Controller

MCM & Associates•Santa Ana, CA

33d•Hybrid

About The Position

The Corporate Controller provides strategic and operational leadership for all accounting, financial reporting, treasury management, budgeting, payroll oversight, reimbursement accounting, and internal controls for a multi-site Home Health, Hospice, and Palliative Care organization. The Controller ensures compliance with GAAP, Medicare and Medicaid reimbursement requirements, state and federal regulations, and organizational policies while supporting executive leadership with timely financial insights and performance analysis. The Corporate Controller will lead the accounting team and oversee financial operations across all entities to ensure accurate reporting, strong financial controls, and scalable processes that support organizational growth.

Requirements

Bachelor's degree in Accounting or Finance required.
CPA required (strongly preferred if not required).
7–10+ years progressive accounting experience.
Minimum 5 years healthcare accounting leadership experience.
Experience with: Hospice finance, Home Health finance, Medicare reimbursement, Multi-entity accounting, Audit management.
Strong Understanding Of: GAAP, Healthcare reimbursement, Medicare Cost Reporting, Revenue recognition, Internal controls, Financial statement preparation, Treasury management, Budgeting and forecasting.
Technical Proficiency: Advanced Excel, Financial reporting systems, ERP systems (NetSuite, Sage Intacct, Oracle, Dynamics, etc.), Healthcare EMRs (Netsmart/MyUnity, MatrixCare, Homecare Homebase, etc.), Business Intelligence and dashboarding tools.
Leadership Competencies: Strategic thinking, Executive communication, Team development, Change management, Project management, Problem solving.

Nice To Haves

Master's Degree in Accounting, Finance, or Business Administration preferred.
Experience leading accounting teams of 5+ employees preferred.

Responsibilities

Direct all accounting operations, including: General Ledger, Accounts Payable, Accounts Receivable, Cash Management, Payroll Accounting, Fixed Assets, Financial Reporting.
Manage month-end and year-end close processes.
Ensure timely and accurate preparation of financial statements.
Maintain and enforce accounting policies and procedures.
Oversee intercompany accounting and consolidations for multiple entities.
Review and approve journal entries, reconciliations, and account analyses.
Monitor Medicare, Medicaid, Managed Care, and Commercial payer revenue recognition.
Analyze hospice and home health reimbursement trends.
Ensure proper accounting for Medicare payments, notices of program reimbursement, and settlement activity.
Collaborate with billing and revenue cycle teams to optimize cash collections.
Monitor bad debt reserves and revenue integrity.
Lead annual budgeting and forecasting processes.
Develop monthly variance analyses and management reports.
Provide financial modeling and operational analysis for strategic initiatives.
Track key performance indicators (KPIs) including: EBITDA, Days Cash on Hand, DSO, Revenue per Patient Day, Cost per Visit, Admission Growth, Clinical Labor Utilization.
Design and maintain strong internal control systems.
Ensure compliance with: GAAP, Medicare regulations, CMS requirements, State licensing requirements, Corporate policies.
Coordinate annual financial audits and tax reporting.
Serve as primary contact for external auditors, bankers, and regulatory agencies.
Monitor compliance with debt covenants and banking requirements.
Oversee daily cash management activities.
Manage banking relationships and treasury functions.
Monitor cash flow projections and working capital.
Evaluate investment and financing opportunities.
Recruit, mentor, and develop accounting staff.
Establish performance metrics and professional development plans.
Create a culture of accountability, continuous improvement, and customer service.
Partner with operational leaders to improve financial outcomes.
Lead ERP and financial system implementations and optimizations (e.g., NetSuite, Sage Intacct, Microsoft Dynamics).
Develop automated reporting and dashboard solutions.
Improve workflows between EMR, billing, payroll, and accounting systems.
Support data integrity initiatives.