Finance Manager

Northland Community Health Center; Turtle Lake (ND); On-site; USD 70,000 - 74,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

HSA

401(k) Retirement Plan

Life Insurance

Paid Time Off

Paid Holidays

Employee Assistance Program

Professional development

Job summary

Northland Health Centers in Turtle Lake, ND, seeks an experienced Finance Manager to lead accounting operations, financial reporting, and internal controls. This role oversees payroll, grant accounting, and regulatory reporting while guiding budgeting and financial analysis across the organization.

The ideal candidate has 5–7 years of accounting experience, strong GAAP knowledge, and leadership capabilities. This is a full-time on-site position with a competitive benefits package in North Dakota.

Qualifications

• Bachelor's or Master's in Accounting, Finance, or related field.
• Five to seven years of progressively responsible accounting or finance experience.
• CPA designation preferred.

Responsibilities

• Lead daily accounting operations, cash management, accounts payable, and disbursements.
• Maintain the integrity of the general ledger and reconciliations.
• Manage month-end and year-end close processes.
• Prepare accurate financial statements and management reports.
• Coordinate annual audits and serve as primary audit liaison.
• Oversee grant accounting and regulatory reporting (HRSA, UDS, Medicare Cost Reports).
• Support budgeting, forecasting, and financial analysis.
• Strengthen internal controls, financial policies, and risk management practices.
• Supervise and mentor Finance Department staff.
• Collaborate with leadership to provide financial guidance that supports organizational goals.

Skills

Financial leadership

GAAP knowledge

Regulatory compliance

Budgeting

Auditing

Internal controls

Leadership

Education

Accounting degree

Finance degree

MBA or related

Job description

Join Our Team

Northland Health Centers is seeking an experienced Finance Manager to provide senior-level leadership of accounting operations and financial reporting that drives organizational success. In this role, you'll ensure accurate financial reporting, maintain strong internal controls, oversee payroll and grant accounting, and provide meaningful financial insights that support strategic decision-making across the organization.

If you are a detail-oriented financial leader who enjoys improving processes, ensuring compliance, and partnering with leadership to strengthen financial stewardship, we'd love to hear from you.

What You'll Do

As Finance Manager, you will provide oversight and leadership for the organization's accounting and financial operations, including:

• Lead daily accounting operations, cash management, accounts payable, and disbursements
• Maintain the integrity of the general ledger and complete reconciliations
• Manage month-end and year-end close processes
• Prepare accurate financial statements and management reports
• Coordinate annual audits and serve as the primary audit liaison
• Oversee grant accounting and regulatory reporting, including HRSA, UDS, and Medicare Cost Reports
• Support organizational budgeting, forecasting, and financial analysis
• Strengthen internal controls, financial policies, and risk management practices
• Supervise and mentor Finance Department staff
• Collaborate with leadership to provide financial guidance that supports organizational goals

Required Qualifications

• Bachelor's or Master's degree in Accounting, Finance, Business Administration, or a related field
• Five to seven years of progressively responsible accounting or finance experience
• Leadership experience with budgeting, auditing, financial reporting, and regulatory compliance preferred
• Strong knowledge of GAAP, payroll, reconciliations, internal controls, and financial systems
• Healthcare, nonprofit, Federally Qualified Health Center (FQHC), and federal grant accounting experience preferred
• CPA designation preferred

Work Environment

This is a full-time, on-site position located in Turtle Lake, North Dakota. The regular work schedule is Monday through Thursday, 8:00 a.m. to 5:00 p.m., and Friday, 8:00 a.m. to 3:30 p.m. Remote work or telecommuting is not available for this position.

Weekly Operating Rhythm

You'll begin each day by reviewing cash position, open accounting items, payroll activity, and reporting priorities before collaborating with HR and organizational leaders to keep key deadlines on track. Dedicated time throughout the week is reserved for month-end close activities, grant and audit preparation, budgeting, forecasting, and financial analysis. You'll regularly transform complex financial information into practical recommendations that support sound business decisions while maintaining strong internal controls and regulatory compliance.

Total Rewards

Northland Health Centers offers a competitive salary of $70,000–$74,000 annually, along with a comprehensive benefits package that includes:

• Medical, Dental, and Vision Insurance
• Health Savings Account (HSA)
• 401(k) Retirement Plan
• Life Insurance
• Paid Time Off (PTO)
• Paid Holidays
• Employee Assistance Program (EAP)
• Professional development opportunities

Why Northland Health Centers?

Northland Health Centers is a mission-driven Federally Qualified Health Center dedicated to providing high-quality, compassionate healthcare to the communities we serve across North Dakota. Every employee plays an important role in improving access to care and supporting healthier communities.

Northland Health Centers has a Drug-Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.