Controller

Almost Family•Bend, OR

9d•Onsite

About The Position

Almost Family is hiring a Controller to own the company’s finance functions across several legal entities and business units, including accounting, payroll, billing, reporting, cash, budgeting, and controls. The Controller will lead the payroll and accounting team, run a disciplined close, and provide leadership with clear, timely financial information. This is the company’s senior finance role and reports directly to executive leadership, with an expected path to grow into the CFO role as the company expands. The initial focus is to establish a strong finance foundation: a fast, clean close, reliable reporting, tight controls, and a successful migration from QuickBooks Online to NetSuite. As the foundation develops, the role will expand into strategic finance, including capital planning, banking and lender relationships, growth and acquisition analysis, and advising leadership on major decisions. The position is full-time and on-site in Bend, Oregon.

Requirements

Bachelor’s degree in Accounting or Finance.
At least 8 years of progressive accounting experience, including at least 3 years leading an accounting or finance team.
Experience running a full monthly close and producing GAAP financial statements for a business with multiple entities or locations.
Strong command of GAAP, accrual accounting, reconciliations, and internal controls.
Working knowledge of multistate payroll compliance.
Hands-on experience with QuickBooks Online and at least one ERP.
Advanced Excel and financial modeling skills.
Ability to explain financial results clearly to executives, ownership, and non-finance managers.
Integrity, discretion, and discipline in meeting weekly and monthly deadlines.
Clear interest in growing into a CFO role.

Nice To Haves

Active CPA.
NetSuite experience, ideally having led or played a central role in a QuickBooks-to-NetSuite implementation.
Exposure to strategic finance, including lender relationships, debt financing, acquisitions, or due diligence.
Experience in home care, IDD services, behavioral health, or another Medicaid-funded healthcare business.
Familiarity with Medicaid billing and remittance, including Oregon eXPRS or California Regional Center billing.
Experience with home care scheduling and billing software.
Background supporting audits, lender reporting, or a growing organization through a systems upgrade.
MBA or graduate finance degree.

Responsibilities

Own monthly, quarterly, and annual close processes, including calendars, reconciliations, and reporting deadlines.
Prepare and review GAAP financial statements for each entity and on a consolidated basis.
Post and review journal entries, accruals, prepaids, fixed assets, and depreciation.
Handle intercompany billing, cost allocations, and balancing across subsidiaries.
Produce management reports by entity, location, and service line, explaining variances in plain language.
Oversee biweekly payroll through a third-party processor, including regular runs, final checks, and off-cycle payments.
Maintain compliance with federal, Oregon, California, and Colorado wage and hour rules, tax withholding, paid leave programs, and garnishments.
Analyze labor costs.
Oversee billing and remittance for Medicaid, state program, private pay, and other payer sources.
Monitor accounts receivable aging and work with operations to resolve denials, billing errors, and collection delays.
Maintain cash flow forecasts and manage working capital and liquidity.
Lead the annual budget with leadership and location managers and maintain rolling forecasts.
Build financial models for growth initiatives, new markets, rate changes, acquisitions, and capital decisions.
Track key indicators, including margins, labor cost ratios, revenue trends, and DSO, and recommend actions to improve profitability.
Present financial results and recommendations to ownership and executive leadership.
Build relationships with banks, lenders, and financial partners and support financing and due diligence work.
Design and maintain accounting policies, internal controls, segregation of duties, and approval workflows.
Prepare and deliver required reports to state agencies and other external parties.
Serve as the main contact for the outside CPA firm on quarterly reviews, tax estimates, annual filings, and the annual audit.
Manage 401(k) and benefit plan administration with providers.
Lead, train, and develop payroll, accounting, and billing staff; assign ownership of recurring processes and review their work.
Build a scalable finance team structure, including future hiring and succession for the Controller seat.
Lead the migration from QuickBooks Online to NetSuite, including vendor selection support, chart of accounts redesign, entity and intercompany setup, data conversion, and team training.
Identify and address process gaps through automation, improved workflows, and clear documentation after NetSuite is live.