Controller, Finance & Banking, CFO

The Controller oversees the financial management, accounting operations, and reporting activities of One Community Health, a mid‑sized Federally Qualified Health Center (FQHC). This position ensures the accuracy and integrity of financial information, compliance with federal and state regulations, and adherence to nonprofit and FQHC-specific reporting requirements. The Controller plays a key role in developing and implementing financial policies, improving systems and processes, and supporting the organization's mission of providing high‑quality, affordable health care to underserved communities.

This role is located in Midtown - Sacramento, CA (95811).

This role allows a hybrid schedule requiring 2‑3 days per week on site.

• Oversee day‑to‑day accounting operations including general ledger, accounts payable, accounts receivable, payroll, and grants accounting.
• Prepare timely and accurate monthly, quarterly, and annual financial statements in accordance with GAAP and Uniform Guidance (2 CFR 200).
• Maintain and reconcile balance sheet accounts, ensuring integrity of financial data and compliance with FQHC and HRSA requirements.
• Support VP of Finance and CFO in preparation of board reports, budgets, forecasts, and financial analyses for strategic planning and decision‑making.

• Ensure compliance with federal, state, and local financial regulations, including HRSA, Medicaid/Medicare, and other grantor requirements.
• Coordinate and manage annual independent audits, A‑133 (Single Audit), and tax filings (Form 990).
• Monitor internal controls and develop policies and procedures to safeguard assets and ensure accurate financial reporting.

• Collaborate with VP of Finance and CFO to prepare annual budgets and track performance against budget throughout the year.
• Collaborate with VP of Finance on oversight of grant and contract accounting, including proper allocation of expenses, revenue recognition, and reporting to funding agencies.
• Maintain grant tracking systems to ensure expenditure aligns with restricted and unrestricted funding requirements.

• Manage the organization’s financial systems and recommend improvements to increase efficiency, accuracy, and scalability.
• Lead implementation and optimization of accounting software and financial reporting tools.
• Develop and train finance staff on accounting processes, compliance requirements, and reporting standards.

• Supervise finance and accounting staff, fostering a culture of collaboration, accountability, and professional growth.
• Support VP of Finance and CFO in special projects, strategic initiatives, and financial modeling as needed.

• Bachelor’s degree in Accounting, Finance, or related field required; CPA or Master’s degree strongly preferred.
• Minimum 7–10 years of progressive accounting or financial management experience, including 3+ years in a supervisory role.
• Experience in nonprofit and/or healthcare organizations required; FQHC or community health center experience strongly preferred.
• Solid knowledge of GAAP, Uniform Guidance, and nonprofit accounting standards.

• Strong analytical, organizational, and problem‑solving skills with a high level of attention to detail.
• Proficiency in accounting and ERP systems (e.g., Sage Intacct, MIP Fund Accounting, or similar).
• Excellent communication and interpersonal skills; ability to translate financial concepts for non‑financial staff.
• Commitment to the mission and values of community health and equity.
• Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives. Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all.
• Demonstrated person‑centered approach and familiarity with trauma informed systems and restorative practices.

One Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require an accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application, please contact us atochhumanres

For more information on the comprehensive benefits we provide, please visit:

We only employ US citizens and non‑US citizens authorized to work in the United States in compliance with federal law.

Pay Range: $ - $ per hour