Controller

Job Summary

The Controller leads accounting, payroll, and accounts payable functions while ensuring strong internal controls, regulatory compliance, and accurate financial reporting. Reporting to executive finance leadership, this role serves as a strategic advisor to senior leaders and plays a critical role in supporting the organizations financial health, operational integrity, and long-term sustainability. The Controller oversees financial reporting, audits, tax compliance, and accounting systems, while partnering closely with finance leaders and department heads across multiple operational areas.

Key Responsibilities

Accounting & Financial Reporting

• Oversee timely and accurate monthly financial statements and variance analyses.

• Manage core accounting functions, including general ledger, payroll, accounts payable, non-patient accounts receivable, and capital asset accounting.

• Ensure proper documentation, internal controls, segregation of duties, and checks and balances across accounting processes.

• Monitor and maintain accounting systems and financial programs to ensure data integrity and operational effectiveness.

• Develop and maintain financial reports to support budget tracking and management decision-making.

Audit, Tax & Compliance

• Lead the annual financial audit, including preparation of audit materials, coordination with external auditors, and drafting audited financial statements.

• Oversee tax compliance activities, including federal, state, and local filings.

• Support preparation and submission of healthcare-related cost reports and regulatory filings.

• Ensure compliance with GAAP, nonprofit accounting standards, and applicable regulatory requirements.

Leadership & Collaboration

• Serve as a strategic finance partner to executive leadership and the management team.

• Collaborate with finance colleagues and cross-functional leaders to deliver meaningful financial insights.

• Partner with department leaders to identify reporting needs and provide actionable financial analysis.

• Supervise, mentor, and develop accounting staff, fostering accountability, professional growth, and continuous improvement.

• Build strong working relationships across the organization.

Strategic Initiatives & Special Projects

• Support executive leadership with financial analysis, strategic initiatives, and special projects.

• Drive improvements in financial systems, automation, and accounting processes.

• Participate in finance or governance meetings and present financial results and analyses as required.

• Perform additional duties as assigned.

Qualifications

• Bachelors degree in Accounting, Business, or a related field required; advanced degree preferred.

• Strong knowledge of GAAP; professional accounting certification preferred.

• Minimum of ten years of progressive accounting and financial management experience, preferably in healthcare or a regulated environment.

• Experience managing payroll, accounts payable, cash management, forecasting, and financial reporting.

• Strong understanding of payroll rules and regulatory requirements.

• Proven experience working with external auditors.

• Experience with nonprofit accounting and fund accounting preferred.

• Strong focus on internal controls, accuracy, and process documentation.

• Advanced proficiency in Microsoft Excel and financial systems.

• Strong written communication and financial reporting skills.

• Strategic and analytical thinker with strong problem-solving abilities.

• High ethical standards, accountability, and attention to detail.

• Collaborative leader with strong interpersonal and team-building skills.

• Commitment to mentoring staff and supporting organizational learning.

• Ability to work on a computer and sit for extended periods as required.