Controller

Alzheimer's Community Care; West Palm Beach (FL); On-site; USD 120,000 - 170,000; Full time

Benefits offered by this job

401(k)

401(k) employer match

Dental insurance

Disability insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Alzheimer’s Community Care is seeking a dynamic Controller to lead the finance team, ensuring financial strength and sustainability while supporting care for individuals and families affected by Alzheimer’s disease and related dementias.

The role covers accounting operations, financial reporting, budgeting, forecasting, revenue-cycle activities, internal controls, compliance, and financial analysis. Strong leadership and communication skills are essential.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field.
• CPA, CMA or other professional certification preferred.
• Significant progressive accounting experience in a Controller-role or similar.
• Healthcare/nonprofit experience preferred.
• Strong U.S. GAAP and nonprofit reporting knowledge.
• Experience with Medicare/Medicaid revenue cycle preferred.
• Exposure to major ERP systems (Sage/QuickBooks/Xero/NetSuite).
• Excellent communication and leadership abilities.

Responsibilities

• Direct and oversee daily accounting functions: GL, payables, receivables, payroll, month- and year-end close.
• Ensure records comply with U.S. GAAP, nonprofit standards, and laws.
• Maintain internal controls to safeguard assets and prevent fraud.
• Oversee program-specific accounting across locations and reporting.
• Monitor revenue-cycle performance, including Medicare/Medicaid and payer mix.
• Prepare monthly financial statements and management reports for leadership.
• Provide variance analyses and actionable recommendations to management.
• Develop dashboards and metrics to support operational decisions.
• Coordinate annual budgeting and rolling forecasts.

Skills

Leadership

GAAP expertise

Financial analysis

Internal controls

Month-end close

Revenue cycle

Communication

Problem-solving

Education

Bachelor's degree in Accounting/Finance

CPA/CMA preferred

Tools

Sage

QuickBooks

Xero

NetSuite

Job description

Alzheimer’s Community Care is seeking a dynamic, detail-oriented, and mission-driven Controller. The Controller will serve as a leader of the finance team, helping ensure the organization’s financial strength and sustainability while supporting its mission of providing compassionate, high-quality services to individuals and families affected by Alzheimer’s disease and related dementias. This position is responsible for accounting operations, financial reporting, budgeting, forecasting, revenue-cycle activities, internal controls, compliance, and financial analysis. The Controller will partner closely with executive leadership and the finance team to translate financial information into meaningful insights that support sound operational and strategic decisions. The ideal candidate is an experienced accounting professional who combines strong technical accounting expertise with excellent leadership, communication, analytical, and problem-solving skills.

Key Responsibilities

• Direct and oversee the organization’s daily accounting functions, including general ledger, accounts payable, accounts receivable, cash management, reconciliations, fixed assets, payroll accounting, and month-end and year-end close processes.
• Ensure financial records are complete, accurate, timely, properly documented, and maintained in accordance with U.S. GAAP, nonprofit accounting standards, applicable laws, regulations, and organizational policies.
• Review balance sheet reconciliations, account analyses, journal entries, accruals, and general ledger activity to ensure financial integrity.
• Establish, maintain, and continuously improve effective internal controls designed to safeguard organizational assets, prevent errors and fraud, and promote financial accountability.
• Oversee accounting activities across the organization’s programs, offices, and service locations, ensuring consistent financial practices and reporting.
• Work closely with leadership and revenue-cycle personnel to monitor and improve financial performance, including Medicare, Medicaid, private insurance, patient/service revenue, and other reimbursement sources.
• Analyze revenue trends, denials, collections, accounts receivable aging, reimbursement rates, and other key revenue-cycle indicators.
• Identify opportunities to improve cash flow, reduce revenue leakage, strengthen collections, and increase financial efficiency.
• Support accurate financial accounting and reporting related to healthcare and community-based services.
• Prepare and deliver accurate monthly financial statements and management reports for the COO, CEO, executive leadership, and other authorized stakeholders.
• Provide clear analysis of actual results compared with budget, prior periods, forecasts, and organizational objectives.
• Investigate significant variances and provide actionable recommendations to management.
• Develop financial dashboards, performance metrics, and other analytical tools that enable leadership to make informed operational decisions.
• Ensure timely completion of monthly, quarterly, and annual financial close and reporting requirements.
• Partner with executive and department leadership during the annual budgeting process.
• Develop revenue projections, expense forecasts, staffing assumptions, and other financial models used to establish annual operating budgets.
• Monitor budget performance throughout the year and provide leadership with recommendations regarding resource allocation and corrective action.
• Maintain rolling forecasts and scenario analyses to support long-term financial planning and organizational sustainability.
• Ensure restricted and unrestricted funds are properly classified, tracked, reconciled, and reported.
• Collaborate with development and program teams to ensure financial information supporting grants and funding agreements is accurate and timely.
• Serve as a primary finance liaison for external auditors, governmental agencies, financial institutions, and other external entities.
• Coordinate preparation for the annual financial audit and ensure supporting schedules and documentation are complete and accurate.
• Support compliance with applicable Medicare, Medicaid, federal, state, local, nonprofit, and healthcare financial requirements.
• Identify financial and operational risks and recommend improvements to policies and procedures.
• Maintain appropriate documentation and accounting policies to support audit readiness and organizational compliance.
• Partner with the Finance Committee and Board of Directors to ensure they have timely, accurate monthly financials, including preparing, presenting, and walking through key financial results and insights.
• Provide financial analysis to evaluate new programs, services, contracts, investments, and organizational opportunities.
• Promote process improvements, automation, and technology solutions that increase efficiency and reduce administrative burden.

Qualifications:

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field required.
• CPA, CMA, Or Other Relevant Professional Certification Preferred.
• Significant progressive accounting experience, including experience in a Controller, Assistant Controller, Accounting Manager, or comparable senior finance role.
• Healthcare, nonprofit, senior-care, human-services, or community-based organization experience strongly preferred.
• Strong understanding of U.S. GAAP and nonprofit financial reporting requirements.
• Experience with Medicare, Medicaid, healthcare reimbursement, revenue-cycle management, or payer accounting strongly preferred.
• Demonstrated knowledge of general ledger accounting, double-entry bookkeeping, debits and credits, account reconciliation, accrual accounting, financial statement preparation, and month-end close.
• Experience with nonprofit fund accounting, restricted funds, grants, and contributions preferred.
• Demonstrated experience developing and managing organizational budgets and forecasts.
• Strong understanding of internal controls, audit procedures, and financial compliance.
• Advanced Microsoft Excel skills, including financial modeling, data analysis, pivot tables, lookups, and reporting.
• Experience with accounting or ERP systems such as Sage, QuickBooks, Xero, NetSuite, or comparable platforms.
• Excellent analytical, organizational, and problem-solving abilities.
• Strong written and verbal communication skills.
• Demonstrated ability to lead and develop accounting professionals.
• Ability to manage multiple priorities while maintaining a high level of accuracy and confidentiality.
• Commitment to the mission of Alzheimer’s Community Care and the individuals and families the organization serves.

Benefits

The position offers a competitive benefits package, including:

• 401(k)
• 401(k) employer match
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance