Controller, Accounting, Financial Reporting

Alzheimer’s Community Care is seeking a dynamic, detail-oriented, and mission-driven Controller. The Controller will serve as a leader of the finance team, helping ensure the organization’s financial strength and sustainability while supporting its mission of providing compassionate, high-quality services to individuals and families affected by Alzheimer’s disease and related dementias. This position is responsible for accounting operations, financial reporting, budgeting, forecasting, revenue-cycle activities, internal controls, compliance, and financial analysis.

The Controller will partner closely with executive leadership and the finance team to translate financial information into meaningful insights that support sound operational and strategic decisions. The ideal candidate is an experienced accounting professional who combines strong technical accounting expertise with excellent leadership, communication, analytical, and problem-solving skills.

• Direct and oversee the organization’s daily accounting functions, including general ledger, accounts payable, accounts receivable, cash management, reconciliations, fixed assets, payroll accounting, and month-end and year-end close processes.
• Ensure financial records are complete, accurate, timely, properly documented, and maintained in accordance with U.S. GAAP, nonprofit accounting standards, applicable laws, regulations, and organizational policies.
• Review balance sheet reconciliations, account analyses, journal entries, accruals, and general ledger activity to ensure financial integrity.
• Establish, maintain, and continuously improve effective internal controls designed to safeguard organizational assets, prevent errors and fraud, and promote financial accountability.
• Oversee accounting activities across the organization’s programs, offices, and service locations, ensuring consistent financial practices and reporting.
• Work closely with leadership and revenue-cycle personnel to monitor and improve financial performance, including Medicare, Medicaid, private insurance, patient/service revenue, and other reimbursement sources.
• Analyze revenue trends, denials, collections, accounts receivable aging, reimbursement rates, and other key revenue-cycle indicators.
• Identify opportunities to improve cash flow, reduce revenue leakage, strengthen collections, and increase financial efficiency.
• Support accurate financial accounting and reporting related to healthcare and community-based services.
• Prepare and deliver accurate monthly financial statements and management reports for the COO, CEO, executive leadership, and other authorized stakeholders.
• Provide clear analysis of actual results compared with budget, prior periods, forecasts, and organizational objectives.
• Investigate significant variances and provide actionable recommendations to management.
• Develop financial dashboards, performance metrics, and other analytical tools that enable leadership to make informed operational decisions.
• Ensure timely completion of monthly, quarterly, and annual financial close and reporting requirements.
• Partner with executive and department leadership during the annual budgeting process.
• Develop revenue projections, expense forecasts, staffing assumptions, and other financial models used to establish annual operating budgets.
• Monitor budget performance throughout the year and provide leadership with recommendations regarding resource allocation and corrective action.
• Maintain rolling forecasts and scenario analyses to support long-term financial planning and organizational sustainability.
• Ensure restricted and unrestricted funds are properly classified, tracked, reconciled, and reported.
• Collaborate with development and program teams to ensure financial information supporting grants and funding agreements is accurate and timely.
• Serve as a primary finance liaison for external auditors, governmental agencies, financial institutions, and other external entities.
• Coordinate preparation for the annual financial audit and ensure supporting schedules and documentation are complete and accurate.
• Support compliance with applicable Medicare, Medicaid, federal, state, local,…