Healthcare Controller - Finance Leader & GAAP Expert

Clark Fork Valley Hospital; Plains (MT); On-site; USD 140,000 - 180,000; Full time

Benefits offered by this job

Relocation assistance

Job summary

Clark Fork Valley Hospital in Plains, MT seeks a Controller to lead the Fiscal Services Department, overseeing payroll, accounts payable, general ledger, and financial reporting, while ensuring GAAP compliance and strong internal controls. The role reports to the CFO and drives budgeting, cash flow, audits, and analytics to support executive decisions.

The candidate will guide a high-performing team, partner with clinical and operational leaders, and help advance financial strategy for a growing

Qualifications

• Bachelor's degree in Accounting, Finance or related field with accounting concentration.
• Five to eight years of progressively responsible accounting experience.
• Minimum of two years of supervisory or management experience.
• Strong knowledge of accounting principles, financial reporting, budgeting and internal controls.
• Proficiency with accounting software/ERP systems and Microsoft Excel.
• Excellent analytical, organizational, verbal, and written communication skills.
• Ability to communicate complex financial information to non-financial stakeholders.
• Ability to manage multiple priorities, meet deadlines, and maintain confidentiality.
• High level of integrity and commitment to ethical financial practices.

Responsibilities

• Oversee all accounting functions, including general ledger, accounts payable, payroll, fixed assets, cash management, and financial reporting.
• Prepare timely and accurate monthly, quarterly, and annual financial statements.
• Develop management reports and collaborate with Revenue Cycle and operational leaders to resolve accounting issues and improve financial processes.
• Prepare and maintain operational statistics, financial metrics, and key performance indicators.
• Lead the annual budgeting process across all clinical and support departments.
• Provide financial analysis, forecasting, and decision support to executive leadership.
• Manage month-end and year-end close processes, account reconciliations, and financial consolidations.
• Monitor and manage organizational cash flow.
• Coordinate external financial audits, tax reporting, annual surveys, cost reporting, and other required regulatory filings.

Skills

GAAP knowledge

Financial reporting

Budgeting

Internal controls

Microsoft Excel

Education

Bachelor's degree in Accounting/Finance with accounting concentration

Tools

ERP systems

Accounting software

Job description

Clark Fork Valley Hospital in Plains, MT seeks a Controller to lead the Fiscal Services Department, overseeing payroll, accounts payable, general ledger, and financial reporting, while ensuring GAAP compliance and strong internal controls. The role reports to the CFO and drives budgeting, cash flow, audits, and analytics to support executive decisions.

The candidate will guide a high-performing team, partner with clinical and operational leaders, and help advance financial strategy for a growing