Senior Controller | Onsite - Waianae

Beech Valley is seeking an experienced Senior Controller to lead and oversee core accounting and financial operations for a healthcare organization. This role is responsible for ensuring accurate financial reporting, regulatory compliance, and strong internal controls, while partnering with executive leadership to support strategic decision-making. The ideal candidate brings deep healthcare finance experience and a hands‑on leadership approach.

• Oversee general accounting, payroll, and purchasing functions, including team leadership and development
• Ensure timely and accurate financial reporting, including balance sheet, income statement, and cash flow analysis
• Develop, implement, and maintain accounting policies, procedures, and internal controls
• Lead cost accounting efforts, including service line analysis and profitability improvement initiatives
• Prepare and manage Medicare and Medicaid filings and ensure compliance with reimbursement regulations
• Oversee cash management, fixed assets, and accounts payable/receivable processes
• Partner with senior finance leadership to deliver financial reporting and analysis to executive teams and the Board
• Lead annual financial audits and support internal audit processes
• Ensure compliance with all local, state, and federal reporting and tax requirements

• Bachelor’s degree in Accounting or Finance
• 5+ years of progressive experience in healthcare financial management
• Prior experience as a Controller or Director of Finance within a healthcare organization
• Strong knowledge of GAAP, FASB, accrual accounting, and financial reporting
• Experience with audits, internal controls, and regulatory compliance
• Proven leadership experience managing accounting and finance teams
• Proficiency with accounting systems and Microsoft Office tools
• Strong analytical, problem-solving, and communication skills

• Experience with integrated healthcare delivery systems
• Familiarity with Financial Edge or similar accounting platforms
• Experience in nonprofit healthcare environments