POSITION SUMMARY
The Grants Finance & Revenue Cycle Manager supports the financial integrity and sustainability of All Nations Health Center through effective grant financial management, compliance monitoring, revenue-cycle oversight, and reimbursement analysis. This position monitors grant expenditures and financial performance, supports grant reporting and audit readiness, tracks changing payer and Medicaid requirements, evaluates revenue-cycle trends, and works collaboratively across departments to strengthen financial processes and organizational compliance. The Grants Finance & Revenue Cycle Manager is expected to carry out financial and administrative responsibilities in a manner that reflects ANHC’s commitment to serving American Indian and Alaska Native people with respect, cultural humility, accountability, and care. The position must understand that financial systems, grant requirements, reimbursement processes, and organizational decisions ultimately support access to high-quality, culturally responsive services for the relatives and community served by All Nations Health Center.
MAJOR DUTIES AND RESPONSIBILITIES
• Maintain comprehensive tracking of organizational grants, including award amounts, approved budgets, grant periods, expenditures, remaining balances, funding restrictions, reporting requirements, and deadlines
• Monitor grant expenditures against approved budgets and identify overspending, underspending, miscoding, unsupported expenditures, or other financial concerns
• Prepare and distribute regular budget-to-actual reports for the Director of Business & Finance/CFO, leadership, and applicable program directors
• Review proposed grant-funded expenditures for consistency with approved budgets, funding requirements, and organizational policies
• Assist with determining whether grant costs are allowable, reasonable, allocable, and adequately supported
• Monitor personnel allocations, fringe benefits, contractual expenses, travel, supplies, indirect costs, and other grant-funded expenditures
• Work collaboratively with Finance and program leadership to correct coding, allocation, or documentation concerns
• Assist with grant budget development, financial forecasting, budget modifications, carryover requests, and grant closeout
• Maintain organized grant financial and compliance documentation for audits, monitoring reviews, and funder requests
• Support internal controls designed to safeguard grant funds and reduce financial and compliance risk
• Identify and promptly escalate significant grant financial or compliance concerns to the Director of Business & Finance/CFO and appropriate leadership
Grant Reporting & Administration
• Maintain an organization-wide calendar of grant reporting requirements, deadlines, renewals, amendments, and closeout activities. Communicate these items to the appropriate interdepartmental Leadership staff & personnel
• Review Notices of Award, grant agreements, amendments, approved budgets, funding requirements, and ensure appropriate access to grant portals
• Coordinate preparation of financial portions of required grant reports
• Work collaboratively with program directors and other staff to obtain information necessary for grant reporting and allow for advanced planning timelines
• Review grant reports for consistency between expenditures, approved budgets, reported activities, and funding requirements
• Assist departments with understanding financial and administrative grant requirements
• Support grant monitoring visits, audits, site reviews, and requests for supporting documentation
• Assist leadership with evaluating the financial sustainability and ongoing impact of grant-funded programs
• Monitor grant opportunities, assess capacity, and apply organization understanding to advocate for budget revisions and compliance measures from Grantors
Revenue Cycle & Reimbursement Oversight
• Provide organization-wide monitoring and oversight of revenue-cycle performance, including billing, claims submission, denials, accounts receivable, collections, reimbursement, and payer-related processes
• Monitor key revenue-cycle indicators, including accounts receivable aging, denial trends, reimbursement trends, outstanding claims, and other applicable performance measures
• Develop regular revenue-cycle reports and dashboards for Finance and organizational leadership
• Identify revenue leakage, recurring billing barriers, payer issues, and opportunities to improve reimbursement
• Work collaboratively with billing, coding, payer credentialing, eligibility, clinical departments, and Finance to address revenue-cycle concerns
