Controller, Government, Financial Compliance

The Controller oversees all financial operations of the healthcare organization, ensuring accuracy, compliance, and efficiency in accounting practices.

This role is responsible for financial reporting, budgeting, audits, and internal controls.

The Controller partners with executive leadership to provide financial insights that support operational performance, regulatory compliance, and long-term strategic planning.

This position plays a critical role in supporting high-quality patient care by ensuring the organization remains financially stable, well-governed, and prepared for evolving healthcare regulations and reimbursement models.

• Bachelor’s degree in Accounting, Finance, or related field required.
• CPA or Master’s degree strongly preferred.
• 7+ years of progressive accounting/finance experience, with at least 3 years in a leadership role.
• Prior experience in healthcare finance (hospital, medical group, ambulatory, or long-term care) required.

• Lead all accounting functions including general ledger, accounts payable/receivable, payroll, and revenue cycle accounting.
• Prepare, analyze, and present monthly, quarterly, and annual financial statements in accordance with GAAP and healthcare industry standards.
• Ensure timely month-end and year-end close processes.
• Monitor financial performance indicators and deliver actionable insights to leadership.

• Develop and manage the annual operating and capital budgets in coordination with department leaders.
• Provide rolling financial forecasts and variance analysis.
• Support operational teams with cost accounting, productivity metrics, and service-line profitability analysis.

• Ensure compliance with federal and state regulations (e.g., Medicare/Medicaid requirements, CMS guidelines, OMB, IRS rules).
• Coordinate annual external audits and oversee internal audit processes.
• Maintain strong internal controls to safeguard assets and ensure data integrity.

• Collaborate with Patient Financial Services, Patient Access, HIM, and Billing teams to optimize cash flow and reduce denials.
• Evaluate reimbursement trends payer mix changes, and contract impacts.
• Support charge capture, cost reporting, and reimbursement modeling.

• Supervise and develop accounting staff, promoting continuous learning and performance excellence.
• Foster collaborative relationships with clinical, operational, and administrative leaders.
• Champion process improvements, automation opportunities, and financial best practices.

• Strong knowledge of GAAP and healthcare financial regulations.
• Experience with healthcare financial systems (e.g., Cerner, Multiview, Matrix Care or similar).
• Advanced proficiency in Excel and financial modeling.
• Strong analytical and problem-solving skills.
• Exceptional attention to detail and accuracy.
• Ability to communicate financial concepts to non-financial stakeholders.

Leadership presence with the ability to guide teams through change.