Controller

We are seeking an experienced, hands-on Controller to serve as the senior financial leader of a senior residential care and assisted living provider. Reporting directly to the CEO, you'll own the company's full accounting cycle—financial reporting, budgeting, cash flow, payroll, and internal controls—along with our resident funding and collections function across Medical Assistance and private pay. This is the top finance seat in a growing multi-location senior living company. If you're a builder who wants your numbers to translate directly into better care for seniors, we want to meet you.

Responsibilities

• Own the general ledger, month-end and year-end close, and preparation of accurate financial statements.
• Build and manage the annual budget with the CEO; deliver monthly variance analysis with proactive recommendations.
• Manage cash flow forecasting, funding projections, and revenue tracking across Medical Assistance and private pay.
• Oversee the full resident billing cycle—generate and monitor private pay invoices, track payments, and lead collections on delinquent accounts with professionalism and tact.
• Oversee and conduct payroll processing, accounts payable, vendor management, and banking relationships.
• Review and approve all disbursements prior to payment, validating purchases, mileage reimbursements, and vendor invoices against contracted rates, approved terms, and supporting documentation.
• Maintain continuity of vendor relationships and contracted pricing; identify rate increases, duplicate charges, and off-contract spend, and escalate to the CEO with a cost-benefit recommendation.
• Prepare, track, and submit required MA documentation (6790s, Service Agreements, etc.) and ensure timely authorizations and renewals with county case managers.
• Serve as the primary liaison between the company, case managers, and families on funding, balances, and payment arrangements.
• Assist families through MA applications, verifications, and renewals; ensure service authorizations align with resident billing rates.
• Maintain organized, confidential, audit-ready records and lead responses to MDH and DHS audits.
• Ensure compliance with MN Statute 144G, DHS requirements, HIPAA, and internal policies.
• Produce weekly reporting for the CEO on funding status, pending renewals, past-due balances, and cash position.
• Build and continuously improve accounting, billing, and purchasing processes; develop finance support staff as the function grows.

Competencies

• Combines analytical precision with compassionate, professional communication—especially in sensitive financial conversations with families.
• Operates with a player-coach mentality: equally comfortable setting strategy with the CEO and doing the billing work hands-on.
• Maintains rigorous accuracy, documentation discipline, and follow-through on hard deadlines.
• Handles confidential financial and health information with impeccable discretion.
• Navigates regulatory complexity confidently and stays ahead of changing requirements.
• Communicates financial information clearly to non-financial audiences—owners, operators, counties, and families.
• Stays calm and solutions-focused under pressure, including tight cash cycles and audit windows.
• Remains coachable and collaborative, with a growth-oriented mindset and a genuine commitment to continuous improvement.
• Applies sound judgment to spend decisions, evaluating cost against value and advising leadership on whether an expense is warranted.

Requirements

• 5+ years of progressive accounting experience, including full-cycle close ownership
• 5+ years of experience with payroll processing
• Bachelor's degree in Accounting, Finance, or related field; CPA/CMA preferred
• Demonstrated collections experience
• Strong proficiency with QuickBooks Online
• Tech-savvy
• Experience in healthcare, senior living, or another regulated, reimbursement-driven revenue cycle preferred (Medicaid/MA, waiver programs, or comparable third-party billing)

Pay

$110,000–$130,000 base salary, depending on experience. Performance-based bonus opportunity.

Schedule

Full-time, on-site in the Twin Cities metro with occasional travel between locations. Monday–Friday between 9 AM–5 PM with flexibility required.

Benefits

• PTO and company paid holidays