• Provide functional guidance and oversight to help ensure established billing and revenue-cycle processes are consistently followed
• Review trends and organizational issues identified by billing and coding staff and assist with determining appropriate system-level responses
• Support development and improvement of revenue-cycle procedures, workflows, internal controls, and performance measures
• Assist leadership with evaluating the financial impact of new services, reimbursement changes, and payer requirements
Medicaid, Medicare & Payer Requirements
• Maintain current working knowledge of Montana Medicaid, Medicare, IHS/UIO reimbursement, managed care, commercial payer requirements, and other healthcare reimbursement developments relevant to All Nations Health Center
• Monitor changes in Medicaid programs, reimbursement requirements, provider enrollment, prior authorization, claims requirements, and other payer guidance
• Evaluate the potential financial and operational impact of reimbursement changes and communicate relevant information to leadership and affected departments
• Assist departments with understanding and implementing changes to Medicaid and other payer requirements
• Coordinate with clinical, administrative, eligibility, billing, and Finance staff to support implementation of new payer requirements
• Assist with monitoring participation and reimbursement requirements associated with Montana Medicaid initiatives and other primary care or value-based payment programs
• Identify recurring denial or reimbursement patterns and coordinate corrective action with appropriate staff and leadership
• Assist with ensuring organizational billing and reimbursement practices remain aligned with current payer requirements
Financial Analysis & Organizational Support
• Assist the Director of Business & Finance/CFO with financial forecasting and organizational budgeting related to grants and healthcare revenue
• Develop financial reports, tracking tools, and dashboards to support leadership decision-making
• Analyze financial and reimbursement trends and communicate findings and recommendations to leadership
• Support annual financial audits, grant audits, payer reviews, and other external monitoring activities
• Collaborate across Medical, Behavioral Health, Dental, Community Programs, Administration, and other departments as appropriate
• Participate in organizational quality improvement, compliance, and strategic planning activities
• Maintain confidentiality and appropriately safeguard sensitive financial, employee, organizational, and patient-related information
• Participate in meetings and trainings as required
• Perform other duties as assigned in support of Finance and organizational operations
Cultural Responsiveness & Community Service
• Demonstrate cultural humility, respect, and sensitivity when working with American Indian and Alaska Native individuals, families, staff, Tribal communities, and partners.
• Respect the diversity of Tribal nations, cultures, traditions, identities, and lived experiences within the Urban Indian community.
• Understand that grant, finance, Medicaid, and revenue-cycle work directly supports access to care and services for the relatives and community served by All Nations Health Center.
• Support practices that respect Tribal sovereignty, Indigenous values, and the unique role of Urban Indian Organizations.
• Build respectful, collaborative relationships and communicate financial and compliance information in a clear, supportive manner.
• Participate in cultural learning and professional development that strengthens the ability to serve Indigenous communities in a good way.
MINIMUM QUALIFICATIONS
• Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, Public Administration, or a closely related field is required
• One (1) or more years of relevant professional experience in healthcare finance, grant financial management, revenue cycle, healthcare reimbursement, accounting, or a related field
• Demonstrated knowledge of budgeting, financial analysis, financial controls, and financial reporting
• Ability to interpret grant agreements, funding requirements, payer guidance, policies, and regulatory requirements and translate them into practical organizational processes
• Knowledge of or experience with Medicaid, Medicare, healthcare reimbursement, and revenue-cycle processes
• Strong analytical, organizational, written, and verbal communication skills
