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Island Health · 18 hours ago

Controller

Anacortes, WA

Full-time

Onsite

Senior Level

$46.29/hr - $69.44/hr

5+ years exp

Island Health is committed to caring for those who care for others. As the Controller, you will lead the hospital’s accounting operations, ensuring the integrity and accuracy of financial records and reporting while overseeing key transactional workflows.

Health CareHealth DiagnosticsMedicalTherapeutics

Responsibilities

You will supervise all accounting staff, which include Account Payable Coordinator, Payroll Coordinator, Staff Accountant and Senior Accountants, provides functional leadership to finance operations processes

Lead monthly, quarterly, and annual close to produce timely, accurate, and complete financial statements in accordance with GAAP and applicable state/federal requirements

Oversee general accounting activities including general ledger, revenue recording, accounts payable/receivable support, and related reconciliations

Ensure consistent application of accounting procedures and effective bookkeeping practices across the department

Analyze complex financial data, resolve inconsistencies, and provide clear, actionable reporting to leaders (and Board-facing support as needed)

Attend monthly Finance Committee meeting and take minutes

Oversee payroll accounting processes to ensure payroll is accurate, fully supported, and properly recorded in the general ledger, with timely reconciliations and issue resolution

Ensure all pay rules are in alignment with all employee contracts including collective bargaining agreements

Partner with the Office of Talent Management to ensure reliable employee data flow (e.g., hires, terminations, job changes, leave), and to strengthen end-to-end internal controls that reduce payroll error risk

Design verification and review controls (pre- and post-payroll), including reconciliations, exception reporting, and documentation standards to reduce manual error and rework

Oversee AP workflows to ensure invoices are processed accurately and on time, aligned with approval policies, contract terms, and cash management priorities

Strengthen invoice routing/approval, matching/validation, vendor file controls, and exception handling to reduce delays and payment errors

Implement efficiency improvements and clear SOPs that reduce cycle time, prevent duplicate/incorrect payments, and improve throughput—especially during staffing transitions

Maintain and continuously improve the internal control structure through documentation, education, monitoring, and enhancements

Evaluate and document accounting policies and emerging reporting issues; prepare written support (“white papers”) and audit-ready documentation for key judgments and controls

Coordinate external audits and required reporting support, including tax-related items as applicable to the organization

Ensure compliance with applicable regulations, hospital policies, and payer/government reporting requirements as applicable

Maintain and improve internal controls over financial reporting, cash handling, payroll accounting, and disbursements

Provide accounting support and coordination for Medicare/Medicaid cost report preparation and related audit requests, ensuring accurate inputs, reconciliations, and support schedules

Support development of forecasting models, the annual budget process, and multi-year capital planning through accurate actuals, sound assumptions, and well-documented analyses

Provide accounting and reporting support for treasury-related activities and investment reporting, including performance analysis against benchmarks where applicable

Establish and monitor performance dashboards for finance operations (e.g., close timeliness, reconciliation completion, AP cycle time, payroll corrections/error rates) and lead continuous improvement efforts

Promote a proactive, collaborative team culture emphasizing respect, quality, customer service, innovation, and teamwork

Supervise and develop accounting staff; set clear expectations, provide coaching, and ensure appropriate workload management

Work collaboratively with leaders across the hospital to support accurate coding of expenses, timely information flow, and resolution of accounting issues

Qualification

Financial ReportingGAAP CompliancePayroll AccountingAccounts PayableAccounting Systems/ERPsAdvanced ExcelData AnalysisProject ManagementCommunication SkillsLeadership SkillsDocumentation SkillsTeam Collaboration