Controller

ABOUT LLCHC

Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay! We served over 15,000 patients - with 40% being uninsured - and totaled 50,000+ medical encounters!

Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage.

Position Summary

The Controller is a key member of the Finance leadership team responsible for managing the day-to-day accounting operations of LLCHC and ensuring accuracy, compliance, and timeliness across all financial reporting functions. Reporting directly to the Chief Financial Officer (CFO), the Controller works closely and collaboratively with the Financial Analysts, Billing, Grants, Pharmacy, and operational leaders to strengthen financial processes and support organizational decision-making.

ESSENTIAL JOB RESPONSIBILITIES:

Financial Accounting & Reporting

• Oversee all accounting operations including accounts payable, accounts receivable, payroll accounting, general ledger maintenance, and bank reconciliations.
• Lead the monthly, quarterly, and annual close processes to ensure timely, accurate, GAAP-compliant financial statements.
• Collaborate closely with the Financial Analysts to support monthly financial reporting, dashboard preparation, and variance analysis.
• Ensure proper classification of transactions by cost center, department, program, and funding source.

Internal Controls & Compliance

• Maintain and strengthen internal controls across all accounting functions, ensuring accuracy and compliance.
• Ensure organizational adherence to HRSA, BPHC, UGG/2 CFR 200, IRS, and other regulatory standards.
• Support the CFO in preparing for the annual audit (financial and Single Audit), including managing the PBC list, documentation requests, and audit schedules.

FQHC & 340B Pharmacy Accounting

• Oversee accounting for 340B pharmacy operations, including revenue, contract pharmacy arrangements, inventory, and cost of goods sold.
• Perform and review timely reconciliations of pharmacy revenue streams, ensuring alignment with Billing, Pharmacy, and external vendors.
• Apply specialized FQHC accounting requirements including sliding fee accounting, wrap payments, cost report implications, and grant restrictions.

Grant & Restricted Funds Accounting

• Manage accurate accounting for all restricted funds and grants (federal, state, and foundation).
• Work collaboratively with the Grants team and Financial Analysts to support budget development, reporting, and monitoring of allowable expenditures.

Systems, Processes & Data Integrity

• Serve as operational lead for NetSuite accounting processes, ensuring system controls and workflows support efficient operations and strong audit readiness.
• Partner with the Financial Analysts to streamline financial reporting, enhance automation, and strengthen dashboards and month-end analytics.
• Lead process improvement initiatives to increase efficiency, accuracy, and documentation quality.

Leadership & Team Development

• Supervise the accounting team, including the Accounting Manager, Staff Accountants, and payroll/AP staff as assigned.
• Provide ongoing coaching, mentorship, and professional development to support a culture of excellence and accountability.
• Work collaboratively with cross-functional leaders to ensure reliable financial data and transparent communication.

BENEFITS AND PERKS

• Health benefits including medical, vision, dental, life, disability
• Generous Paid Time Off
• 10 Paid Holidays
• Student loan forgiveness opportunities
• Employee Assistance Program (EAP) with access to various consultants
• 3% match toward retirement fund
• And more!

LIVING OUR VALUES

You are mission-oriented and passionate about living out your purpose. You play an active role in responding to the needs of the community and organization. You work well alongside your teammates and use your time and resources effectively. You challenge yourself to grow personally and professionally. You embrace diversity and enjoy providing your customers with excellent treatment and compassion.

Education & Qualifications

Required

• Bachelor's degree in Accounting or Finance.
• CPA, CPA eligible, or Master's in Accounting.
• Minimum 7 years of progressive accounting experience.
• Experience within an FQHC, including federal grant compliance and 340B pharmacy accounting.
• Strong knowledge of GAAP and nonprofit accounting.
• Experience supporting financial audits (including Single Audit).
• Advanced Excel skills and proficiency with accounting systems; NetSuite preferred.

Preferred

• Experience supervising accounting staff.
• Experience in multi-site healthcare, nonprofit, or complex grant-funded environments.
• Familiarity with OCHIN/EPIC pharmacy revenue flow.

Core Competencies

• Financial Accuracy & Integrity
• FQHC & Regulatory Compliance
• Leadership & Team Development
• Financial Analysis & Collaboration
• Systems Thinking & Process Improvement
• Mission-Driven Decision Support