Finance Manager-Clinic Closes 09/11/2026

NATHPO; Oregon (WI); On-site; USD 72,000 - 74,000; Full time

Job summary

Siletz Tribal Health Department is seeking a Finance Manager-Clinic to lead the Finance Office and join the leadership team. You will manage accounts payable, budgeting, financial reporting, billing and grant administration, ensuring compliance with state and federal guidelines.

The role requires strong supervisory skills and ability to plan, implement, and monitor high-quality fiscal operations for the clinic, with responsibilities across grants, contracts, and revenue cycle management.

Qualifications

• Bachelor’s degree in accounting or related field; five years of experience in Accounting/Finance or related field and 3 years of supervisory experience.
• Knowledge of Medicare, Medicaid and commercial insurance regulations.
• Strong leadership, analytical, budgeting and financial reporting skills.

Responsibilities

• Prepares various reports and statements of financial conditions.
• Oversees the health system budgets; evaluates and monitors expenses within budgets.
• Monitors and supervises the accumulation of costs and records in journals, ledgers and accounts.
• Maintains the accounting system and ensures compliance with GAAP and government standards.
• Assists in grant management and preparation of fiscal year budgets.
• Develops financial reports for forecasting, trending, and budgeting.

Skills

Leadership

Budgeting

Financial reporting

Grant reporting

Communication

Education

Bachelor’s degree in accounting or related field

Tools

Electronic Health Record (EHR) / EMR systems

Job description

Description

Opening Date: August 28, 2026

Closing Date: September 11,2026

Job Title: Finance Manager-Clinic

Salary/Wage: $53.37/hr

Tribal Level: 129.1

Location: Siletz, OR

Classification: Full Time, Non-Exempt

Job Posting Number: 4102904

INTRODUCTION:

This position manages and supervises the day-to-day activities of the Finance Office. The incumbent is expected to serve as an active member of the Siletz Tribal Health Department’s leadership team and help plan, implement and monitor the overall delivery of quality health care services for the clinic. Requires strong leadership and analytical skills, including critical thinking in financial operations including accounts payable, budgetary and financial reporting, billing and collections, and grant reporting and administration. The Finance Manager will ensure that financial transactions are compliant with State and Federal guidelines.

DUTIES:

• Prepares various reports and statements of financial conditions.


• Oversees the health system budgets; evaluates and monitors expenses within budgets.


• Monitors and supervises the accumulation of costs and records in appropriate journals, ledgers and accounts.


• Maintains the accounting system by interpreting, supplementing and revising the system and by interpreting governmental accounting compliance standards.


• Identify fiscal deficiencies and grant management matters to the Health Director to determine training opportunities with grants, budgets and financial responsibilities for departments.


• Assists in the development of new budget management techniques.


• Assists in providing accounting-related information to Federal, State and local grant agencies and auditors.


• Prepares journal entries/cash receipts/check requests to correct general ledger balance and gives to appropriate staff to process.


• Assists in the preparation of fiscal year budgets.


• Performs statistical, cost, and financial analysis of data reported in the various financial systems.


• Assists with grant management of budgets to ensure spending program funds according to grant agreement goals and objectives.


• Evaluates programs and recommends changes regarding financial, budgetary, billing and collections issues.


• Assists with preparing Medicare cost reports, with business office staff.


• Oversees the fee schedule charge-outs within all Health & Human Services departments, which includes negotiations of contracts.


• Develops financial reports for forecasting, trending, and budgeting.


• Records, classifies, and summarizes financial transactions and events in accordance with generally accepted accounting principles.


• Other duties as assigned.

Requirements

REQUIREMENTS:

Bachelor’s degree in accounting or related field; experience in lieu of education may be considered, and Five (5) years of experience in Accounting, Finance, or related field and 3 years of supervisory experience -OR- an equivalent combination of education and/or experience.

Knowledge of:

• Legal and policy constraints pertaining to patient billing


• Auditing concepts and principles


• Regulations related to Medicare, Medicaid and commercial insurance.


• Continuous process/system improvement concepts and practices.

Preferred knowledge of:

• Medical terminology, diagnosis, coding and insurance terminology


• Medical billing procedures


• Electronic and manual billing

Experience in:

• Advanced Computer skills with specific knowledge of database, word processing, spreadsheets applications, Electronic Health Record/Electronic Medical Record systems and basic on-line billing and transmission procedures.


• Advanced Budget development, monitoring and analysis experience, preferred.


• Hiring, Supervising and performance reviews of team members.


• Tracking and auditing third-party and private payments.

Ability to:

• Ability to communicate professionally with clinicians, nurses, allied health staff, administrative staff, frontline staff, contractors, governmental agencies, insurance payers, patients, family members of patients, suppliers, and the general public, of all age levels from child to senior citizen.


• Analyze complex medical records and identify billable services


• Gather data, compile information and prepare reports to meet regulatory compliance.


• Coordinate and implement prevention efforts by developing and strengthening collaborative relationships to promote the necessary changes and implement improvements.


• Increase community involvement in the development of the prevention plan.


• Build a strong foundation for effective prevention efforts and interface with tribal leaders to give voice and response to emerging trends and needs


• Ability to promote teamwork.

Other:

Must possess a valid driver's license, insurance and be eligible to drive a GSA vehicle.