Job Description

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Controller

Location:

Great Falls, MT

Department:

Finance

Reports To:

Chief Financial Officer (CFO)

Supervises:

Payroll, Accounts Receivable, Accounts Payable

Status:

Full-Time | Exempt

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Join Our Team

Join Alluvion Health and help us fulfill our mission of Creating and Inspiring Healthier Lives.

We're seeking a

Controller

to lead our finance and accounting operations. Reporting to the CFO, this role oversees payroll, accounts payable, and accounts receivable while ensuring compliance with GAAP, internal controls, and federal grant regulations.


The ideal candidate is a strategic and hands-on financial leader with a strong background in nonprofit or healthcare finance. You'll guide a talented accounting team, collaborate with leadership on budgeting and forecasting, and support Alluvion's mission through sound financial management and transparent reporting.


If you're a CPA or experienced accounting professional who thrives on accuracy, mentorship, and purpose-driven work, we'd love for you to join our team at Alluvion Health in Great Falls, Montana.

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About Alluvion Health

Alluvion Health is a Federally Qualified Health Center (FQHC) providing comprehensive medical, dental, and behavioral health services across north-central Montana.

Our mission is simple but powerful:

Creating and Inspiring Healthier Lives.

We believe in compassionate, high-quality care that supports both our patients and our community.

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Position Summary

The Controller plays a key leadership role in overseeing Alluvion Health's financial operations. Reporting directly to the CFO, this position ensures compliance with accounting standards, manages daily financial functions, and drives process improvements across payroll, accounts payable, and accounts receivable.

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Key Responsibilities

Accounting Operations

Oversee all accounting functions, including general ledger, payroll, accounts payable/receivable, and fixed assets. Ensure timely and accurate monthly, quarterly, and annual financial statements in compliance with GAAP. Manage month-end and year-end close processes and reconcile general ledger accounts.

Financial Reporting & Compliance

Prepare financial reports for leadership, auditors, and regulatory agencies. Analyze and interpret financial performance by program and service line. Ensure compliance with federal, state, and local regulations, including Uniform Guidance for federal grants. Assist CFO with Medicare Cost Reports, UDS submissions, and related filings.

Internal Controls & Policy Development

Develop, implement, and monitor internal financial controls, policies, and procedures. Ensure policies align with current accounting standards and organizational needs.

Budgeting & Planning

Lead the annual budgeting process and prepare financial forecasts. Partner with department leaders to monitor performance and provide variance analysis.

Grant Management

Oversee grant accounting and ensure compliance with funding requirements. Track restricted funds and prepare required grant financial reports.

Audit & Reporting

Coordinate annual audits and prepare required documentation. Maintain audit-ready records to ensure clean audit outcomes.

Leadership & Collaboration

Supervise, train, and mentor accounting staff. Collaborate with leadership to provide data-driven insights that inform strategic decisions.

Other Duties

Perform other related duties as assigned by the CFO or senior leadership.
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Qualifications

Education & Experience

Bachelor's degree in Accounting, Finance, or related field required. Minimum of five (5) years of progressive fiscal management experience; healthcare experience preferred. Nonprofit or grant-funded experience strongly preferred (Uniform Guidance experience a plus). Master's degree in Accounting, Finance, or Business Administration preferred. CPA designation preferred.

Knowledge & Skills

Deep understanding of GAAP, nonprofit accounting, and federal grant regulations. Experience with budget development, forecasting, and variance analysis. Proven leadership experience in accounting or finance teams. Proficiency in accounting software and Microsoft Office Suite (especially Excel). Strong communication, organization, and problem-solving skills.

Licenses/Certifications

Valid Montana Driver's License required.
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Work Environment & Physical Requirements

Primarily office-based in a climate-controlled environment. Occasional lifting (up to 40 lbs) of files, equipment, or supplies. Requires sitting for extended periods, frequent computer use, and occasional travel to clinic sites.
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Schedule

Monday - Friday | Full-time | Exempt | Typically a 40-hour workweek.

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Why Join Alluvion Health

Alluvion Health offers a comprehensive benefits package, including:

Medical, Dental, and Vision Insurance Medical & Dependent Care Flexible Spending Account Health Savings Account Short-Term Disability, Critical Illness, and Hospital Indemnity Group Life and AD&D Coverage Company-Paid Life and AD&D Policy ($25,000) 401(k) Retirement Plan with up to 8% Employer Match * Generous Paid Time Off (PTO), Paid Holidays, and Wellness Leave