Finance Accounting Manager

Salary Range (DOE): $95,000 – $128,000 annually When you work with Tribal Health, you work with talented and passionate teams who are making an impact on Native health disparities. We are seeking an experienced and hands‑on Finance Accounting Manager to lead the day‑to‑day financial operations of our growing healthcare organization. This individual will play a critical role in ensuring financial accuracy, operational efficiency, and strategic insight in a fast‑paced, startup environment. This is a working manager role responsible for overseeing accounting functions, improving processes, strengthening internal controls, and supporting executive decision‑making through strong financial reporting and analysis. The ideal candidate has experience in growth‑stage or startup environments, thrives in ambiguity, and has successfully built or improved accounting processes while leading a team. Duties and Responsibilities Financial Operations & Oversight Manage and oversee daily accounting operations including General Ledger, AP, AR, and reconciliations Lead and execute month‑end and year‑end close processes Prepare and review journal entries and account reconciliations Manage multi‑entity accounting and consolidations Prepare and analyze cash flow statements and forecasts Ensure accurate payroll‑related journal entries and accruals Maintain compliance with accounting standards and regulatory requirements Prepare monthly, quarterly, and annual financial statements Develop executive‑level financial reports and dashboards Analyze financial performance and identify trends, risks, and opportunities Translate financial data into actionable insights for leadership Support budgeting and forecasting processes Audit & Compliance Coordinate and support external audits Strengthen internal controls and documentation Maintain documentation for Workers’ Compensation and other regulatory reporting Ensure financial processes are compliant and audit‑ready Process Improvement & Automation Identify inefficiencies and implement process improvements Drive automation initiatives to reduce manual tasks Develop scalable systems and SOPs to support organizational growth Improve financial workflows across departments Leadership & Team Development Supervise and review the work of accounting staff Set clear expectations and performance standards Provide coaching, mentorship, and professional development Foster a culture of accountability, collaboration, and continuous improvement Knowledge, Skills, Abilities and Other Qualifications Bachelor’s Degree in Accounting, Finance, or related field 7+ years of progressive accounting/finance experience Prior management experience leading accounting or finance teams Strong knowledge of General Ledger management and month‑end close processes Experience with multi‑entity accounting and consolidations Experience with AP/AR oversight Experience preparing cash flow statements and financial reporting Strong analytical and financial storytelling abilities High attention to detail and strong organizational skills Demonstrated ability to improve processes and implement efficiencies Must be willing to operate as a working manager Preferred Qualifications Master’s Degree in Accounting, Finance, or related field Healthcare industry experience Experience in startup or high‑growth environments Experience with financial system implementations or automation initiatives Medical, Dental and Vision benefits 401K Paid Time off and 11 Federal Holidays Student Loan Repayment Assistance 100% Company paid tuition to further your education Other voluntary benefits; Disability, Critical illness and more Native American Preference: Preference in filling vacancies is given to qualified Native American candidates in accordance with federal law (Title 25, USC Section 472). Form BIA-4432 should be submitted with the application. For more information about Native American Preference in employment please click here. Equal Opportunity Employer: Tribal Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. We value the skills, experience, and dedication that veterans bring to the workplace and qualified veterans are encouraged to apply. Tribal Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, please let us know by View email address on click.appcast.io or by calling View phone number on click.appcast.io. For more info on EEOC please visitEEOC KNOW YOUR RIGHTS #J-18808-Ljbffr Tribal Health