Healthcare Controller | GAAP, Grants & Leadership

Socket.dev; Medicine Lake (MT); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

HSA and FSA

Disability Coverage

Life Insurance

401(k) with employer match

PTO and Holidays

Job summary

Alluvion Health seeks an experienced Controller to lead financial operations for a growing healthcare organization in Great Falls, MT. Reporting to the CFO, you will oversee core accounting functions, financial reporting, internal controls, budgeting, grant accounting, and audit preparation, while guiding the Finance team.

You will drive monthly close, GAAP-compliant reporting, and financial planning. A strategic partner to leaders, you’ll monitor performance, ensure compliance, and support

Qualifications

• Bachelor's degree in Accounting, Finance, or a closely related field.
• Minimum of five (5) years of fiscal management experience.
• Strong working knowledge of Microsoft Excel, Word, Outlook, and accounting systems.
• Valid driver's license.

Responsibilities

• Oversee daily accounting operations, including general ledger, accounts payable, accounts receivable, payroll, grants receivable, and fixed assets.
• Lead monthly and annual financial close processes, including general ledger reconciliations.
• Ensure timely and accurate preparation of monthly, quarterly, and annual financial statements in accordance with GAAP.
• Analyze financial performance, trends, budget variances, and operating results by program or service line.
• Prepare financial reports for leadership, auditors, regulatory agencies, and other stakeholders.
• Develop, implement, and maintain strong accounting policies, procedures, and internal controls.
• Lead annual budgeting, forecasting, and financial planning activities.
• Partner with department leaders to monitor financial performance and understand budget variances.
• Oversee grant accounting, restricted funds, and grant-related financial reporting.
• Ensure compliance with federal grant requirements, including Uniform Guidance.
• Coordinate annual financial audits, prepare audit schedules, and respond to auditor requests.
• Support preparation of Medicare Cost Reports, UDS submissions, and other required financial filings.
• Supervise, coach, and develop assigned Finance team members.
• Work closely with the CFO to provide financial analysis and insights that support strategic decision-making.
• Serve as a financial resource to leaders throughout the organization.
• Support special projects, financial analysis, and organizational initiatives as needed

Skills

GAAP knowledge

Financial reporting

Budgeting

Internal controls

Grant accounting

Regulatory compliance

Staff supervision

Communication

Analytical

Organization

Education

Bachelor's degree in Accounting, Finance, or related field

Five years of fiscal management experience

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Accounting software

Job description

Alluvion Health seeks an experienced Controller to lead financial operations for a growing healthcare organization in Great Falls, MT. Reporting to the CFO, you will oversee core accounting functions, financial reporting, internal controls, budgeting, grant accounting, and audit preparation, while guiding the Finance team.

You will drive monthly close, GAAP-compliant reporting, and financial planning. A strategic partner to leaders, you’ll monitor performance, ensure compliance, and support