Controller

Greater Lawrence Family Health Center; Massachusetts; On-site; USD 150,000 - 210,000; Full time

Job summary

Greater Lawrence Family Health Center in Massachusetts seeks an experienced Controller (CPA required) to lead the accounting team, ensuring GAAP-compliant financial reporting, audit coordination, grants accounting, and strong internal controls for a large FQHC.

The role collaborates with Finance leadership to sustain financial health, manage revenue recognition for Medicare/Medicaid, and oversee regulatory compliance across the organization.

Qualifications

• CPA required and strong technical accounting background
• Healthcare accounting experience including Medicare/Medicaid and third-party reimbursement
• Experience with nonprofit/healthcare audit and compliance

Responsibilities

• Lead and manage daily accounting operations, including general ledger, accounts payable, payroll accounting, fixed assets, grants accounting, cash management, and account reconciliations.
• Direct the monthly, quarterly, and annual financial close processes to ensure timely and accurate financial reporting.
• Review and approve journal entries, balance sheet reconciliations, accruals, and accounting analyses.
• Maintain the integrity of the general ledger and supporting financial systems.
• Develop, implement, 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 the preparation of monthly, quarterly, and annual financial statements and supporting schedules.
• Ensure timely production of accurate financial reports for executive leadership, auditors, regulatory agencies, grantors, lenders, and other stakeholders.
• Analyze financial results and explain significant fluctuations, trends, and variances.
• Ensure accurate financial reporting by department, program, grant, and funding source.
• Support the CFO in preparing financial presentations and reports for leadership, committees, and the Board of Directors.
• Serve as the primary liaison with external auditors.
• Lead the annual independent financial statement audit, Uniform Guidance Single Audit, retirement plan audits, and other financial examinations.
• Coordinate preparation of audit schedules, supporting documentation, workpapers, and management responses.
• Ensure timely completion of all audit deliverables and reporting requirements.
• Monitor and facilitate resolution of audit findings, management letter comments, and corrective action plans.
• Coordinate financial reviews conducted by HRSA, governmental agencies, grantors, and other regulatory bodies.
• Keep the CFO informed 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 all grant accounting activities, including revenue recognition, expenditure reporting, fund balancing, and indirect cost allocations.
• Ensure compliance with Federal Uniform Guidance, grant agreements, and applicable HRSA requirements.
• Maintain accounting records for restricted funds and grants.
• Coordinate grant-related financial reporting and audit support.
• Partner with operational leadership to monitor grant expenditures and compliance requirements.
• Oversee daily cash management activities, including cash reporting, bank reconciliations, and cash position monitoring.
• Ensure sufficient liquidity to support payroll, accounts payable, and operational requirements.
• Monitor restricted cash balances and grant-related cash activity.
• Maintain appropriate controls surrounding cash receipts, disbursements, and bank accounts.
• Support the CFO in treasury management, banking relationships, debt compliance, and liquidity planning activities.
• Oversee accounting and financial reporting for patient service revenue, accounts receivable, contractual allowances, settlements, and related reserves.
• Partner with the Director of Revenue & Reimbursement to ensure accurate and timely recording of revenue cycle activity.
• Review reimbursement-related accounting analyses and reserve methodologies.
• Ensure accurate accounting treatment of Medicare, Medicaid, managed care, and other third-party reimbursement arrangements.
• Oversee the accounting and financial reporting for Medicare, Medicaid, managed care, and other third-party reimbursement arrangements, including reimbursement reserves, settlement estimates, regulatory reporting, and the financial information supporting all reimbursement and cost report filings.
• Design, implement, and maintain effective internal controls over financial reporting and accounting operations.
• Ensure compliance with organizational policies, accounting standards, grant requirements, and regulatory obligations.
• Perform periodic reviews of accounting processes and controls to identify opportunities for improvement.
• Safeguard organizational assets through effective financial controls and oversight.
• Maintain appropriate accounting documentation and record retention practices.
• Budget and Planning Support

Job description

Company Description

Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.

Role Description

GLFHC is currently seeking an experienced Controller (CPA Required) to join our Finance team. Reporting directly to the Chief Financial Officer, the Controller serves as the senior accounting leader for the organization and is responsible for the integrity, accuracy, and timeliness of financial reporting, accounting operations, audit coordination, grants accounting, regulatory compliance, and internal controls while supporting the financial sustainability of a large Federally Qualified Health Center.

The ideal candidate will bring a strong technical accounting background along with direct healthcare accounting experience, including familiarity with healthcare reimbursement and payer structures, patient service revenue, Medicare, Medicaid, managed care, and other third-party reimbursement arrangements. Experience within a Federally Qualified Health Center (FQHC), community health center, hospital, or other healthcare provider organization is strongly preferred.

