Controller

POSITION SUMMARY

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 youll own the companys 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 youre a builder who wants your numbers to translate directly into better care for seniors we want to meet you.

OBJECTIVES

• 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.

EDUCATION AND EXPERIENCE

• 5 years of progressive accounting experience including full-cycle close ownership
• 5 years of experience with payroll processing
• Bachelors 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)

COMPENSATION & BENEFITS

• $110000$130000 base salary depending on experience
• Performance-based bonus opportunity
• PTO and company paid holidays
• Full-time on-site in the Twin Cities metro with occasional travel between locations
• M-F between 9-5pm with flexibility required