Controller

Controller - Full-time - Durango Integrated Healthcare, Durango, Colorado

This position does not offer remote opportunities or relocation stipend.


Position Summary: The Controller is a hands-on financial leader responsible for the full accounting function of a mission-driven nonprofit integrated health care organization. Reporting to the CFO, this role leads day-to-day accounting operations, safeguards financial integrity, maintains an efficient close and reporting cycle, strengthens internal controls, and ensures compliance with generally accepted accounting principles, nonprofit requirements, grants and contracts, and applicable health care regulations. The Controller partners with clinical, revenue cycle, development, human resources, and executive leaders to produce reliable information that supports sound decisions and sustainable delivery of care.

Qualifications:


Required

• Bachelor's degree in accounting, finance, or a related field.
• At least 15 years of progressively responsible accounting experience, including ownership of the close and financial reporting process and at least three years of supervisory experience.
• Strong knowledge of U.S. GAAP, internal controls, reconciliations, financial statement preparation, and audit support.
• Demonstrated ability to manage detailed transactional work while improving processes and advising senior leaders.
• Advanced spreadsheet skills and experience with modern accounting and reporting systems.
• Excellent judgment, organization, analytical ability, written communication, and interpersonal skills.
• Commitment to confidentiality, ethical stewardship, and the organization's mental health care mission.

Preferred

• Certified Public Accountant (CPA) or equivalent advanced credential.
• Experience in nonprofit health care, behavioral health, community mental health, or a similarly regulated human services environment.
• Knowledge of nonprofit fund accounting, donor restrictions, government grants, Uniform Guidance, Medicaid or Medicare reimbursement, and Single Audit requirements.

Salary: Starting pay is $110,156.80 - $127,545.60 annualized and considers preferred experience described above.

Full-Time Benefits:
Medical (HDHP or PPO) Health Savings Account Dental Flexible Spending Account Vision Dependent Care Account Life Insurance Short Term Disability Pet Insurance Long Term Disability 401k offering up to 4% match College Invest plans Annual Wellness Benefits Professional development benefits (3) weeks of All Paid Leave (APL) for first 2 years with full-time employment. Personal Days (9) Company Paid Holidays Loan Repayment Programs
Duties and Responsibilities
Accounting Operations and Close

• Lead the full accounting cycle, including general ledger, accounts payable, accounts receivable, cash receipts, fixed assets, leases, prepaid expenses, accruals, payroll accounting, allocations, and intercompany activity.
• Own the monthly, quarterly, and annual close; establish schedules, review reconciliations and journal entries, resolve variances, and deliver timely, accurate financial statements.
• Maintain the chart of accounts, accounting policies, closing calendar, supporting schedules, and documentation standards.
• Ensure appropriate accounting for net assets with and without donor restrictions, contributions, grants, contracts, program service revenue, and other funding sources.

Financial Reporting, Analysis, and Budget Support

• Prepare clear monthly and annual financial statements, management reports, departmental results, forecasts, cash analyses, and variance explanations.
• Support the annual operating and capital budget process, including templates, assumptions, consolidations, and ongoing budget-to-actual monitoring.
• Develop useful reporting for executive leadership, the Finance Committee, and the Board of Directors.
• Translate complex financial information for nonfinancial leaders and recommend corrective actions when results differ from plan.

Health Care Revenue and Reimbursement

• Partner with revenue cycle and clinical operations to reconcile patient service revenue, receivables, contractual adjustments, denials, refunds, unapplied cash, and payer settlements.
• Review accounting estimates and reconciliations associated with Medicaid, Medicare, managed care, commercial insurance, self-pay, and other third-party reimbursement, as applicable.
• Lead preparation of cost reports, rate documentation, payer audits, and other reimbursement-related filings.

Grants, Contracts, and Donor Restrictions

• Oversee grant and contract accounting, including award setup, restricted-fund tracking, allowable-cost review, indirect-cost allocation, invoicing, drawdowns, match requirements, and financial reporting.
• Partner with program and development teams to monitor spending, meet reporting deadlines, and address budget or compliance risks.
• Maintain auditable records for government, foundation, and donor-funded programs.

