Financial Controller

Benefits:

• 401(k)
• 401(k) matching
• Competitive salary
• Employee discounts
• Health insurance
• Opportunity for advancement
• Paid time off

Position Summary


The Controller is responsible for overseeing all financial and accounting operations of the hospital, ensuring accurate financial reporting, regulatory compliance, and strong internal controls. This role plays a critical part in supporting leadership with financial insights, maintaining fiscal stability, and adapting to the unique challenges of a rural healthcare environment, including limited resources, reimbursement pressures, and community-focused care.

Key Responsibilities


Financial Management & Reporting

• Oversee the preparation of monthly, quarterly, and annual financial statements in accordance with GAAP.
• Manage the general ledger, journal entries, account reconciliations, and closing process.
• Ensure timely and accurate financial reporting to hospital leadership, board members, and external stakeholders.
• Develop and maintain financial dashboards and key performance indicators (KPIs).

Budgeting & Forecasting

• Lead the annual budgeting process and ongoing financial forecasting.
• Monitor budget-to-actual performance and provide variance analysis.
• Partner with department leaders to improve financial performance and cost management.

Regulatory Compliance & Reporting

• Ensure compliance with federal, state, and local regulations, including Medicare/Medicaid cost reporting.
• Oversee preparation of the Medicare cost report and coordinate with external consultants/auditors.
• Maintain compliance with healthcare-specific financial requirements and grant reporting, if applicable.

Internal Controls & Audit

• Establish and maintain strong internal controls to safeguard assets.
• Coordinate annual financial audits and serve as the primary liaison with external auditors.
• Implement process improvements to increase efficiency and reduce risk.

Revenue Cycle & Cash Management

• Collaborate with revenue cycle leadership to monitor billing, collections, and reimbursement trends.
• Oversee cash flow management, including accounts payable, accounts receivable, and treasury functions.
• Ensure proper recording and tracking of patient revenues and contractual allowances.

Leadership & Team Development

• Supervise and mentor accounting staff, often in a lean team environment.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Serve as a key financial advisor to the CFO/CEO and department leaders.

Strategic & Operational Support

• Provide financial analysis to support strategic initiatives, capital investments, and service line decisions.
• Assist with grant applications, funding opportunities, and financial sustainability planning.
• Support initiatives unique to rural healthcare, such as critical access hospital (CAH) designation and rural health clinic (RHC) operations.
  
  

Qualifications



Education & Experience

• Bachelors degree in Accounting, Finance, or related field (required)
• CPA or MBA (preferred)
• 510 years of progressive accounting experience, with at least 23 years in a leadership role
• Healthcare experience (preferred); rural or critical access hospital experience strongly preferred