Controller, Accounting, Financial Compliance

Job Title:

Controller
Home Department:
Accounting

Reports To:

Chief Financial Officer
Effective Date:
January 1, 2024; revised October 1, 2026

This document is intended to describe the general duties required for this position. It is not intended to serve as an exhaustive list of all duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

The Controller is responsible for the overall management, integrity, and effectiveness of the organization’s accounting and financial reporting functions. Reporting directly to the Chief Financial Officer (CFO), the Controller provides leadership and oversight of day-to-day accounting operations and ensures that financial transactions are recorded accurately, timely, and in accordance with Generally Accepted Accounting Principles (GAAP), applicable federal and state requirements, and Federally Qualified Health Center (FQHC) regulatory and grant requirements.

The Controller serves as a key financial partner to the CFO and organizational leadership by maintaining strong internal controls, overseeing the monthly and annual financial close processes, preparing accurate financial statements and management reports, supporting budgeting and forecasting activities, coordinating external audits, and monitoring compliance with financial policies and funding requirements.

• Directs and oversees the day-to-day accounting operations of the organization.
• Ensures accurate and timely recording of all financial transactions in accordance with GAAP and organizational policies.
• Oversees the general ledger, accounts payable, accounts receivable, cash management, payroll accounting, fixed assets, accruals, prepaid expenses, and other accounting functions.
• Establishes and maintains an effective monthly, quarterly, and annual financial close process.
• Reviews account reconciliations and ensures timely resolution of discrepancies.
• Prepares and/or reviews monthly financial statements, including the balance sheet, statement of operations, cash flow information, and supporting schedules.
• Analyzes financial results and identifies significant variances, trends, and areas requiring management attention.
• Ensures financial records are complete, accurate, properly supported, and audit-ready.

• Maintains accounting practices appropriate for an FQHC and its healthcare delivery environment.
• Supports accurate accounting and reporting for patient service revenue, contractual adjustments, grants, program income, restricted funds, and other revenue sources.
• Works collaboratively with Revenue Cycle, Clinical Operations, Compliance, and other departments to ensure appropriate financial reporting of healthcare activities.
• Supports accurate accounting for costs associated with clinical programs and other organizational services.
• Assists the CFO in monitoring financial performance related to reimbursement, patient volume, payer mix, grants, and other key financial drivers.
• Ensures financial transactions are appropriately classified by program, funding source, department, and/or cost center.

• Oversees accounting and financial reporting processes for federal, state, local, and other grant-funded programs.
• Ensures grant expenditures are appropriately coded, documented, allowable, and consistent with applicable grant requirements.
• Monitors restricted and designated funds and ensures expenditures comply with funding…