On-Site Controller: Multi-Entity Healthcare Finance Leader

Alliance for Care at Home; Modesto (CA); On-site; USD 120,000 - 150,000; Full time

Job summary

Alliance for Care at Home is seeking a hands-on Controller to lead accounting and payroll across five entities for a Modesto-based home health and hospice organization. The role is on-site five days per week and requires GAAP expertise, multi-entity and intercompany accounting, and Paycom/payroll experience.

The successful candidate will partner with leadership to improve financial visibility, drive a timely close, and support growth while mentoring staff and maintaining audit readiness.

Qualifications

• Current or recent Controller-level experience with strong hands-on accounting skills.
• Knowledge of GAAP, financial reporting, close, controls, and audit readiness.
• Multi-entity and intercompany accounting experience.
• Proficiency with QuickBooks Online and QuickBooks Enterprise.
• Treasury, cash-flow forecasting, working-capital, and payroll experience; Paycom is preferred.
• Experience leading and mentoring accounting staff.
• A personable, adaptable, low-ego leadership style and the ability to work well with different personalities.
• Ability to work on-site in Salida five days per week initially.
• Bachelor's degree in accounting, finance, business, or a related field, or equivalent experience; CPA is preferred.

Responsibilities

• Lead accounting and close. Maintain accurate books, consistent practices, and a timely close across five entities.
• Manage multi-entity reporting. Oversee intercompany activity, reconciliations, eliminations, financial statements, and management reporting.
• Strengthen controls. Maintain GAAP-compliant accounting, reliable subledgers, internal controls, and audit-ready records.
• Oversee cash and working capital. Lead cash-flow forecasting, banking, liquidity planning, accounts payable, accounts receivable, and collection visibility.
• Own payroll. Supervise payroll operations and controls in partnership with the payroll specialist; Paycom experience is preferred.
• Support planning. Partner with the CEO and leadership team on budgets, forecasts, major costs, and business decisions.
• Lead the team. Coach the lead accountant, accounts payable specialist, and payroll specialist while building accountability and trust.
• Partner across the business. Work closely with billing and operations, adapt processes as needed, and help finance scale with the organization.

Skills

Hands-on accounting

GAAP knowledge

Intercompany accounting

Multi-entity accounting

Payroll experience

Paycom

Leadership

Mentoring

Communication

Education

Bachelor's degree in accounting/finance/business

CPA preferred

Tools

QuickBooks Online

QuickBooks Enterprise

Job description

Alliance for Care at Home is seeking a hands-on Controller to lead accounting and payroll across five entities for a Modesto-based home health and hospice organization. The role is on-site five days per week and requires GAAP expertise, multi-entity and intercompany accounting, and Paycom/payroll experience.

The successful candidate will partner with leadership to improve financial visibility, drive a timely close, and support growth while mentoring staff and maintaining audit readiness.