Financial Controller (CPA Required)

HireVenture•Methuen, MA

7d•$175,000 - $185,000•Onsite

About The Position

The Controller is the senior accounting leader for a nonprofit healthcare organization and a key member of its senior finance leadership team. Reporting directly to the Chief Financial Officer (CFO), the Controller is responsible for the integrity, accuracy, and timeliness of financial reporting and accounting operations, including grants accounting, treasury operations, payroll accounting, audit coordination, regulatory compliance, internal controls, and healthcare revenue accounting. The role supports a Federally Qualified Health Center with annual revenues exceeding $100 million and partners with the CFO, AVP of Finance, and Director of Revenue & Reimbursement to provide reliable financial information for organizational decision-making. The Controller ensures compliance with GAAP, nonprofit accounting standards, Federal Uniform Guidance, HRSA requirements, and federal and state regulations. This hands-on leadership role leads annual financial statement audits and Single Audits, maintains effective internal controls, oversees financial records and regulatory filings, and develops accounting staff. The position also supports the organization’s financial sustainability, finance-function development, and continued growth. The role is based in Methuen, Massachusetts. It is fully onsite for the first six months; after that, a hybrid schedule of three onsite days and two remote days may be possible once established. The physical environment is a general business office, with regular light physical effort such as standing, walking, bending, and lifting items up to 25 pounds, and periodic eye strain.

Requirements

Bachelor’s degree in Accounting.
Certified Public Accountant (CPA) certification.
At least seven years of progressively responsible accounting experience.
At least three 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.
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.
Demonstrated integrity, sound judgment, and commitment to financial stewardship.

Nice To Haves

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

Responsibilities

Lead daily accounting operations, including the general ledger, accounts payable, payroll accounting, fixed assets, grants accounting, cash management, and account reconciliations.
Direct monthly, quarterly, and annual financial close processes; review and approve journal entries, balance sheet reconciliations, accruals, and accounting analyses.
Maintain the integrity of the general ledger and supporting financial systems, and develop 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 monthly, quarterly, and annual financial statements and supporting schedules; provide accurate, timely reports to leadership, auditors, regulators, grantors, lenders, and other stakeholders.
Analyze financial results and explain significant fluctuations, trends, and variances; ensure accurate reporting by department, program, grant, and funding source.
Support the CFO with financial presentations and reports for leadership, committees, and the Board of Directors.
Serve as the primary liaison with external auditors and lead the annual financial statement audit, Uniform Guidance Single Audit, retirement plan audits, and other financial examinations.
Coordinate audit schedules, supporting documentation, workpapers, management responses, deliverables, and resolution of findings, management letter comments, and corrective action plans.
Coordinate financial reviews by HRSA, government agencies, grantors, and other regulatory bodies; inform the CFO 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 grant accounting, including revenue recognition, expenditure reporting, fund balancing, indirect cost allocations, restricted-fund records, grant reporting, and audit support; ensure compliance with Uniform Guidance, grant agreements, and HRSA requirements.
Partner with operational leadership to monitor grant expenditures and compliance requirements.
Oversee daily cash management, cash reporting, bank reconciliations, cash-position monitoring, restricted cash, and grant-related cash activity; maintain controls over cash receipts, disbursements, and bank accounts.
Ensure adequate liquidity for payroll, accounts payable, and operations; support the CFO with treasury management, banking relationships, debt compliance, and liquidity planning.
Oversee accounting and reporting for patient service revenue, accounts receivable, contractual allowances, settlements, reserves, and Medicare, Medicaid, managed care, and other third-party reimbursement arrangements.
Partner with the Director of Revenue & Reimbursement to ensure accurate and timely recording of revenue-cycle activity; review reimbursement analyses and reserve methodologies, including information supporting reimbursement and cost report filings.
Design, implement, and maintain internal controls over financial reporting and accounting operations; review processes and controls, safeguard organizational assets, and maintain accounting documentation and record-retention practices.
Support the AVP of Finance and CFO with historical financial information and analyses for budgeting and forecasting; ensure reliable financial data and collaborate on variance analysis and organizational performance reporting.
Represent the CFO, as designated, at Board Committee meetings, senior leadership meetings, operational reviews, and other forums; present financial information and recommendations when appropriate.
Direct, mentor, develop, and evaluate accounting staff; establish performance expectations and accountability measures; support professional development and succession planning.
Promote collaboration, customer service, continuous improvement, and effective working relationships across departments.
Participate in organizational initiatives, process-improvement projects, and cross-functional teams; maintain confidentiality and perform other duties as assigned by the CFO.