Controller

Codman Square Health Center is a Federally Qualified Health Center serving a diverse community in Dorchester, MA, and surrounding neighborhoods. CSHC offers a full continuum of services such as primary care, urgent care, behavioral health, care management, nutrition, family planning, optometry, dentistry, laboratory, pharmacy, radiology, and medical specialties including HIV care, substance use treatment, Hepatitis C, OB-GYN, Nephrology, and Cardiology alongside an on-site STI clinic.

CSHC is a teaching institution with academic affiliations at Boston University School of Medicine and Boston Medical Center, and a member of the Boston Accountable Care Organization. Our mission is to be our community's first choice for comprehensive, holistic, and integrated services,  and to empower individuals to lead healthy lives and build thriving communities.

Position Summary:

The Controller is responsible for overseeing all financial operations of a federally qualified health center (FQHC)/Hospital Based Community Health Center with annual revenues of approximately $60 million. This position ensures financial integrity, regulatory compliance, grant management excellence, and the effective use of advanced financial technologies to support organizational growth and strategic objectives.

The Controller reports directly to the Chief Financial Officer (CFO) and provides leadership in accounting, financial reporting, budgeting, grants administration, internal controls, and financial systems modernization.

Primary Responsibilities:

Financial Management & Accounting

• Direct all accounting operations, including general ledger, accounts payable, accounts receivable, payroll, cash management, and fixed assets.
• Prepare accurate monthly, quarterly, and annual financial statements in accordance with GAAP.
• Ensure timely month-end and year-end close processes.
• Manage annual audits and coordinate with external auditors.
• Develop and maintain strong internal controls and financial policies.

Grant Management

• Oversee the financial administration of federal, state, local, private foundation, and other grant-funded programs, including Health Resources and Services Administration (HRSA) awards.
• Ensure compliance with HRSA regulations, Uniform Guidance (2 CFR Part 200), Federal Financial Reports (FFRs), Notice of Award (NOA) requirements, and all grantor guidelines.
• Monitor grant budgets, expenditures, drawdowns, and reporting deadlines to ensure funds are utilized appropriately and efficiently.
• Prepare, review, and submit accurate financial reports, reimbursement requests, and grant-related documentation required by HRSA and other funding agencies.
• Collaborate with program directors and department leaders to develop grant budgets, track spending, and maintain compliance with approved funding allocations.
• Establish and maintain internal controls for grant accounting, cost allocation, time and effort reporting, and allowable cost determinations.
• Coordinate grant-related audits, site visits, and compliance reviews, including HRSA operational and financial assessments.
• Support grant application and renewal processes by providing financial data, budget narratives, forecasts, and sustainability analyses.
• Monitor Accounts Receivable related to grant funding, including grant drawdowns, reimbursement requests, and timely collection of awarded funds.
• Maintain accurate grant accounting records and ensure proper reconciliation between the general ledger, grant management systems, and HRSA reporting requirements.
• Provide financial analysis and recommendations to executive leadership regarding grant performance, funding opportunities, and compliance risks.

Budgeting & Financial Planning

• Lead the annual operating and capital budgeting process.
• Monitor organizational performance against budget and forecasts.
• Develop financial models to support strategic decision-making.
• Provide variance analysis and recommendations to executive leadership.

Technology & Financial Systems Leadership

• Lead implementation and optimization of advanced financial technologies, including ERP, budgeting, business intelligence, and grant management systems.
• Utilize data analytics and dashboard reporting tools to improve financial visibility and decision-making.
• Promote automation of accounting processes to improve efficiency and accuracy.
• Partner with IT and operational leadership on system integrations and digital transformation initiatives.
• Evaluate emerging technologies, including AI-driven financial reporting, predictive analytics, and workflow automation solutions.

Compliance & Risk Management

• Ensure compliance with healthcare regulations, grant requirements, and financial reporting standards.
• Maintain effective internal control frameworks and risk management practices.
• Support compliance with Medicare, Medicaid, HRSA, and other healthcare funding requirements.
• Develop and implement corrective action plans as needed.

Leadership & Staff Development

• Supervise and mentor accounting and finance staff.
• Foster a culture of accountability, continuous improvement, and customer service.
• Develop staff competencies in grant accounting, financial analysis, and technology utilization.

Other duties and/or other departments/locations as applies.

Education

• Bachelor's degree in Accounting, Finance, or related field required.
• CPA strongly preferred.
• Master's degree (MBA, MHA, or related field) preferred.

Experience

• 7–10+ years of progressive accounting and financial management experience.
• Minimum 3–5 years in healthcare, community health center, hospital, or nonprofit healthcare finance.
• Significant experience managing federal and state grants.
• Experience overseeing organizations with annual revenues exceeding $40 million.
• Proven experience with ERP systems, financial reporting software, and business intelligence platforms.

Knowledge & Skills

• Strong knowledge of GAAP, nonprofit accounting, and healthcare reimbursement.

• Expertise in grant compliance and Uniform Guidance requirements.
• Advanced financial analysis and forecasting skills.
• Experience with ERP systems such as Oracle, Workday, Sage Intacct, Microsoft Dynamics, or similar platforms.
• Proficiency with data analytics, dashboard reporting, and financial automation tools.
• Excellent leadership, communication, and project management abilities.

Preferred Competencies

• FQHC and HRSA grant experience.
• Advanced Excel, Power BI, Tableau, or similar analytics tools.
• Experience leading digital transformation and finance modernization initiatives.
• Knowledge of AI-assisted financial reporting and process automation technologies.

This description is appropriate for a senior Controller overseeing a healthcare organization with approximately $60 million in annual revenue, substantial grant funding, and a focus on technology-driven financial management.

Physical Requirements:

• Must be able to stand or sit for prolonged periods (at least 50% of the time)

• Ability to lift up to 25 pounds and load onto shelves
• Visual acuity sufficient for frequent reading and computer use