Healthcare Controller — Strategic Finance Leader

Beech Valley Solutions; Waianae (HI); On-site; USD 150,000 - 210,000; Full time

Job summary

A healthcare consulting firm is looking for an experienced Senior Controller to manage financial and accounting operations. Responsibilities include ensuring accurate financial reporting and compliance with regulations, alongside leading financial audits and developing internal controls. Candidates should have over 5 years of experience in healthcare finance, a Bachelor's degree in Accounting or Finance, and strong leadership skills. Proficiency in accounting systems and Microsoft Office tools is essential. Competitive compensation package offered for the right candidate.

Qualifications

• 5+ years of progressive experience in healthcare financial management.
• Prior experience as a Controller or Director of Finance.
• Strong knowledge of GAAP, FASB, and accrual accounting.

Responsibilities

• Oversee general accounting, payroll, and purchasing functions.
• Ensure timely and accurate financial reporting.
• Develop and maintain accounting policies and internal controls.
• Lead cost accounting efforts and service line analysis.
• Manage Medicare and Medicaid filings for compliance.

Skills

Leadership

Regulatory compliance

Financial reporting

Analytical skills

Problem-solving

Communication

Education

Bachelor’s degree in Accounting or Finance

Tools

Microsoft Office

Accounting systems

Job description

Beech Valley is seeking an experienced Senior Controller to lead and oversee core accounting and financial operations for a healthcare organization. This role is responsible for ensuring accurate financial reporting, regulatory compliance, and strong internal controls, while partnering with executive leadership to support strategic decision-making. The ideal candidate brings deep healthcare finance experience and a hands-on leadership approach.

What You’ll Do

• Oversee general accounting, payroll, and purchasing functions, including team leadership and development
• Ensure timely and accurate financial reporting, including balance sheet, income statement, and cash flow analysis
• Develop, implement, and maintain accounting policies, procedures, and internal controls
• Lead cost accounting efforts, including service line analysis and profitability improvement initiatives
• Prepare and manage Medicare and Medicaid filings and ensure compliance with reimbursement regulations
• Oversee cash management, fixed assets, and accounts payable/receivable processes
• Partner with senior finance leadership to deliver financial reporting and analysis to executive teams and the Board
• Lead annual financial audits and support internal audit processes
• Ensure compliance with all local, state, and federal reporting and tax requirements

What We’re Looking For

• Bachelor’s degree in Accounting or Finance
• 5+ years of progressive experience in healthcare financial management
• Prior experience as a Controller or Director of Finance within a healthcare organization
• Strong knowledge of GAAP, FASB, accrual accounting, and financial reporting
• Experience with audits, internal controls, and regulatory compliance
• Proven leadership experience managing accounting and finance teams
• Proficiency with accounting systems and Microsoft Office tools
• Strong analytical, problem-solving, and communication skills

Nice to Have

• Experience with integrated healthcare delivery systems
• Familiarity with Financial Edge or similar accounting platforms
• Experience in nonprofit healthcare environments