Interim Controller & FQHC/PACE

Interim Controller, FQHC/PACE, Financial Operations

Position Summary

The Controller is responsible for overseeing the financial integrity, regulatory compliance, and day-to-day accounting operations of a Federally Qualified Health Center (FQHC) and a Program of All-Inclusive Care for the Elderly (PACE). This role ensures accurate financial reporting, supports value-based care initiatives, and maintains compliance with federal, state, and payer-specific requirements, including Medicare, Medicaid, and PACE regulations.

The Controller has an in-depth knowledge of fiscal and business operations, contract negotiations, market trends, industry standards, and business development. The Controller effectively manages all financial activities, including all reporting and budgeting, by maintaining a comprehensive understanding of information from a practice management perspective. The position also coordinates all financial audits.

Minimum Qualifications

• Bachelor’s degree in Finance or Accounting required; Master’s degree preferred
• 8–10 years of health care and non-profit company finance experience required
• 3–5 years of management experience required

Key Responsibilities

• Financial Management & Reporting
• Lead all accounting operations, including general ledger, accounts payable/receivable, payroll, and month-end/year-end close
• Prepare and present timely, accurate financial statements in accordance with GAAP
• Develop internal financial reporting packages for executive leadership and the Board
• Oversee cash flow management, forecasting, and financial performance analysis

FQHC & PACE Financial Oversight

• Ensure compliance with FQHC Prospective Payment System (PPS) and PACE capitation payment models
• Monitor and analyze cost reporting, including Medicare and Medicaid cost reports
• Oversee revenue recognition related to grants, encounter-based billing, and capitation
• Partner with operations to align financial performance with clinical and quality outcomes

Regulatory Compliance & Audit

• Maintain compliance with HRSA, CMS, and state regulatory requirements
• Coordinate and lead annual financial audits, Uniform Guidance (Single Audit), and payer audits
• Ensure strong internal controls and risk mitigation practices
• Oversee preparation and submission of required financial reports and filings

Budgeting & Strategic Planning

• Lead annual budgeting process and ongoing financial forecasting
• Provide financial modeling to support strategic initiatives, including service expansion and PACE growth
• Advise leadership on financial implications of operational decisions

Leadership & Team Development

• Supervise and mentor accounting and finance staff
• Foster a culture of accountability, continuous improvement, and mission alignment
• Collaborate cross-functionally with clinical, operations, and compliance teams

This position supports organizational goals by providing quality customer service, participating in performance improvement efforts, and demonstrating a commitment to teamwork and cooperation.

Qualifications

Education: Bachelor’s degree in Finance or Accounting required. Master’s degree in Business Administration or CPA preferred.

License/Certification: MBA or CPA preferred.

Experience: 8–10 years of health care and non-profit company finance required; 3–5 years of management experience required. Must demonstrate success in business office management, business development, and financial management.

Performance Expectations

Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

Work Environment

This position requires desk/computer work a majority of the time, with some standing and walking and occasional lifting up to 20 pounds. Essential functions of this position are listed on the Assessment and Evaluation Tool.

Reporting Relationship

This position reports to department leadership and supervises incumbents as assigned.

The above statements reflect the general details considered necessary to describe the principal functions of the job as identified and shall not be considered a detailed description of all work requirements that may be inherent in the position.