• Demonstrated sound judgment, accountability, critical thinking, attention to detail, and problem-solving skills
• Ability to independently manage multiple grants, deadlines, reports, and financial priorities
• Proficient computer skills, including Microsoft Office, particularly Excel, and the ability to learn accounting, billing, electronic health record, grant-management, and reporting systems
• Ability to work effectively and collaboratively with Finance, leadership, program directors, healthcare providers, billing staff, and other organizational departments
• Ability to maintain confidentiality and privacy in accordance with organizational policy and applicable State and Federal requirements
• Ability to pass a pre-employment criminal background check with fingerprinting, CPS check, OIG check, and subsequent clearance as required
• Demonstrated cultural humility and ability to work respectfully and effectively with American Indian and Alaska Native individuals, families, staff, and communities
• Ability to build trusting, collaborative relationships while maintaining professional accountability
• Commitment to providing administrative and financial support in a manner that advancesthe mission of All Nations Health Center and supports high-quality services for therelatives and community
PREFERRED QUALIFICATIONS
•Master’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Public Administration, or a related field
•Experience working with American Indian and Alaska Native communities, Tribal organizations, Urban Indian Organizations, or Indigenous-serving programs
•Knowledge of the unique role of Urban Indian Organizations and the Indian health system
•Familiarity with Tribal sovereignty, Indigenous health equity, and culturally responsive healthcare administration
•Experience managing or monitoring grant budgets and expenditures
•Knowledge of federal grant requirements and 2 CFR Part 200/Uniform Guidance
•Experience with federal grant financial reporting, monitoring, audit preparation &knowledge of Montana Medicaid and Medicare reimbursement requirements
•Experience with revenue-cycle management, claims, denials, accounts receivable, reimbursement, and payer credentialing or enrollment
•Knowledge of ICD-10-CM, CPT, and HCPCS coding concepts sufficient to understand their relationship to healthcare reimbursement and revenue-cycle performance
•Experience with Medicaid primary care, managed care, or value-based payment models
•Experience developing financial dashboards, performance indicators, and management reports
•Experience working collaboratively with American Indian and Indigenous communities
•Grant management, healthcare finance, revenue-cycle, accounting, or related professional certification
PHYSICAL DEMANDS
Essential job duties primarily take place in a professional office and healthcare environment. The position may require prolonged periods of sitting and computer use and occasional standing, walking, bending, reaching, and lifting or carrying materials weighing up to 20 pounds. The ability to hear normal conversational speech and maintain near and far visual clarity is required.
Preference in employment is given to qualified Native American candidates in accordance with Title 42 CFR 36.221.
TO APPLY
Please visit www.allnations.health to complete an All Nations Health Center employment application.
Completed applications may be dropped off at 1511 S. Russell Street, Missoula, MT, or emailed to recruitment@allnations.health
POSITION SUMMARY
The Grants Finance & Revenue Cycle Manager supports the financial integrity and sustainability of All Nations Health Center through effective grant financial management, compliance monitoring, revenue-cycle oversight, and reimbursement analysis. This position monitors grant expenditures and financial performance, supports grant reporting and audit readiness, tracks changing payer and Medicaid requirements, evaluates revenue-cycle trends, and works collaboratively across departments to strengthen financial processes and organizational compliance. The Grants Finance & Revenue Cycle Manager is expected to carry out financial and administrative responsibilities in a manner that reflects ANHC’s commitment to serving American Indian and Alaska Native people with respect, cultural humility, accountability, and care. The position must understand that financial systems, grant requirements, reimbursement processes, and organizational decisions ultimately support access to high-quality, culturally responsive services for the relatives and community served by All Nations Health Center.
