CONTROLLER – HEALTHCARE FINANCE

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.

GENERAL REQUIREMENTS: 

• 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. 

GENERAL SKILLS: 

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

WORKING CONDITIONS: 

• 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.

PHYSICAL REQUIRMENTS & DEMANDS: 

• 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. 

MISSION STATEMENT: 

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. 

KEY RESPONSIBILTIES AND COMPENTENANCIES:

Financial Management & Reporting

• 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.

Budgeting & Forecasting

• 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.

Regulatory Compliance & Audits

• 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.

Revenue Cycle & Financial Operations Support

• 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.

Leadership & Team Management

• Supervise and develop accounting staff, promoting continuous learning and performance excellence.
• Foster collaborative relationships with clinical, operational, and administrative leaders.
• Champion process improvements, automation opportunities, and financial best practices.

Technical Skills

• Strong knowledge of GAAP and healthcare financial regulations.
• Experience with healthcare financial systems (e.g., Cerner, Multiview, MatrixCare or similar).
• Advanced proficiency in Excel and financial modeling.

Mandatory Key Competencies

• Strong analytical and problem-solving skills.
• Exceptional attention to detail and accuracy.
• Ability to communicate financial concepts to non-financial stakeholders.
• Leadership presence with the ability to guide teams through change.

GUEST RELATIONS STANDARDS: 

(All guest relation violations are subject to disciplinary action up to and including termination):

• Always treat others in a friendly, helpful manner. 
• Refers co-workers to proper sources when unable to provide an answer. 
• Interacts with others in a professional and friendly manner. 
• Takes interest in others and always gives full cooperation to fellow workers. 
• Always maintains an open line of communication with other departments. 
• Thoroughly familiar with the hospital and the services it offers. 

OTHER: 

• Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is help accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected. 
• As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable. 

OTHER DUITIES: 

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. 

EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:

• Bachelor’s degree in Accounting, Finance, or related field required.
• CPA or Master’s degree strongly preferred.
• 7+ years of progressive accounting/finance experience, with at least 3 years in a leadership role.
• Prior experience in healthcare finance (hospital, medical group, ambulatory, or long-term care) required.