Director of Accounting

We are seeking a Controller to lead all accounting and financial reporting functions, with a critical focus on Medicare reporting and regulatory compliance within a healthcare environment.

About the role

This role requires a strong technical foundation and the ability to operate both strategically and hands-on. The ideal candidate will bring deep healthcare accounting expertise and a thorough understanding of reimbursement and reporting requirements.

Responsibilities

• Oversee all accounting operations including general ledger, month-end close, and financial reporting
• Lead and manage Medicare and cost reporting processes, ensuring full regulatory compliance
• Manage multi-entity consolidations and intercompany transactions
• Ensure compliance with GAAP and healthcare-specific regulatory requirements
• Cook up and enhance internal controls and accounting policies
• Coordinate and lead the annual audit process
• Partner with leadership on financial performance, budgeting, and operational insights
• Lead, develop, and mentor the accounting team

Requirements

• CPA required
• Healthcare industry experience required (hospital, health system, rehabilitation, post-acute, or similar)
• Direct experience with Medicare reporting and/or cost reports
• 8+ years of progressive accounting experience
• Strong expertise in financial reporting, consolidations, and audit
• Pioneering ability to lead while remaining hands-on
• Experience in a multi-entity or complex organizational structure

Qualifications

• Current Controller or Assistant Controller within a healthcare organization
• Accounting leader with deep experience in Medicare reimbursement and reporting
• CPA with healthcare-focused public accounting experience and exposure to cost reporting

Skills

The ideal candidate will have a combination of technical skills and soft skills, including:

• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to work independently and collaboratively
• Proficiency in Microsoft Office Suite

Benefits

We offer a competitive salary range of $130,000 - $180,000 per year, a stable organization with continued expansion, a hybrid work environment, and opportunities for long-term growth into senior finance leadership.

Pay

The salary range listed does not include bonus, additional compensation perks.

Schedule

Our organization offers a flexible hybrid work schedule.

Job Details

We are a mission-driven, multi-entity healthcare organization serving communities across the region. With a strong reputation for clinical excellence and patient outcomes, we operate in a dynamic environment that combines stability with continued growth. Our finance team is a key driver of organizational success—ensuring financial integrity, regulatory compliance, and strategic insight across a complex healthcare landscape.

Why join us?

• Direct impact on a healthcare organization that serves the community at a high level
• High-visibility role partnering with executive leadership
• Exposure to complex, multi-entity healthcare operations
• Clear path for long-term growth into senior finance leadership
• Stable organization with continued expansion
• Hybrid work environment

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