Controller | Mission-Driven Healthcare Organization - FQHC

Centermark Placements (Executive Recruiting Firm); New Jersey; On-site; USD 180,000 - 250,000; Full time

Job summary

Centermark Placements is assisting a mission-driven Federally Qualified Health Center in New Jersey to recruit a senior financial leader. The role reports to the CEO and will own daily accounting operations while guiding a finance team across multiple sites.

The successful candidate will drive strategic financial planning, grant management, and compliance with GAAP, while partnering with a CFO advisory firm to deliver forward-looking revenue visibility and strong internal controls.

Qualifications

• Experience leading finance in healthcare organizations.
• Strong GAAP knowledge and financial reporting.
• Leadership of multi-site finance teams.
• Experience with Microsoft Dynamics 365 and inventory systems.

Responsibilities

• Ensures timely and accurate preparation of internal and external financial reports (statements, income statements, cash flow).
• Leads and mentors the fiscal team (AP, AR, payroll, purchasing, GL).
• Coordinates grant budgets and forecasts for all sites and departments.
• Coordinates federal, state, and other grant applications with senior team.
• Develops/enforces policies to safeguard assets and ensure compliance with GAAP and grant requirements.
• Oversees regulatory reporting, including Medicare/Medicaid and 340B, and tax filings.
• Maintains general ledger for subsidiary accounts and oversees cash flow.
• Oversees revenue cycle activities, including billing, coding accuracy, and collections.
• Ensures Medicaid wraparound reports are accurate and timely.
• Ensures FQHC reports are completed on time.
• Coordinates audits with external auditors.

Job description

Job Description

Why Consider This Opportunity?

• Pathway to CFO Role
  Step into a role with expansion potential, where strong performance can lead to a future Chief Financial Officer role
• Mission-Driven Organization
  Our client has served communities across South Jersey for nearly five decades with the enduring belief that quality healthcare is a right, not a privilege. As such, they don't turn anyone away for lack of ability to pay
• Financially Stable Organization - 5 Decades of Service
  The organization is in a strong financial position with eight service delivery sites across Atlantic, Burlington, and Salem Counties, supported by a dedicated workforce of nearly 250 employees serving more than 50,000 patients annually. Structured as a Federally Qualified Health Center, the organization has access to special grant funding through HRSA
• Visible Position
  Report directly to the Chief Executive Officer. Serve as a key financial voice in executive leadership discussions, contributing to high-level strategic and operational decisions
• Leadership
  Serve as the primary on-site finance leader, owning day-to-day accounting operations while leading a team that includes - Revenue Cycle Director, Fiscal Director, Accounting Manager and 2 AP Staff
• Build & Strengthen the Finance Function
  Assess current team structure and processes, implementing improvements that elevate performance, accountability, and financial discipline
• Strategic Collaboration with CFO Advisory Partner
  Collaborate with an experienced CFO advisory firm, gaining exposure to high-level strategy while maintaining operational ownership internally
• Systems Implementation & Optimization
  Drive execution of Microsoft Dynamics 365 and inventory system implementation, ensuring adoption, reporting clarity, and system optimization
• Build a Revenue Cycle Team
  Funds have been allocated for the recruitment of a Revenue Cycle Director pending the hire of the organization's next Controller. The Controller will recruit and hire a Revenue Cycle Director and oversee the process of bringing billing/coding in-house (currently outsourced to 3rd party services provider)
• Process Improvement & Financial Transparency
  Influence process improvement across the organization, refining chart of accounts, reporting structure, and financial transparency
• Proactive Revenue Leadership
  Move finance beyond historical reporting by driving forward-looking cash flow visibility, revenue forecasting, and operational oversight
• Shift Finance from Reactive to Predictive
  Drive proactive revenue oversight and cash management, positioning finance as a strategic engine rather than a historical reporting function

Duties & Responsibilities

• Ensures the timely & accurate preparation and dissemination of all internal and external financial reports, including financial statements, income statements, and cash flow reports
• Leads and mentors the fiscal team, supervision functions like accounts payable, accounts receivable, payroll, purchasing and general ledger maintenance
• Coordinates the preparation of annual and monthly grant budgets and financial forecasts, for the entire organization and by health center site and department, noting and explaining variances, and providing timely reports to leadership
• Coordinates the preparation and timely completion of federal, state, and other grant applications with other members of the senior team
• Develops and enforces policies and procedures to safeguard company assets and ensure compliance with GAAP, federal and state regulations, and grant requirements
• Manages regulatory reporting, including Medicare, Medicaid, private insurers and tax filings (federal, state and local), and 340B.
• Maintains an accurate general ledger of all subsidiary accounts on a current basis
• Oversees cash flow to maintain a stable a cash position and to ensure available cash for disbursements
• Oversees patient billing, medical coding accuracy, and collections to ensure efficient cash flow from insurance companies and patients
• Oversees preparation of the Medicaid wraparound and ensures report is completed accurately and timely
• Ensures FQHC report is completed accurately and on time
• Coordinates audits by gathering records for both standard financial and administrative healthcare specific audits, communicates with external auditors and manages levels