Finance Manager

Family Care Network is looking for a Finance Manager to lead the day-to-day operations of the finance team in a clinician-owned practice. This on-site role in Bellingham, Washington partners with the CFO to strengthen clinic financial performance, uphold strong internal controls, and provide timely financial reporting across multiple locations.

Responsibilities

• Oversees daily operations of the Finance Department and supervising accounting staff across multiple levels.
• Provides leadership, direction, coaching, and development opportunities for department personnel, including hiring and performance management.
• Sets workflows, priorities, and performance expectations to ensure efficient and accurate financial processes.
• Fosters collaboration, accountability, and continuous improvement within the Finance team.
• Performs employee evaluations and delivers ongoing feedback and development support.
• Manages core accounting functions such as accounts payable, accounts receivable, general ledger, cash management, and payroll accounting.
• Ensures accurate and timely processing of financial transactions and reconciliations.
• Works with the CFO on the monthly close process, reviewing journal entries, reconciliations, and supporting schedules.
• Maintains and strengthens internal controls to safeguard organizational assets.
• Ensures practices align with GAAP, healthcare regulatory requirements, and organizational policies.
• Supports clinic and department financial operations with accurate reporting of revenues, expenses, and performance.
• Assists the CFO in preparing and reviewing monthly financial statements and clinic-level reports.
• Allocates shared expenses and overhead to reflect clinic profitability.
• Provides analysis to clinicians, clinician-owners, and management to illuminate financial performance.
• Assists with clinician distribution and compensation calculations as directed by the CFO.
• Supports the preparation of monthly, quarterly, and annual financial statements, including balance sheets, income statements, and variance analyses.
• Analyzes financial data and operational trends to inform leadership decisions.
• Assists with financial modeling and operational analysis as requested by the CFO.
• Prepares reports and documentation for leadership, boards, lenders, and regulators; coordinates annual external audits and reviews.
• Supports tax documentation and required financial filings; aids compliance with healthcare financial reporting requirements such as Medicare and Medicaid where applicable.
• Maintains documentation for audits and regulatory compliance; collaborates with leadership to resolve accounting issues.
• Serves as a financial resource for managers and leaders regarding processes, policies, and reporting.
• Maintains positive relationships with co-workers, auditors, financial institutions, vendors, and external partners.
• Contributes to financial projects, operational initiatives, and process improvements led by the CFO.
• Participates in developing and implementing financial policies and procedures; performs other duties as assigned.

Requirements

• 8+ years of progressive accounting or finance experience, preferably in healthcare; at least 6 years in a leadership or supervisory role.
• Bachelor’s degree in Accounting, Finance, or related field, or equivalent knowledge and skills.
• Experience with clinician practice accounting, clinic financial reporting, or multi-location healthcare organizations is strongly preferred.
• CPA or other relevant financial certifications strongly preferred.
• Strong knowledge of financial accounting principles, reporting, and internal controls.
• Understanding of healthcare financial operations and clinician practice accounting preferred.
• Analytical and problem-solving skills with the ability to interpret complex financial data.
• Proficiency with accounting systems, financial software, and Microsoft Excel.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Demonstrated leadership, mentorship, and staff development capabilities.
• Excellent organizational, communication, and interpersonal skills; maintains confidentiality.
• Collaborates effectively with leadership, clinic managers, and clinician-owners.

Technologies

• Microsoft Excel

Benefits

• Three Medical plan options
• Two Dental plans, including orthodontia for children and adults
• Employer-paid Vision coverage for employee and family
• Expanded Employee Assistance Program and mental health resources, wellness programs, and discounted gym memberships
• Flexible Spending Account (FSA) for Healthcare and Dependent Care
• Health Savings Account (HSA) with $1,500 employer contribution (pro-rated)
• Health Reimbursement Account (HRA) up to $1,500 ($3,000 for family)
• Employer-paid Life/AD&D insurance with optional supplemental coverage and guaranteed issue amount with no health questionnaire
• Voluntary Accident and Hospital insurance with annual wellness benefits
• Paid Time Off (PTO) and Extended Illness Bank (EIB) for vacation, health, and personal needs
• PTO and EIB accrue from day one; PTO can be rolled over unlimited hours
• 401(k) plan with employer match (Traditional and Roth options) and 401(k) Profit Sharing Plan
• Free financial planning guidance for retirement goals
• Eligibility for FCN bonuses

Position Details

• Full-time, 40 hours per week
• Schedule: Monday through Friday, 8:00am to 4:30pm
• Exempt (salary) status

Time Off & Wellness

• PTO and Extended Illness Bank (EIB) to support vacation, health, and personal needs
• PTO and EIB accrue from day one; PTO may be rolled over unlimited hours
• Full-time managers typically start with 21 days of PTO, increasing with tenure up to 33 days
• EIB accrues up to 40 hours per year (pro-rated); maximum 480 hours

Retirement

• 401(k) with employer match and both Traditional and Roth options
• 401(k) Profit Sharing Plan
• Free financial planning guidance to support retirement goals

Immunization Requirements

Employees must meet immunization standards per federal, state, and organizational guidelines; exemptions are available for medical or religious reasons.

About FCN

Family Care Network is an independent, locally owned, provider-run network of family medicine clinics. With 12 clinics and 3 urgent care centers across Whatcom and Skagit Counties, the organization emphasizes strong patient relationships and employee fulfillment in a community-centric environment.

Work Environment

The role operates in a professional office setting with periodic travel to clinic locations. Occasional hours outside the standard schedule may be required to address urgent matters or events.