Controller - Outer Cape Health Services

Our Culture: Why work with us?

Joining Outer Cape Health Services isn't just about taking on a new role; it's about embracing a mission that goes beyond the day-to-day. Here, you become part of a dedicated team committed to safeguarding and nurturing invaluable community health resources. Our ethos is built on creating a vibrant and inclusive workplace where every team member is valued and recognized for their unique contributions.

Who We Are :

Our mission is to provide a full range of primary health care and supportive social services that promote the health and well-being of all who live in or visit the ten outermost towns of Cape Cod.

OCHS now cares for more than 18,000 patients annually, and no one is denied access to services due to an inability to pay. Founded in 1987 through the merger of Health Associates of Provincetown (established in 1972) and the AIM Medical Center in Wellfleet (established in 1966), Outer Cape Health has a long history of successful growth and expansion in pursuit of this mission. As a Patient-Centered Medical Home, OCHS holds itself to the highest standards. Ensuring patients have access to care when they need it and request it, and validating that staff are working at the top of their licensures, are foundations of this model.

Our Core Competencies:

At Outer Cape Health Services, our core competencies are the foundation upon which our organization is built, guiding us in our mission to deliver exceptional health services to our communities. Our focus on fostering teamwork ensures that we operate as a cohesive unit, valuing each member's contribution and working synergistically towards common goals. Integrity and honesty stand at the heart of everything we do, creating a culture of trust and respect among our team and the communities we serve. Embracing technology, we continually seek innovative solutions to enhance our services and operations. Finally, being patient-centered, we prioritize the needs and well-being of those we serve, striving to exceed expectations and make a meaningful difference in their lives.

A day in the life of this role:

The Controller, reporting to the Chief Strategy Officer ("CSO") with oversite by the outsourced Chief Financial Officer, is responsible for planning and controlling the financial policies and procedures with respect to the receipt of revenue, expenditure of funds, and protection of Outer Cape Health Services ("OCHS") assets. The incumbent will have oversight of the primary functions of budgeting, financial records, payroll, staffing, grants, payroll, accounts payable and receivables as well as the finance staff.

Summary of duties:

• Work with the CSO and outsourced CFO to establish an integrated financial plan of operation (short- and long-term) compatible with OCHS's strategic and operating plans.
• Directs staff that coordinates and control financial activities within the accounting department and throughout OCHS.
• Review, interpret, analyze, and communicate financial reports and data to management with the use of financial ratios and other data for key indicators of OCHS's financial position.
• Prepare the Finance Committee and Board of Directors finance reporting packages for the outsourced CFO.

• Ensure that annual operating and capital budget preparations are timely, accurate and complete, including annual HRSA 330 budget preparation and application.
• Monitor expenses and works with program and department managers, directors, and CSO to identify and help resolve budget discrepancies.
• Monitor and report on cash reserves to meet the organization's objectives for liquidity and capital expenditures; ensures timely, accurate systems to monitor cash levels, including checking account, money market, and temporarily restricted accounts.
• Develop an operating budget to Board for approval prior to start of a new fiscal year; complete accurate financial statements within ten business days of close of month, works with grant program managers to keep grant schedules relative to grant budgets updated monthly; keeps temporarily restricted funds schedules updated monthly.
• Develop the budgeting process through education of all department managers on financial issues affecting their budgets.
• Ensure that the financial records of the organization are maintained accurately in a timely manner, and in a format that highlights key indicators of the efficiency and effectiveness of the organization's activities within regulatory requirements.
• Ensure that accounts are analyzed throughout the fiscal year to accurately support interim financial statements, reduce last minute audit preparations, and keep audit fees to a minimum.
• Work with accounting staff to prepare year-end audit schedules and account reconciliations.
• Ensure that the organization's internal control systems are adequate and appropriate to ensure the integrity of financial information and the security of the organization's assets.
• Ensure that OCHS meets all federal, state and local financial regulations.
• Work with accounting staff and others within the organization to prepare regulatory reports, i.e., UDS, UFR, cost reports, tax returns, and informational reports in timely, complete and accurate manner.

• Prepare cash projections and operating cash requirements for cash management purposes and updates CSO and outsourced CFO on adequacy of operating cash and reserves
• Direct the Accounting Department to ensure that staffing in the finance department is appropriate and adequate to meet evolving organizational needs; that staff receive training to maintain and enhance their skills; that performance evaluations are fair, timely and effectively communicated as well as assist in oversite and direct project work.
• Provide review and input to CSO for performance evaluations annually and notify of any issues with staff.
• Work with program staff to develop and manage grant budgets and regulatory requirements.
• Ensure grant funds are expended appropriately relative to grants received.
• Ensure program managers have information available in a timely manner in order to make good decisions relative to program activities.
• Coordinate with the program manager and Development Office/Chief Strategy Officer to ensure budget amendments are made as needed; and grant funds are expended with no budget overruns.
• Work closely with Human Resources and accounting staff to insure accuracy of payroll and benefits.
• Oversee the accuracy verification and timely distribution and submission of all year-end payroll reports, including employee W-2s and 1099s.
• Responsible for coordination of quarterly and year-end state and federal tax reporting.
• Ensure that disbursements and checks are properly authorized and documented in an accurate and timely fashion.
• Maintain documents and monitor cash flow for payment of contractors and vendors for all capital projects.
• Maintain files to document USDA and other Federal/State/Local regulatory requirements have been met.
• Oversee and coordinate on Corporate Insurance and leases.
• Business Plans/Return on Investments.
• Accounts Receivable and Revenue.

• Other related duties and projects as assigned.

What we need from you:

• Bachelor's degree, or 10 years related accounting and finance experience required.
• Masters and/or CPA preferred.
• 10 years related financial management.

• Demonstrated experience in or knowledge of Federally Qualified Health Centers and government grants management policies preferred (federal and state).
• In lieu of FQHC experience, two years of experience in and/or knowledge of financial management practices in a healthcare setting (hospital, private practice, community-based mental health agency)
• Experience in billing federal, state, and private payers for health services.
• Demonstrated passion for and commitment to a community health mission.
• Experience in managing a small team
• Success in maximizing efficiency and improving customer service of a small finance team in a growing organization.
• Strong financial management skills-experience in maintaining the financial viability of an organization with multiple and shifting funding streams and in collaborating with CFO and Board to develop long-range financial goals.
• Ability to build productive relationships across the broad spectrum of persons important to the success of OCHS-board, staff, government officials, provider partners, funders and donors.

• Excellent oral and written communications skills.
• Experience with Paycom helpful
• Proficiency in computer skills including NetSuite, Outlook, Microsoft office etc.
• Excellent judgment and ability to solve problems in a timely manner.

• Ability to adhere to strict confidentiality standards.
• Demonstrated ability to work effectively both as a team member and independently.
• Demonstrated ability to work in a culturally diverse and inclusive environment

AAP/EEO Statement Outer Cape Health Services is committed to a firm policy in favor of equal employment opportunity and will abide by all applicable state and federal regulations by not discriminating against any applicant or employee on the basis of race, religion, color, creed, sex, age, national origin, citizenship status, marital status, sexual orientation, gender identity and expression, disability or veteran status. Our commitment to equal employment opportunities shall include employment, upgrading, promotion, demotion, transfer, leaves or other absences from work, layoff, compensation and benefits, selection for training or other education, professional opportunities and conflict resolution.

It is also the policy of OCHS to take affirmative action to employ and to advance in employment, all persons regardless of their status as woman, minority or individuals with disabilities or protected veterans, and to base all employment decisions only on valid job requirements.

Please inform us of any necessary accommodations required during the application process and/or at any time during employment.