Our client, a leading nonprofit healthcare organization, is seeking an experienced Controller to serve as a key member of its senior finance leadership team. Reporting directly to the CFO, this individual will oversee accounting operations, financial reporting, grants accounting, audit coordination, regulatory compliance, internal controls, and healthcare revenue accounting.

This is an excellent opportunity for a hands-on, collaborative accounting leader who brings strong nonprofit accounting expertise, experience with federal grants and Single Audits, and the leadership skills to strengthen and develop a finance organization. The ideal candidate will be comfortable operating in a highly compliance-driven environment, partnering closely with executive leadership, and helping rebuild and enhance the finance function while supporting the organization's continued growth and mission.

Job Summary
The Controller serves as the senior accounting leader of the organization and is responsible for the 
integrity, accuracy, and timeliness of all financial reporting, accounting operations, audit coordination, 
grants accounting, treasury operations, payroll accounting, regulatory compliance, and internal controls.

Reporting directly to the Chief Financial Officer, the Controller ensures compliance with Generally 
Accepted Accounting Principles (GAAP), applicable nonprofit accounting standards, Federal Uniform 
Guidance, HRSA requirements, and federal and state regulatory requirements. The Controller serves as a 
key partner to the CFO and collaborates closely with the AVP of Finance and Director of Revenue & 
Reimbursement to ensure the accuracy and reliability of financial information used in organizational 
decision-making.

This position is responsible for leading the annual financial statement audit and Single Audit processes, 
maintaining a strong internal control environment, and ensuring the organization's financial records are 
complete, accurate, and compliant. The Controller plays a critical role in supporting the financial 
sustainability of a Federally Qualified Health Center with annual revenues exceeding $100 million.

Job Responsibilities and Performance Standards
Accounting Operations

• Lead and manage daily accounting operations, including general ledger, accounts payable, payroll accounting, fixed assets, grants accounting, cash management, and account reconciliations.
• Direct the monthly, quarterly, and annual financial close processes to ensure timely and accurate financial reporting.
• Review and approve journal entries, balance sheet reconciliations, accruals, and accounting analyses.
• Maintain the integrity of the general ledger and supporting financial systems.
• Develop, implement, and maintain accounting policies and procedures consistent with GAAP and nonprofit healthcare best practices.
• Identify opportunities to improve accounting processes, efficiency, automation, and internal controls.

• Prepare and oversee the preparation of monthly, quarterly, and annual financial statements and supporting schedules.
• Ensure timely production of accurate financial reports for executive leadership, auditors, regulatory agencies, grantors, lenders, and other stakeholders.
• Analyze financial results and explain significant fluctuations, trends, and variances.
• Ensure accurate financial reporting by department, program, grant, and funding source.
• Support the CFO in preparing financial presentations and reports for leadership, committees, and the Board of Directors

• Serve as the primary liaison with external auditors.
• Lead the annual independent financial statement audit, Uniform Guidance Single Audit, retirement plan audits, and other financial examinations.
• Coordinate preparation of audit schedules, supporting documentation, workpapers, and management responses.
• Ensure timely completion of all audit deliverables and reporting requirements.
• Monitor and facilitate resolution of audit findings, management letter comments, and corrective action plans.
• Coordinate financial reviews conducted by HRSA, governmental agencies, grantors, and other regulatory bodies.
• Keep the CFO informed of significant audit findings, compliance risks, and emerging accounting issues.
• Oversee preparation and review of Form 990, Form 5500, UDS and other required regulatory filings.

• Direct all grant accounting activities, including revenue recognition, expenditure reporting, fund balancing, and indirect cost allocations.
• Ensure compliance with Federal Uniform Guidance, grant agreements, and applicable HRSA requirements.
• Maintain accounting records for restricted funds and grants.
• Coordinate grant-related financial reporting and audit support.
• Partner with operational leadership to monitor grant expenditures and compliance requirements.

