Senior Controller (Hawaii)

Beech Valley Solutions; Waianae (HI); On-site; USD 130,000 - 200,000; Full time

Job summary

Beech Valley Solutions is seeking an experienced Senior Controller to lead accounting and financial operations for a healthcare organization. This role ensures 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, hands-on leadership, and a proven track record in GAAP, audits, and cost accounting.

Qualifications

• Bachelor’s degree in Accounting or Finance.
• 5+ years in healthcare financial management.
• Controller or Director of Finance experience in healthcare.
• Strong GAAP, FASB, accrual accounting, and financial reporting.
• Experience with audits, internal controls, regulatory compliance.
• Proven leadership of accounting/finance teams.
• Proficiency with accounting systems and Microsoft Office.

Responsibilities

• Oversee general accounting, payroll, and purchasing; lead the team.
• Ensure timely, accurate financial reporting (balance sheet, income statement, cash flow).
• Develop and maintain accounting policies and internal controls.
• Lead cost accounting, service line analysis, profitability improvements.
• Prepare Medicare and Medicaid filings; ensure regulatory compliance.
• Oversee cash management, fixed assets, A/P and A/R processes.
• Partner with senior finance leadership for reporting to execs and Board.
• Lead annual audits and support internal audit processes.
• Ensure compliance with local, state, and federal reporting and tax.

Skills

GAAP knowledge

Leadership

Financial reporting

Regulatory compliance

Analytical skills

Communication

Education

Bachelor's in Accounting or Finance

CPA designation

Tools

Financial Edge

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

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