Assistant Accounting Controller

Assistant 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. 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

Work with Grants Team to: • 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.

• Monitor 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.
• 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.
• Bilingual proficiency preferred.

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

• 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.
• 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.
• 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.

Education and Experience: • 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). • Experience in healthcare, FQHC, or public health setting preferred.

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. Salary Starting: $82,500 - $155,000