Controller

Date Posted	January 28, 2026
Industry	Nonprofit
Required Education	Bachelor's Degree
Remote / Telecommute	Hybrid
Job Status	Full-time
Salary	DOE
Website	https://www.ochc-milw.org/

Description:

The Controller is a strategic financial leader and key technical expert responsible for ensuring the fiscal health and integrity of our Community Health Center. Reporting directly to the CFO, this hands-on role oversees all accounting operations, financial reporting, and compliance activities. A pivotal part of this position is serving as a mentor and developer of talent within the finance department, providing guidance and expertise to ensure team growth and success. The ideal candidate will be a collaborative partner who can provides insightful analysis to support our mission-driven goals while ensuring strict adherence to the complex regulatory environment governing federally qualified health centers (FQHCs).

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

Financial Management & Reporting:

• Prepare and oversee the distribution of timely, accurate monthly, quarterly, and annual financial statements in accordance with Generally Accepted Accounting Principles (GAAP) and specific FQHC reporting requirements.
• Develop and maintain dynamic financial dashboards and key performance indicators (KPIs) to monitor organizational performance and provide actionable insights to leadership and the Board.
• Lead the annual budgeting process and regular forecasting in collaboration with department heads and the CFO.
• Manage cash flow, investments, and banking relationships to ensure optimal liquidity.

Budget & Forecasting

• Collaborate with department heads to develop comprehensive operational budgets including revenue projections and expense forecasts.
• Monitor budget performance against actual results, identifying areas for cost savings and making adjustments as needed.

Accounting Operations & Mentoring:

• Serve as a mentor and technical expert to accounting staff, fostering a culture of continuous learning, professional development, and high performance.
• Ensure all account reconciliations and month-end/year-end closings are completed accurately and efficiently.
• Evaluate, implement, and optimize financial systems, software, and internal controls to maximize efficiency and accuracy.

Audit, Compliance & Risk Management:

• Serve as the primary point of contact for the annual financial audit and any program-specific audits, ensuring a smooth and successful process.
• Guarantee compliance with all federal, state, and local regulations, with specialized expertise in Medicare, Medicaid, and 340B drug pricing program requirements.
• Maintain a robust system of internal controls to safeguard organizational assets and mitigate financial risk.
• Stay current on changes in accounting standards and healthcare regulations affecting FQHC, including UDS reporting, HRSA grant requirements, and cost report preparation.

Grant & Cost Reporting:

• Manage UDS (Uniform Data System) financial data compilation and reporting.

• Ensure proper cost allocation methodologies comply with federal regulations.

Strategic Financial Partnership:

• Provide strategic financial analysis and modeling to support decision-making for program development, service expansion, and capital projects.
• Prepare board materials and respond to board inquiries on financial matters.
• Partner with clinical and operational leaders to analyze the financial impact of service lines and identify opportunities for improved cost-effectiveness and revenue cycle performance.

Minimum Qualifications (Knowledge, Skills, and Abilities)

Education & Experience:

• Bachelor’s degree in Accounting or Finance required.

• Minimum 5–7 years of experience of progressive healthcare accounting, preferably in a community health center or FQHC setting. (FQHC experience highly preferred).

Knowledge, Skills, and Abilities:

• Strong understanding of federal and state regulations impacting CHC, including billing and reimbursement guidelines.
• In-depth knowledge of federal grant regulations (2 CFR 200-Uniform Guidance).
• Familiarity with UDS reporting requirements.
• Understanding of HRSA requirements for FQHCs, including cost allocations and sliding fee discounts programs.
• High proficiency in Microsoft Excel (pivot tables, vlookups, advanced formulas).
• Experience with accounting ERP systems; experience with Sage Intacct is a plus.
• Strong understanding of GAAP and not-for-profit accounting principles.
• Exceptional attention to detail and a high degree of accuracy.
• Excellent leadership, organizational, and problem-solving skills.
• Strong interpersonal and communication skills with a patient-centered approach.
• Ability to manage multiple priorities in a fast-paced environment.

CERTIFICATES, LICENSES, REGISTRATIONS: Certified Public Accountant (CPA) license preferred.
 

Outreach Community Health Centers, Inc. is an Equal Opportunity Employer

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https://orchc-milw.applicantstack.com/x/apply/a2n5lm5m9zg0/aa0