Controller, Accounting, Financial Compliance

Description We are looking for an experienced Controller to lead the accounting function and provide dependable financial oversight for a nonprofit healthcare organization in Methuen, Massachusetts. This position is responsible for delivering accurate reporting, strengthening internal controls, and guiding compliance across grants, healthcare revenue, and regulatory obligations. The ideal candidate brings strong leadership skills, sound technical accounting knowledge, and the ability to translate financial results into clear business insights for senior leadership and board stakeholders.

Responsibilities:

- Direct core accounting activities across the organization, including general ledger management, accounts payable, payroll, fixed assets, cash activity, grant transactions, and balance sheet reconciliations.

- Manage the monthly, quarterly, and year-end close cycle to ensure financial statements and supporting schedules are completed accurately and on schedule.

- Review accounting entries, accruals, reconciliations, and analytical work to maintain high standards of reporting quality and financial integrity.

- Create, refine, and enforce accounting procedures and internal control practices that align with nonprofit healthcare and regulatory expectations.

- Evaluate financial performance, investigate variances and trends, and present meaningful recommendations to leadership for operational and strategic decision-making.

- Oversee grant-related accounting, including restricted funding, revenue recognition, reporting obligations, cost allocations, and adherence to grant terms and Uniform Guidance requirements.

- Supervise healthcare revenue accounting activities involving receivables, contractual adjustments, reserves, reimbursement settlements, and third-party payer programs such as Medicare and Medicaid.

- Coordinate external audits, regulatory reviews, and required filings, while tracking findings and helping ensure timely resolution of identified issues.

- Lead cash management efforts by monitoring liquidity, maintaining banking controls, preparing forecasts, and supporting treasury planning and debt-related compliance.

- Mentor and develop accounting staff, build strong partnerships across departments, and contribute to finance-driven improvement initiatives and organizational projects. Requirements - 10+ years of progressive accounting or controllership experience, including leadership responsibility for complex financial operations.

- Strong knowledge of financial reporting, month-end and year-end close, internal controls, and generally accepted accounting practices.

- Experience supporting nonprofit organizations, with a solid understanding of grant accounting, restricted funds, and compliance requirements.

- Familiarity with healthcare finance concepts, including patient revenue, reimbursement activity, receivables, reserves, and payer-related accounting.

- Proven ability to manage audits, regulatory filings, and financial documentation with a high degree of accuracy and organization.

- Demonstrated success leading teams, developing staff, and working effectively with executives, board-level stakeholders, and cross-functional partners.

- Strong analytical, documentation, and process improvement skills, with the ability to identify risks and enhance operational efficiency.

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