Controller

Alluvion Health – Great Falls, Montana
Full-Time | Exempt | Monday–Friday
Department: Finance
Reports To: Chief Financial Officer
Supervises: Payroll, Grants Receivable, and Accounts Payable

Lead the Numbers. Strengthen the Mission.

Alluvion Health is looking for an experienced Controller to help lead the financial operations of our growing healthcare organization.

Reporting directly to the Chief Financial Officer, the Controller plays a key leadership role in ensuring the accuracy, integrity, and compliance of Alluvion Health’s financial operations. This position oversees core accounting functions, financial reporting, internal controls, budgeting, grant accounting, and audit preparation while leading members of the Finance team.

If you enjoy digging into the details while still seeing the bigger picture, this is an opportunity to use your financial expertise to support an organization focused on creating and inspiring healthier lives.

What You’ll Do

As Controller, you will:

• Oversee daily accounting operations, including general ledger, accounts payable, accounts receivable, payroll, grants receivable, and fixed assets
• Lead monthly and annual financial close processes, including general ledger reconciliations
• Ensure timely and accurate preparation of monthly, quarterly, and annual financial statements in accordance with GAAP
• Analyze financial performance, trends, budget variances, and operating results by program or service line
• Prepare financial reports for leadership, auditors, regulatory agencies, and other stakeholders
• Develop, implement, and maintain strong accounting policies, procedures, and internal controls
• Lead annual budgeting, forecasting, and financial planning activities
• Partner with department leaders to monitor financial performance and understand budget variances
• Oversee grant accounting, restricted funds, and grant-related financial reporting
• Ensure compliance with federal grant requirements, including Uniform Guidance
• Coordinate annual financial audits, prepare audit schedules, and respond to auditor requests
• Support preparation of Medicare Cost Reports, UDS submissions, and other required financial filings
• Supervise, coach, and develop assigned Finance team members
• Work closely with the CFO to provide financial analysis and insights that support strategic decision-making
• Serve as a financial resource to leaders throughout the organization
• Support special projects, financial analysis, and organizational initiatives as needed

What We’re Looking For

We’re looking for a finance professional who can combine technical accounting expertise, strong leadership, and sound judgment.

You’ll be successful in this role if you:

• Have a strong understanding of GAAP, financial reporting, budgeting, and internal controls
• Are comfortable analyzing complex financial information and explaining it clearly to others
• Have experience developing and improving accounting processes and procedures
• Understand grant accounting and regulatory compliance
• Can manage multiple deadlines and priorities without losing attention to detail
• Are confident supervising, coaching, and developing staff
• Work well independently while collaborating closely with leadership and other departments
• Handle confidential and sensitive information with discretion
• Have strong written and verbal communication skills
• Are highly organized, analytical, and solution-focused

Education & Experience

Required:

• Bachelor’s degree in Accounting, Finance, or a closely related field
• Minimum of five (5) years of fiscal management experience
• Strong working knowledge of Microsoft Excel, Word, Outlook, and accounting systems
• Valid driver’s license

Preferred:

• At least three (3) years of financial management experience in a healthcare organization
• Experience in a Federally Qualified Health Center (FQHC), community health center, nonprofit healthcare organization, or similar environment
• Experience with federal grant regulations and Uniform Guidance
• Experience with healthcare financial reporting, Medicare Cost Reports, or UDS reporting
• Previous supervisory or finance leadership experience

Equivalent combinations of education, training, and experience that provide the necessary knowledge and skills may be considered.

Why Join Alluvion Health?

Alluvion Health offers a comprehensive benefits package, including:

• Medical, Dental, and Vision Insurance
• Health Savings Account (HSA) and Flexible Spending Accounts (FSA/DCFSA)
• Short-Term and Long-Term Disability
• Critical Illness, Accident, and Hospital Indemnity Coverage
• Group Life and AD&D, including company-paid life insurance
• 401(k) Retirement Plan with up to an 8% employer match
• Generous PTO, including Paid Holidays and Wellness Leave

About Alluvion Health

Alluvion Health is a Federally Qualified Health Center providing integrated, whole-person care throughout Great Falls and surrounding communities. Our services include medical, dental, behavioral health, substance use disorder treatment, pharmacy, prevention services, and community-based care.

Everything we do supports one mission: Creating and inspiring healthier lives.

Our values of Compassion, Respect, Integrity, Support, and Autonomy guide how we work with our patients, our communities, and one another.

Ready to Put Your Financial Leadership to Work?

If you’re an experienced finance professional who enjoys building strong systems, developing people, and helping leaders make informed decisions, we’d love to hear from you.

Apply today and bring your accounting expertise and leadership to a mission-driven organization making a difference in the communities we serve.