MAJOR DUTIES AND RESPONSIBILITIES
• Maintain comprehensive tracking of organizational grants, including award amounts, approved budgets, grant periods, expenditures, remaining balances, funding restrictions, reporting requirements, and deadlines
• Monitor grant expenditures against approved budgets and identify overspending, underspending, miscoding, unsupported expenditures, or other financial concerns
• Prepare and distribute regular budget-to-actual reports for the Director of Business & Finance/CFO, leadership, and applicable program directors
• Review proposed grant-funded expenditures for consistency with approved budgets, funding requirements, and organizational policies
• Assist with determining whether grant costs are allowable, reasonable, allocable, and adequately supported
• Monitor personnel allocations, fringe benefits, contractual expenses, travel, supplies, indirect costs, and other grant-funded expenditures
• Work collaboratively with Finance and program leadership to correct coding, allocation, or documentation concerns
• Assist with grant budget development, financial forecasting, budget modifications, carryover requests, and grant closeout
• Maintain organized grant financial and compliance documentation for audits, monitoring reviews, and funder requests
• Support internal controls designed to safeguard grant funds and reduce financial and compliance risk
• Identify and promptly escalate significant grant financial or compliance concerns to the Director of Business & Finance/CFO and appropriate leadership
Grant Reporting & Administration
• Maintain an organization-wide calendar of grant reporting requirements, deadlines, renewals, amendments, and closeout activities. Communicate these items to the appropriate interdepartmental Leadership staff & personnel
• Review Notices of Award, grant agreements, amendments, approved budgets, funding requirements, and ensure appropriate access to grant portals
• Coordinate preparation of financial portions of required grant reports
• Work collaboratively with program directors and other staff to obtain information necessary for grant reporting and allow for advanced planning timelines
• Review grant reports for consistency between expenditures, approved budgets, reported activities, and funding requirements
• Assist departments with understanding financial and administrative grant requirements
• Support grant monitoring visits, audits, site reviews, and requests for supporting documentation
• Assist leadership with evaluating the financial sustainability and ongoing impact of grant-funded programs
• Monitor grant opportunities, assess capacity, and apply organization understanding to advocate for budget revisions and compliance measures from Grantors
Revenue Cycle & Reimbursement Oversight
• Provide organization-wide monitoring and oversight of revenue-cycle performance, including billing, claims submission, denials, accounts receivable, collections, reimbursement, and payer-related processes
• Monitor key revenue-cycle indicators, including accounts receivable aging, denial trends, reimbursement trends, outstanding claims, and other applicable performance measures
• Develop regular revenue-cycle reports and dashboards for Finance and organizational leadership
• Identify revenue leakage, recurring billing barriers, payer issues, and opportunities to improve reimbursement
• Work collaboratively with billing, coding, payer credentialing, eligibility, clinical departments, and Finance to address revenue-cycle concerns
• Provide functional guidance and oversight to help ensure established billing and revenue-cycle processes are consistently followed
• Review trends and organizational issues identified by billing and coding staff and assist with determining appropriate system-level responses
• Support development and improvement of revenue-cycle procedures, workflows, internal controls, and performance measures
• Assist leadership with evaluating the financial impact of new services, reimbursement changes, and payer requirements
Medicaid, Medicare & Payer Requirements
• Maintain current working knowledge of Montana Medicaid, Medicare, IHS/UIO reimbursement, managed care, commercial payer requirements, and other healthcare reimbursement developments relevant to All Nations Health Center
• Monitor changes in Medicaid programs, reimbursement requirements, provider enrollment, prior authorization, claims requirements, and other payer guidance
• Evaluate the potential financial and operational impact of reimbursement changes and communicate relevant information to leadership and affected departments
• Assist departments with understanding and implementing changes to Medicaid and other payer requirements
• Coordinate with clinical, administrative, eligibility, billing, and Finance staff to support implementation of new payer requirements
• Assist with monitoring participation and reimbursement requirements associated with Montana Medicaid initiatives and other primary care or value-based payment programs
• Identify recurring denial or reimbursement patterns and coordinate corrective action with appropriate staff and leadership
• Assist with ensuring organizational billing and reimbursement practices remain aligned with current payer requirements
Financial Analysis & Organizational Support
• Assist the Director of Business & Finance/CFO with financial forecasting and organizational budgeting related to grants and healthcare revenue
• Develop financial reports, tracking tools, and dashboards to support leadership decision-making
• Analyze financial and reimbursement trends and communicate findings and recommendations to leadership
• Support annual financial audits, grant audits, payer reviews, and other external monitoring activities
• Collaborate across Medical, Behavioral Health, Dental, Community Programs, Administration, and other departments as appropriate
• Participate in organizational quality improvement, compliance, and strategic planning activities
• Maintain confidentiality and appropriately safeguard sensitive financial, employee, organizational, and patient-related information
• Participate in meetings and trainings as required
• Perform other duties as assigned in support of Finance and organizational operations
Cultural Responsiveness & Community Service
• Demonstrate cultural humility, respect, and sensitivity when working with American Indian and Alaska Native individuals, families, staff, Tribal communities, and partners.
