Controller

CHCC Inc•Great Falls, MT

17d•$85,000 - $94,000•Onsite

About The Position

Alluvion Health is looking for an experienced Controller to help lead the financial operations of our growing healthcare organization. Reporting directly to the Chief Financial Officer, the Controller plays a key leadership role in ensuring the accuracy, integrity, and compliance of Alluvion Health’s financial operations. This position oversees core accounting functions, financial reporting, internal controls, budgeting, grant accounting, and audit preparation while leading members of the Finance team. If you enjoy digging into the details while still seeing the bigger picture, this is an opportunity to use your financial expertise to support an organization focused on creating and inspiring healthier lives.

Requirements

Bachelor’s degree in Accounting, Finance, or a closely related field
Minimum of five (5) years of fiscal management experience
Strong working knowledge of Microsoft Excel, Word, Outlook, and accounting systems
Valid driver’s license
Strong understanding of GAAP, financial reporting, budgeting, and internal controls
Comfortable analyzing complex financial information and explaining it clearly to others
Experience developing and improving accounting processes and procedures
Understand grant accounting and regulatory compliance
Can manage multiple deadlines and priorities without losing attention to detail
Confident supervising, coaching, and developing staff
Work well independently while collaborating closely with leadership and other departments
Handle confidential and sensitive information with discretion
Strong written and verbal communication skills
Highly organized, analytical, and solution-focused

Nice To Haves

At least three (3) years of financial management experience in a healthcare organization
Experience in a Federally Qualified Health Center (FQHC), community health center, nonprofit healthcare organization, or similar environment
Experience with federal grant regulations and Uniform Guidance
Experience with healthcare financial reporting, Medicare Cost Reports, or UDS reporting
Previous supervisory or finance leadership experience

Responsibilities

Oversee daily accounting operations, including general ledger, accounts payable, accounts receivable, payroll, grants receivable, and fixed assets
Lead monthly and annual financial close processes, including general ledger reconciliations
Ensure timely and accurate preparation of monthly, quarterly, and annual financial statements in accordance with GAAP
Analyze financial performance, trends, budget variances, and operating results by program or service line
Prepare financial reports for leadership, auditors, regulatory agencies, and other stakeholders
Develop, implement, and maintain strong accounting policies, procedures, and internal controls
Lead annual budgeting, forecasting, and financial planning activities
Partner with department leaders to monitor financial performance and understand budget variances
Oversee grant accounting, restricted funds, and grant-related financial reporting
Ensure compliance with federal grant requirements, including Uniform Guidance
Coordinate annual financial audits, prepare audit schedules, and respond to auditor requests
Support preparation of Medicare Cost Reports, UDS submissions, and other required financial filings
Supervise, coach, and develop assigned Finance team members
Work closely with the CFO to provide financial analysis and insights that support strategic decision-making
Serve as a financial resource to leaders throughout the organization
Support special projects, financial analysis, and organizational initiatives as needed