Controller

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, you'll own the company's 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 you're 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
• Bachelor's 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

• $110,000–$130,000 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