Controller

Talna Hospice Care is a Medicare-certified hospice based in Murrieta, California. Since 2018 we’ve cared for patients and families across Murrieta, Temecula, Menifee, Wildomar, Lake Elsinore, and the rest of southwest Riverside County. We provide all four levels of hospice care, at home, in assisted living and skilled nursing communities, and in hospitals, through a team of physicians, nurses, aides, social workers, chaplains, and volunteers.

Our care is guided by compassion, connection, and dignity. Strong finances are what let us keep that promise. When the books are right, the cost report is clean, and cash is steady, our clinical team can stay focused on patients and families.

About the Role

We’re hiring a Controller to lead Talna’s finance and accounting function. This is the senior finance role in the agency. You’ll own the close, the financial statements, internal controls, audits, and the hospice-specific reporting that keeps us compliant with Medicare, and you’ll give leadership the numbers and insight they need to make good decisions.

You’ll lead our Accounting Manager and Bookkeeper, partner closely with our Administrator, billing team, and outside CPA, and report directly to the Administrator and ownership. Your work shapes how the agency grows.

If you’ve led finance in hospice, you already speak the language: per-diem reimbursement by level of care, the aggregate and inpatient caps, the hospice cost report, room and board pass-through, and Medicare reviews. If your background is in home health, skilled nursing, or another Medicare-reimbursed setting, much of what you know carries over, and we’ll support you on the hospice-specific pieces.

Why This Role

• A true leadership seat with direct access to ownership, not one layer of many in a large finance org
• Fully remote from anywhere in the U.S.
• Competitive pay, discretionary bonuses, profit-sharing, and a full benefits package
• A chance to build: strengthen controls, improve reporting, and shape the finance function as we grow
• Work that matters. Every number you protect supports care for people at the end of life and the families who love them

What You’ll Do

Finance Leadership

• Lead, coach, and develop the accounting team, including the Accounting Manager and Bookkeeper
• Set priorities, deadlines, and standards for the finance function and hold the team to them
• Serve as the primary finance partner to the Administrator and ownership
• Build and document accounting policies, procedures, and a reliable close calendar

Close and Financial Reporting

• Own the monthly, quarterly, and year-end close and deliver accurate GAAP financial statements on schedule
• Review and approve journal entries, accruals, and balance sheet reconciliations
• Produce a monthly financial package for leadership with clear commentary on results and trends
• Report revenue, cost, and margin by level of care: routine home care, continuous home care, general inpatient, and respite
• Track key hospice metrics such as average daily census, length of stay, cost per patient day, and days sales outstanding (DSO)

Hospice and Medicare Compliance

• Monitor the Medicare hospice aggregate cap and inpatient cap throughout the year, forecast exposure, and plan accruals and repayments
• Own preparation of the annual Medicare Hospice Cost Report with our outside accountant, including the supporting statistics and workpapers
• Oversee accounting for room and board pass-through payments to skilled nursing and long-term care facilities
• Support financial documentation for Medicare reviews and audits, including ADRs, TPE, and UPIC or RAC requests
• Ensure remittances and any records containing protected health information (PHI) are handled in line with HIPAA and Talna’s privacy policies

Revenue Cycle Oversight

• Partner with the billing team to monitor claims, Notices of Election (NOEs), denials, takebacks, and recoupments
• Reconcile Medicare, Medi-Cal, Medicare Advantage, and commercial payments to the general ledger
• Review aging, collections, and cash posting, and fix the root causes behind recurring issues

Budgeting, Cash, and Planning

• Lead the annual budget and rolling forecasts with the Administrator and department leads
• Manage cash flow, cash forecasting, and banking relationships
• Analyze staffing costs, contracted services, and vendor spend, and recommend where to save or invest
• Model the financial impact of growth decisions, new service areas, and payer changes

Audit, Tax, and Controls

• Lead the annual external audit or review and serve as the main contact for auditors
• Coordinate tax filings and workpapers with our outside CPA
• Design, maintain, and test internal controls over cash, payables, payroll, and revenue
• Oversee payroll accounting for salaried, hourly, per-visit, and on-call clinical staff
• Oversee accurate tracking of charitable donations and restricted program funds