Audit, Tax, Compliance, and Internal Controls

• Coordinate the annual financial statement audit; manage schedules, requests, and issue resolution.
• Prepare or review support for Form 990, state charitable registrations, tax filings, and other required financial reports in coordination with external advisers.
• Design, document, test, and continuously improve internal controls, segregation of duties, approval authorities, fraud prevention measures, and financial policies.
• Maintain audit readiness throughout the year and lead timely remediation of findings.

Systems, Process Improvement, and Data Integrity

• Serve as a finance systems owner for the general ledger and connected payroll, expense, billing, banking, purchasing, and reporting platforms.
• Strengthen workflows through automation, standardization, and clear documentation while preserving effective controls.
• Maintain financial data quality across systems and lead issue resolution with information technology, vendors, and operational teams.

Team Leadership and Organizational Partnership

• Lead, coach, and develop accounting staff; set clear responsibilities, service standards, cross-training plans, and performance expectations.
• Build productive relationships with operations, clinical services, revenue cycle, grants, development, human resources, and information technology.
• Promote accountability, confidentiality, responsiveness, and continuous improvement within the finance function.
• Serve as the CFO's primary operational accounting partner and provide coverage for critical finance functions when needed.
• Perform other duties and special projects consistent with the role.

Knowledge, Skills and Abilities

• Mission-centered stewardship: Connects sound financial management to access, quality, and continuity of mental health care.
• Hands-on ownership: Moves comfortably between detailed accounting work and enterprise-level analysis.
• Controls mindset: Anticipates risk, documents processes, and balances compliance with efficient service.
• Collaborative communication: Explains financial matters clearly and builds trust across clinical and administrative teams.
• Continuous improvement: Simplifies work, develops people, and creates scalable, reliable processes.

Working Conditions/Physical Demands

• Employees must occasionally lift and/or move 15 to 50 pounds. Employees are frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Must have ability to sit for long periods of time at computer.
• Employees must be able to travel between Axis locations. Depending on the position, employee may also be expected to engage in occasional statewide and domestic travel.
• Working in a healthcare organization lends itself to the possibility of exposure to communicable disease.
• Noise level in the working environment is usually moderate.
• Annual Flu immunization by November 1, annual TB Screening, complete de-escalation training, and BLS certification, as required for position.
• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of their position.

About our Axis Health System:


We are the leading provider of behavioral health and integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. As a therapist in our clinic, you'll have access to a wide range of resources for your patients. We have recovery groups, Medication Assisted Treatment (MAT), specialized mental health outpatient programs, primary care, diabetes education, crisis services, resource navigators, insurance enrollment specialists, tele-video systems to access our locations across the region and more. We work to make sure you have what you need at your fingertips to be successful in your position and support your patient in their road to recovery.

Commitment to Pay Standards: We are committed to fair and equitable hiring with salaries based on relevant factors, such as work experience, education, and certification/licensure (rather than wage history).


Please visit our website at , to apply for this position and for more information about our organization. All qualified applicants will receive consideration for employment, transfer, or promotion opportunities.


About Durango/Pagosa Springs:

If you're interested in Rocky Mountain wildlife, white water rafting, hiking in to discover nature's most beautiful waterfalls, or a breathtaking car ride on the San Juan Skyway, then Durango and Pagosa Springs are the place for you! As with so many areas on the Western Slope, you have now entered an outdoor enthusiast's paradise. Just minutes from zip lining through the treetops, to soaking in thePiedra River Hot Springs, located in the national forest, after a day of hiking any one of the many trails, and when the season is right, you can be snowboarding or camping in the mountains that surround this beautiful area. Take a ride on the historic Durango & Silverton Narrow Gauge Railroad Train and enjoy the stunning views of the San Juan National Forest. You're also a mere 35-minute car ride to Mesa Verde National Park. Just outside the doors of our clinics, you'll find beautiful parks with walking paths and opens spaces to enjoy. Durango has an airport located minutes from our clinics which has service to Denver, Phoenix and Dallas-Fort Worth daily. Learn more about our area here: Visit Durango, CO Official Tourism Site of Durango, Colorado