalism

• Recognizes and respects cultural diversity in the workplace.
• Maintains a neat, professional appearance in accordance with dress code standards.
• Regularly attends annual reviews, trainings, and departmental in-services.

Requirements

• Ability to support and collaborate effectively with internal departments.
• Excellent writing skills, capable of presenting high-level financial and operational data to senior leadership.
• Ability to foster strong working relationships and promote cross-departmental collaboration.

Analytical & Technical Skills

• Strong analytical skills with high attention to detail.
• Proficiency in Microsoft Office Suite, including Excel and Word.
• Ability to use logic and reasoning to evaluate options, identify strengths and weaknesses, and recommend effective solutions.

Supervisory & Management Skills

• Strong problem-solving skills and ability to make data-driven decisions.
• Capacity to implement process improvements, optimize workflows, and resolve conflicts professionally.
• Adaptable to changes in healthcare regulations, systems, and technology.

Abilities & Work Style

• Ability to multitask, prioritize work, and meet critical deadlines.
• Demonstrates ownership of deliverables with strong follow-through on assigned tasks and projects.
• Able to work independently and as part of a team.
• Self-directed with the ability to set and achieve goals.
• Strong organizational skills with a high level of reliability and professionalism.
• Bachelor’s degree in finance, accounting, or related field.
• Minimum 3 years’ accounting experience. CPA or working towards CPA.
• Strong Excel skills and experience with automated accounting systems (MIP, Microix).

Preferred

• Bilingual proficiency preferred.
• Experience in healthcare, FQHC, or public health setting preferred.

Pay

$82,500 - $155,000

Physical & Work Environment

• Ability to walk, stand, handle objects, occasionally lift 10–25 lbs.
• Requires visual acuity and ability to adjust focus.
• Moderate noise work environment.