What You Bring

Required

• Bachelor’s degree in Accounting, Finance, or a related field
• 8+ years of progressive accounting experience, including 3+ years as a Controller, Assistant Controller, or Accounting Manager in a lead role
• Proven experience leading and developing an accounting team
• Hands-on ownership of the month-end close and preparation of GAAP financial statements
• Experience managing an external audit or review
• Strong knowledge of GAAP, accrual accounting, and internal controls
• Advanced Excel or Google Sheets skills and strong working knowledge of QuickBooks or a comparable accounting system
• Clear communication with non-finance leaders and the judgment to handle confidential financial and health information
• A quiet, private workspace, reliable high-speed internet, and comfort leading a team remotely

Preferred

• CPA (active or inactive) or CMA
• Finance leadership experience in hospice, home health, skilled nursing, or another Medicare-reimbursed provider
• Experience with the Medicare hospice cap calculation and the Hospice Cost Report
• Familiarity with per-diem reimbursement, room and board pass-through, and Medicare review processes
• Exposure to hospice or home health EMR and billing systems such as WellSky, HCHB, Axxess, or similar
• Experience building finance processes at a growing, owner-led organization
• Location: Fully Remote (open to candidates anywhere in the United States)
• Department: Operations / Finance
• Reports to: Administrator and Ownership
• Salary: $140,000 to $165,000 per year, plus discretionary bonuses and profit-sharing

Pay and Benefits

The salary range for this role is $140,000 to $165,000 per year, based on experience and qualifications. Discretionary bonuses and profit-sharing are additional.

Our full benefits package includes:

• Medical, dental, and vision insurance
• 401(k) retirement plan with employer contribution
• Paid time off and paid holidays
• Paid sick leave
• Life insurance and short-term and long-term disability coverage
• Flexible spending (FSA) and/or health savings (HSA) options
• Employee Assistance Program (EAP)
• Professional development and continuing education support, including CPE
• Company-provided laptop and equipment for remote work

Talna Hospice Care and its affiliates’ compensation program includes base salary, discretionary bonuses, and profit-sharing. The anticipated base salary range(s) shown above are only for the indicated location(s) and may differ in other locations due to cost of living and labor considerations. Base salaries may vary based on factors such as skill, experience and qualification for the role. Talna Hospice Care total rewards package recognizes your contributions with more than just a paycheck. From long-term savings, healthcare, and income protection to professional development opportunities and time off, our programs support your overall well-being.

We Value Diverse Experiences

We value diverse experiences and transferable skillsets. If your career hasn’t followed a traditional path, includes alternative experiences, or doesn’t meet every qualification or skill listed in the job description, please do go ahead and apply.

Equal Opportunity Employer

Talna Hospice Care is an Equal Opportunity Employer. We are committed to building a workplace where every employee is respected, supported, and given a fair chance to grow, and we believe the families we serve are best cared for by a team that reflects the communities around us.

All employment decisions, including recruiting, hiring, compensation, training, promotion, discipline, and termination, are made on the basis of qualifications, merit, and business need. We do not discriminate against any employee or applicant on the basis of race, color, religion or creed (including religious dress and grooming practices), national origin, ancestry, citizenship, sex, pregnancy, childbirth, breastfeeding, or related medical conditions, sexual orientation, gender, gender identity, gender expression, age, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, military or veteran status, reproductive health decision-making, or any other characteristic protected by applicable federal, state, or local law.

In accordance with applicable state and local fair chance laws, including the California Fair Chance Act where it applies, we will consider qualified applicants with arrest or conviction records. As a Medicare-certified healthcare provider, Talna is required to complete background checks and federal and state exclusion screenings (including the OIG and Medi-Cal exclusion lists) after a conditional offer of employment. Any findings will be reviewed individually and in line with applicable law.

Talna Hospice Care does not tolerate harassment or retaliation of any kind, including against anyone who raises a concern in good faith.