This position plays a key role in supporting the financial sustainability and regulatory compliance of a large Federally Qualified Health Center while partnering closely with Finance leadership on organizational

decision-making.

Company Description

Established in 1980, the Greater Lawrence Family Health Center (GLFHC) is a multi-site mission-driven non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to residents throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.

Role Description

GLFHC is currently seeking an experienced Controller (CPA Required) to join our Finance team. Reporting directly to the Chief Financial Officer, the Controller serves as the senior accounting leader for the organization and is responsible for the integrity, accuracy, and timeliness of financial reporting, accounting operations, audit coordination, grants accounting, regulatory compliance, and internal controls while supporting the financial sustainability of a large Federally Qualified Health Center.

The ideal candidate will bring a strong technical accounting background along with direct healthcare accounting experience, including familiarity with healthcare reimbursement and payer structures, patient service revenue, Medicare, Medicaid, managed care, and other third-party reimbursement arrangements. Experience within a Federally Qualified Health Center (FQHC), community health center, hospital, or other healthcare provider organization is strongly preferred.

This position plays a key role in supporting the financial sustainability and regulatory compliance of a large Federally Qualified Health Center while partnering closely with Finance leadership on organizational

decision-making.

Accounting Operations

• Lead and manage daily accounting operations, including general ledger, accounts payable, payroll accounting, fixed assets, grants accounting, cash management, and account reconciliations.
• Direct the monthly, quarterly, and annual financial close processes to ensure timely and accurate financial reporting.
• Review and approve journal entries, balance sheet reconciliations, accruals, and accounting analyses.
• Maintain the integrity of the general ledger and supporting financial systems.
• Develop, implement, 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.

Financial Reporting

• Prepare and oversee the preparation of monthly, quarterly, and annual financial statements and supporting schedules.
• Ensure timely production of accurate financial reports for executive leadership, auditors, regulatory agencies, grantors, lenders, and other stakeholders.
• Analyze financial results and explain significant fluctuations, trends, and variances.
• Ensure accurate financial reporting by department, program, grant, and funding source.
• Support the CFO in preparing financial presentations and reports for leadership, committees, and the Board of Directors.

Audit and Regulatory Reporting

• Serve as the primary liaison with external auditors.
• Lead the annual independent financial statement audit, Uniform Guidance Single Audit, retirement plan audits, and other financial examinations.
• Coordinate preparation of audit schedules, supporting documentation, workpapers, and management responses.
• Ensure timely completion of all audit deliverables and reporting requirements.
• Monitor and facilitate resolution of audit findings, management letter comments, and corrective action plans.
• Coordinate financial reviews conducted by HRSA, governmental agencies, grantors, and other regulatory bodies.
• Keep the CFO informed 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.

Grants Accounting and Compliance

• Direct all grant accounting activities, including revenue recognition, expenditure reporting, fund balancing, and indirect cost allocations.
• Ensure compliance with Federal Uniform Guidance, grant agreements, and applicable HRSA requirements.
• Maintain accounting records for restricted funds and grants.
• Coordinate grant-related financial reporting and audit support.
• Partner with operational leadership to monitor grant expenditures and compliance requirements.

Treasury and Cash Management

• Oversee daily cash management activities, including cash reporting, bank reconciliations, and cash position monitoring.
• Ensure sufficient liquidity to support payroll, accounts payable, and operational requirements.
• Monitor restricted cash balances and grant-related cash activity.
• Maintain appropriate controls surrounding cash receipts, disbursements, and bank accounts.
• Support the CFO in treasury management, banking relationships, debt compliance, and liquidity planning activities.

Revenue Recognition and Healthcare Accounting

• Oversee accounting and financial reporting related to patient service revenue, accounts receivable, contractual allowances, settlements, and related reserves.
• Partner with the Director of Revenue & Reimbursement to ensure accurate and timely recording of revenue cycle activity.
• Review reimbursement-related accounting analyses and reserve methodologies.
• Ensure accurate accounting treatment of Medicare, Medicaid, managed care, and other third-party reimbursement arrangements.

Oversee the accounting and financial reporting for Medicare, Medicaid, managed care, and other third-party reimbursement arrangements, including reimbursement reserves, settlement estimates, regulatory reporting, and the financial information supporting all reimbursement and cost report filings.

Internal Controls and Compliance

• Design, implement, and maintain effective internal controls over financial reporting and accounting operations.
• Ensure compliance with organizational policies, accounting standards, grant requirements, and regulatory obligations.
• Perform periodic reviews of accounting processes and controls to identify opportunities for improvement.
• Safeguard organizational assets through effective financial controls and oversight.
• Maintain appropriate accounting documentation and record retention practices.

Budget and Planning Support