• Respect the diversity of Tribal nations, cultures, traditions, identities, and lived experiences within the Urban Indian community.
• Understand that grant, finance, Medicaid, and revenue-cycle work directly supports access to care and services for the relatives and community served by All Nations Health Center.
• Support practices that respect Tribal sovereignty, Indigenous values, and the unique role of Urban Indian Organizations.
• Build respectful, collaborative relationships and communicate financial and compliance information in a clear, supportive manner.
• Participate in cultural learning and professional development that strengthens the ability to serve Indigenous communities in a good way.
MINIMUM QUALIFICATIONS
• Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, Public Administration, or a closely related field is required
• One (1) or more years of relevant professional experience in healthcare finance, grant financial management, revenue cycle, healthcare reimbursement, accounting, or a related field
• Demonstrated knowledge of budgeting, financial analysis, financial controls, and financial reporting
• Ability to interpret grant agreements, funding requirements, payer guidance, policies, and regulatory requirements and translate them into practical organizational processes
• Knowledge of or experience with Medicaid, Medicare, healthcare reimbursement, and revenue-cycle processes
• Strong analytical, organizational, written, and verbal communication skills
• Demonstrated sound judgment, accountability, critical thinking, attention to detail, and problem-solving skills
• Ability to independently manage multiple grants, deadlines, reports, and financial priorities
• Proficient computer skills, including Microsoft Office, particularly Excel, and the ability to learn accounting, billing, electronic health record, grant-management, and reporting systems
• Ability to work effectively and collaboratively with Finance, leadership, program directors, healthcare providers, billing staff, and other organizational departments
• Ability to maintain confidentiality and privacy in accordance with organizational policy and applicable State and Federal requirements
• Ability to pass a pre-employment criminal background check with fingerprinting, CPS check, OIG check, and subsequent clearance as required
• Demonstrated cultural humility and ability to work respectfully and effectively with American Indian and Alaska Native individuals, families, staff, and communities
• Ability to build trusting, collaborative relationships while maintaining professional accountability
• Commitment to providing administrative and financial support in a manner that advancesthe mission of All Nations Health Center and supports high-quality services for therelatives and community
PREFERRED QUALIFICATIONS
•Master’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Public Administration, or a related field
•Experience working with American Indian and Alaska Native communities, Tribal organizations, Urban Indian Organizations, or Indigenous-serving programs
•Knowledge of the unique role of Urban Indian Organizations and the Indian health system
•Familiarity with Tribal sovereignty, Indigenous health equity, and culturally responsive healthcare administration
•Experience managing or monitoring grant budgets and expenditures
•Knowledge of federal grant requirements and 2 CFR Part 200/Uniform Guidance
•Experience with federal grant financial reporting, monitoring, audit preparation &knowledge of Montana Medicaid and Medicare reimbursement requirements
•Experience with revenue-cycle management, claims, denials, accounts receivable, reimbursement, and payer credentialing or enrollment
•Knowledge of ICD-10-CM, CPT, and HCPCS coding concepts sufficient to understand their relationship to healthcare reimbursement and revenue-cycle performance
•Experience with Medicaid primary care, managed care, or value-based payment models
•Experience developing financial dashboards, performance indicators, and management reports
•Experience working collaboratively with American Indian and Indigenous communities
•Grant management, healthcare finance, revenue-cycle, accounting, or related professional certification
PHYSICAL DEMANDS
Essential job duties primarily take place in a professional office and healthcare environment. The position may require prolonged periods of sitting and computer use and occasional standing, walking, bending, reaching, and lifting or carrying materials weighing up to 20 pounds. The ability to hear normal conversational speech and maintain near and far visual clarity is required.
Preference in employment is given to qualified Native American candidates in accordance with Title 42 CFR 36.221.
TO APPLY
Please visit www.allnations.health to complete an All Nations Health Center employment application.
Completed applications may be dropped off at 1511 S. Russell Street, Missoula, MT, or emailed to recruitment@allnations.health
