Controller - Valencia County Hospital

About the role

The Hospital Controller oversees all accounting operations of the hospital, including financial reporting, general ledger, accounts payable, accounts receivable, payroll accounting, fixed assets, cash management, internal controls, and financial compliance. The Controller ensures financial statements are prepared accurately and timely in accordance with Generally Accepted Accounting Principles (GAAP), healthcare regulations, and organizational policies.

Major Responsibilities

• Direct all hospital accounting operations.

• Maintain the general ledger.

• Oversee monthly, quarterly, and annual financial close processes.

• Prepare accurate financial statements.

• Ensure timely reporting to executive leadership and the Board.

• Analyze financial performance and identify trends.

• Maintain chart of accounts.

• Prepare:

  • Balance Sheet

  • Income Statement

  • Statement of Cash Flows

  • Budget-to-Actual reports

  • Departmental financial reports

  • Productivity reports

  • Capital expenditure reports

• Ensure reporting deadlines are met.

• Prepare supporting schedules for audits.

• General Accounting:

  • Oversee: Journal entries, Reconciliations, Accruals, Fixed asset accounting, Depreciation, Intercompany transactions, Inventory accounting, Bank reconciliations, Revenue and Expense Accounting

  • Coordinate accounting for: Patient revenue, Contractual allowances, Charity care, Bad debt, Payroll expenses, Benefits, Physician compensation, Grants, Restricted funds

  • Supervise: Vendor payments, Invoice processing, Check runs, Electronic payments, Vendor reconciliation

• Payroll Accounting:

  • Coordinate payroll accounting by ensuring: Payroll reconciliations, Payroll journal entries, Benefit accruals, PTO accruals, Payroll tax accounting

• Budget Support:

  • Affiliate with CFO to assist with: Annual operating budget, Capital budget, Department budgets, Budget forecasting, Variance analysis

• Internal Controls:

  • Affiliate with CFO to develop and maintain internal controls over: Cash handling, Purchasing, Disbursements, Payroll, Financial reporting, Asset safeguarding, Segregation of duties

  • Recommend process improvements.

• Audit Coordination:

  • Support CFO as accounting contact for: External financial audits, Single audits (if applicable), Medicare and Medicaid cost report support, Internal audits, State regulatory audits

  • Prepare audit schedules and supporting documentation

  • Prepare audit schedules and supporting documentation

  • Prepare audit schedules and supporting documentation

  • Prepare audit schedules and supporting documentation

  • Prepare audit schedules and supporting documentation

  • Prepare audit schedules and supporting documentation

• Regulatory Compliance:

  • Ensure compliance with: GAAP, Governmental Accounting Standards (if applicable), CMS financial reporting requirements, Medicare reimbursement regulations, Medicaid reimbursement regulations, IRS requirements for nonprofit hospitals, State healthcare reporting requirements, Bond covenant reporting, Internal financial policies

• Fixed Assets:

  • Maintain accounting for: Capital assets, Construction in progress, Depreciation schedules, Equipment acquisitions, Asset disposals, Capital project accounting

• Financial Systems:

  • Oversee accounting modules within the hospital ERP system. Examples include: General Ledger, Accounts Payable, Accounts Receivable, Fixed Assets, Payroll interface, Budget software, Financial reporting software

  • Work with Information Technology to optimize financial systems.

  • Lead a team of accounting staff.

  • Recruit, train, coach, and evaluate employees.

  • Establish department goals.

  • Promote continuous process improvement.

  • Foster teamwork and accountability.

  • Develop succession plans.

• Performance Improvement:

  • Identify opportunities to improve: Financial reporting efficiency, Closing timeline, Internal controls, Automation, Accounting workflows, Cost savings, Data accuracy, Knowledge, GAAP, Healthcare reimbursement, Medicare cost reporting, Medicaid reimbursement, Hospital finance, Internal controls, Budget development, Fixed asset accounting, Treasury management, Payroll accounting, Tax reporting for healthcare organizations, Financial statement preparation, Audit standards, Key Performance Indicators (KPIs), Timely month-end close, Accuracy of financial statements, Clean external audit results, Budget variance performance, Days to close the books, Internal control compliance, Timely regulatory reporting, Accounts payable processing accuracy, Balance sheet reconciliation completion, Staff productivity and retention, Financial reporting timeliness

Qualifications

Required Qualifications:

• Master's degree in Accounting or related field

• CPA certification preferred

• Minimum of 8 years of progressive accounting experience

• Experience in healthcare accounting preferred

• Strong analytical skills

• Excellent communication and interpersonal skills

• Ability to manage multiple priorities and meet deadlines

• Proficiency in Microsoft Office Suite

Skills

• Financial analysis

• Internal controls

• Financial reporting

• Payroll accounting

• Fixed asset accounting

• Healthcare reimbursement

• Treasury management

• GAAP

• Medicare cost reporting

• Medicaid reimbursement

• Internal controls

• Automated systems

• ERP systems

• Financial statement preparation

• Audit standards

• Key Performance Indicators (KPIs)

• Timely month-end close

• Accuracy of financial statements

• Clean external audit results

• Budget variance performance

• Days to close the books

• Internal control compliance

• Timely regulatory reporting

• Accounts payable processing accuracy

• Balance sheet reconciliation completion

• Staff productivity and retention

• Financial reporting timeliness

Benefits

Comprehensive benefits package including health insurance, retirement plan, paid time off, and more.

Pay

$100,000 - $125,000 annually

Schedule

Full-time position

Valencia County Hospital is a new 15-bed acute care facility currently under construction in Los Lunas, NM. Owned by Valencia County and operated through a joint venture between Community Hospital Corporation (CHC) and Lovelace Health System, this startup represents a vital investment in rural healthcare and a unique opportunity to build clinical excellence from the ground up.

This is an Equal Opportunity Employer.