Controller

SUMMARY

Under the direction of the Chief Financial Officer (CFO), the Controller is responsible for the financial management, reporting, and internal controls of the hospital, ensuring accurate financial operations and compliance with regulatory and third-party payor requirements. The Controller is responsible for general accounting, budgeting, payroll, accounts payable, financial reporting, and internal audits to maintain fiscal integrity and operational efficiency.

The Controller has a critical part in budget preparation, financial analysis, and monitoring revenue cycle trends, including third-party payor reimbursements, contracts, and utilization trends. The Controller works closely with department leaders and medical staff to ensure financial strategies align with operational goals while supporting decision-making on spending policies, grants, and business planning. Additionally, the Controller coordinates financial compliance activities, including year-end tax filings, payroll reports, cost reports, and audits, ensuring adherence to regulatory requirements. This position also provides leadership and mentorship to the finance team, ensuring efficient financial operations and high standards of performance.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned 

Financial Leadership

• Advising executive leadership on financial performance, growth opportunities, and third-party reimbursement trends
• Assisting in finalizing budgets and exploring alternatives to maintain profitability
• Providing insights into fiscal, demographic, and market trends affecting reimbursement rates
• Leading initiatives to improve financial efficiency, reduce denials, and enhance collections from payors

Accounting, Cash Flow & Treasury Management

• Overseeing Accounts Payable, Payroll, and General Accounting functions
• Managing cash flow, financial assets, and considering reimbursement timelines from payors
• Ensuring accurate financial reporting and reconciliation of third-party payments and contractual adjustments

Organizational Leadership & Team Development

• Directing and mentoring finance department staff on reimbursement best practices
• Providing training on financial tools, budgeting, and third-party payor requirements
• Supporting executive decision-making on financial impacts of operational changes and reimbursement shifts

Medical & Clinical Financial Integration

• Building relationships with medical staff to align financial and operational goals
• Collaborating on utilization review and physician utilization trends to optimize reimbursement
• Partnering with clinical leaders for financial forecasting, considering third-party payor policies
• Supporting strategic financial planning for clinical operations and value-based care initiatives

Budgeting, Forecasting & Performance Analysis

• Leading budget preparation, monitoring, and execution, including payor mix analysis
• Reviewing operational financial results and making data-driven recommendations
• Directing financial modeling for new business opportunities, factoring in third-party payor contracts
• Evaluating and prioritizing financial analysis requests related to reimbursement and payor negotiations

Compliance, Auditing & Risk Management

• Ensuring compliance with evolving reimbursement structures, including value-based payments and risk-sharing agreements
• Ensuring compliance with financial regulations and reporting requirements for third-party payors
• Supervising internal audit functions to assess financial controls and reimbursement compliance
• Overseeing tax filings, payroll reports, third-party cost reports, and compliance audits related to payors
• Addressing financial risks associated with payor disputes and regulatory changes
• Understands and adheres to Loretto Hospital’s compliance standards as they appear in the Compliance Policy, Code of Conduct and Conflict of Interest Policy. 
• Keeps abreast of all pertinent federal, state and Hospital regulations, laws, and policies as they presently exist and as they change or are modified. 
• Ensures that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.

Perform other duties as assigned.

JOB REQUIREMENTS

Education/Experience

Bachelor’s degree (B.A) from four-year college or university in accounting; plus five to eight years related hospital accounting experience and/or training; or equivalent combination of education and experience.

Certificates, Licenses, Registrations

Bachelor’s degree; CPA or Master’s preferred.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, “Job Duties” are essential job functions.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee frequently is required to talk or hear. The employee is occasionally required to stand; walk; and stoop, knee, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.