• Oversee daily cash management activities, including cash reporting, bank reconciliations, and cash position monitoring.
• Ensure sufficient liquidity to support payroll, accounts payable, and operational requirements.
• Monitor restricted cash balances and grant-related cash activity.
• Maintain appropriate controls surrounding cash receipts, disbursements, and bank accounts.
• Support the CFO in treasury management, banking relationships, debt compliance, and liquidity planning activities.

• Oversee accounting and financial reporting related to patient service revenue, accounts receivable, contractual allowances, settlements, and related reserves.
• Partner with the Director of Revenue & Reimbursement to ensure accurate and timely recording of revenue cycle activity.
• Review reimbursement-related accounting analyses and reserve methodologies.
• Ensure accurate accounting treatment of Medicare, Medicaid, managed care, and other third-party reimbursement arrangements.
• Oversee the accounting and financial reporting for Medicare, Medicaid, managed care, and other third-party reimbursement arrangements, including reimbursement reserves, settlement estimates, regulatory reporting, and the financial information supporting all reimbursement and cost report filings.

• Design, implement, and maintain effective internal controls over financial reporting and accounting operations.
• Ensure compliance with organizational policies, accounting standards, grant requirements, and regulatory obligations.
• Perform periodic reviews of accounting processes and controls to identify opportunities for improvement.
• Safeguard organizational assets through effective financial controls and oversight.
• Maintain appropriate accounting documentation and record retention practices.

• Support the AVP of Finance and CFO by providing accurate historical financial information and analyses necessary for budgeting and forecasting activities.
• Ensure the integrity and reliability of financial data used for financial planning and decision-making.
• Collaborate with Finance leadership on variance analysis and organizational performance reporting.

• Serve as the CFO's delegate and representative, as designated, for Board Committee meetings, senior leadership meetings, operational reviews, and other organizational forums; present financial information and recommendations on behalf of the Finance Department when appropriate.
• Direct, mentor, develop, and evaluate accounting staff.
• Establish clear performance expectations and accountability measures.
• Promote a culture of collaboration, customer service, continuous improvement, and professional development.
• Conduct performance evaluations and support staff development and succession planning.
• Foster effective working relationships across departments.

• Participate in organizational initiatives, process improvement projects, and cross-functional teams.
• Maintain confidentiality of financial and operational information.
• Perform other duties as assigned by the Chief Financial Officer.

• Minimum of seven (7) years of progressively responsible accounting experience. 
• Minimum of three (3) years of accounting leadership or supervisory experience. 
• Experience leading annual financial statement audits. 
• Experience preparing and reviewing GAAP-compliant financial statements. 
• Experience with nonprofit accounting, financial controls, and regulatory compliance. 
• Experience managing complex accounting operations and month-end close processes.

• Federally Qualified Health Center (FQHC) experience highly preferred. 
• Community health center, hospital, or healthcare provider experience preferred. 
• HRSA grant accounting experience preferred. 
• Uniform Guidance and Single Audit experience preferred. 
• Public accounting experience preferred. 
• Experience with organizations receiving significant federal funding preferred.

• Advanced knowledge of GAAP and nonprofit accounting principles. 
• Strong understanding of healthcare accounting and financial reporting practices. 
• Knowledge of federal grant compliance, Uniform Guidance, and regulatory reporting requirements. 
• Demonstrated experience leading audits and managing auditor relationships. 
• Strong analytical, problem-solving, and organizational skills. 
• Excellent verbal, written, and presentation skills. 
• Ability to manage multiple priorities and meet critical deadlines.
• Strong leadership and team development capabilities. 
• Proficiency with financial systems, ERP platforms, and advanced Microsoft Excel skills. 
• Demonstrated integrity, sound judgment, and commitment to financial stewardship.

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Disclaimer: This job description is intended to provide a general overview of the responsibilities and requirements of the position. It is not an exhaustive list of all duties, responsibilities, and skills required. The company reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.

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