Healthcare Controller: Strategy, Compliance & FP&A

EverPeak Recruitment; City of Rome (NY); On-site; USD 120,000 - 180,000; Full time

Job summary

Prismhr Hire seeks an experienced Controller to lead financial operations for a healthcare organization. You will oversee accounting, budgeting, financial reporting, reimbursement, compliance, and financial analysis while partnering with executive leadership.

The role requires 3–5+ years in healthcare finance, CPA or MBA preferred, and strong Excel skills. You will manage staff, ensure GAAP compliance, and drive process improvements in a dynamic healthcare setting.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required; CPA or MBA preferred.
• 3–5+ years of healthcare/hospital finance experience, including supervisory or management experience.
• Strong knowledge of healthcare accounting, budgeting, reimbursement, cost accounting, and financial reporting.
• Experience with Medicare/Medicaid reimbursement and healthcare regulatory reporting.
• Advanced Microsoft Excel skills, including financial modeling, reconciliations, pivot tables, and complex formulas.

Responsibilities

• Lead day-to-day financial operations, ensuring accurate and timely reporting, budgeting, and cost management.
• Oversee annual budgets, including operating, capital, and salary expenses, and support departments with budget development.
• Prepare and analyze financial reports, performance metrics, forecasts, and other information for senior leadership.
• Oversee cost accounting and reimbursement activities, including Medicare, Medicaid, and third-party payers.
• Manage preparation of regulatory and institutional cost reports and ensure compliance with applicable financial requirements.
• Supervise and develop finance and accounting staff, promoting efficiency, collaboration, and continuous improvement.
• Ensure compliance with GAAP, internal controls, audit requirements, and applicable healthcare regulations.
• Analyze revenue, expenses, profitability, and financial trends and provide actionable recommendations to leadership.
• Improve financial processes, systems, reporting, and departmental performance.
• Lead or support financial studies, special projects, and other initiatives as needed.

Skills

Analytical skills

Leadership

Communication

Organizational skills

Problem-solving

Education

Bachelor’s degree in Accounting or Finance

CPA preferred

MBA preferred

Tools

Excel

Healthcare accounting systems

Job description

Prismhr Hire seeks an experienced Controller to lead financial operations for a healthcare organization. You will oversee accounting, budgeting, financial reporting, reimbursement, compliance, and financial analysis while partnering with executive leadership.

The role requires 3–5+ years in healthcare finance, CPA or MBA preferred, and strong Excel skills. You will manage staff, ensure GAAP compliance, and drive process improvements in a dynamic healthcare setting.