Controller – Healthcare Finance

Description JOB SUMMARY

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.

• Performs all job responsibilities in alignment with the mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self‑education, attends ongoing educational programs).
• Attends staff meetings and completes mandatory in‑services and requirements and competency evaluations on time.
• Wears protective clothing and equipment as appropriate.

• Ability to communicate in English, both verbally and in writing.
• Additional languages preferred.
• Strong written and verbal skills.
• Basic Computer Skills

• Full‑time position, typically Monday‑Friday.
• General environment:
  Works in a well‑lighted, air‑conditioned area, with moderate noise levels.
• May be required to change from one task to another or different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• Periodic extended hours during budgeting, month‑end close, year‑end close, and audit cycles.

• Have near normal hearing:
  Hear alarms/telephone/normal speaking voice.
• Have near normal vision:
  Clarity of vision (both near and far), ability to distinguish colors.
• Have good manual dexterity.
  
  Have good eye‑hand foot coordination.
• Ability to perform repetitive tasks/motion.
• Continuously within shift (67‑100%):
  Standing, Walking.
• Frequently within shift (34‑66%):
  Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance.
• Occasionally within shift (1‑33%):
  Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder.

QUALITY HEALTHCARE:
In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost‑effective healthcare through the provisions of education prevention, diagnosis and treatment.

• 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…