Finance Controller II / Director of Finance

Maryville Integrated Care is a renowned leader in substance use and mental health treatment, dedicated to providing holistic, evidence-based care for individuals facing opioid, alcohol, and other substance dependencies. With a legacy of over 76 years, our compassionate team’s expertise and commitment foster high satisfaction and meaningful healing for our clients.

Department: Accounting
Status: Exempt
Reports To: Chief Executive Officer (CEO)
Location:Hybrid / On‑Site as Required

Basic Function

The Director of Finance provides direction, oversight, and responsibility for key business functions in the Finance Office.  The Director of Finance will report directly to the Chief Financial Officer (CFO) regarding the financial reporting, accounting, operating and capital budgets, internal controls, grant expenditure reporting, billing, and other regular financial and operational activities.   

Role Purpose

The Controller serves as the organization’s senior leader responsible for accounting, financial reporting, and fiscal oversight. This role ensures that the organization’s financial position is accurately represented, compliant with applicable standards, and clearly communicated to executive leadership and the Board.

Reporting directly to the CEO, the Controller provides independent financial insight and stewardship for a nonprofit healthcare organization operating across multiple programs, funding sources, and regulatory environments. The Controller functions as a strategic partner to the CEO.

Primary Responsibilities

Accounting & Financial Reporting

• Maintain responsibility for the organization’s accounting framework and financial records.
• Produce accurate, timely financial statements in accordance with Generally Accepted Accounting Principles (GAAP).
• Ensure financial reporting reflects the true financial condition of the organization across all programs and entities.
• Lead month‑end and year‑end close processes.
• Innovate and streamline processes through technology

Internal Controls & Financial Governance

• Establish and maintain internal accounting controls appropriate for a regulated nonprofit healthcare environment.
• Ensure financial policies, procedures, and approval structures support accountability and transparency.
• Monitor adherence to financial controls and recommend improvements as organizational complexity evolves.

Audit & Regulatory Readiness

• Lead coordination of annual financial audits and external financial reviews.
• Ensure readiness for audits, monitoring visits, and financial reviews by funders or regulators.
• Maintain compliance with federal, state, and local financial requirements applicable to healthcare and nonprofit organizations.

Budgeting & Financial Planning

• Lead development of the annual operating and capital budgets.
• Monitor budget performance and provide variance analysis to executive leadership.
• Support financial forecasting, cash flow planning, and scenario analysis.
• Provide financial input to strategic planning, expansion, or restructuring decisions.

Grant & Restricted Funding Oversight

• Ensure accurate tracking and reporting of restricted, grant‑funded, and government‑funded activities.
• Oversee financial reporting required by grantors and governmental agencies.
• Ensure expenditures align with approved budgets and funding requirements.

Cash, Banking & Financial Operations

• Oversee cash management, banking relationships, and account reconciliations.
• Monitor liquidity and provide insight to the CEO regarding financial sustainability.
• Ensure timely and accurate financial transactions across all accounts.

Executive & Board Support

• Prepare financial reports and analyses for the CEO and Board of Directors.
• Present financial information in a clear, understandable manner for non‑financial audiences.
• Support Board‑level discussions related to financial performance, risk, and long‑term sustainability.

Cross‑Functional Collaboration

• Work collaboratively with operational and clinical leadership to support informed decision‑making.
• Partner with the Director of Revenue Cycle Management to ensure revenue is accurately reflected in financial reporting.
• Maintain appropriate independence between accounting oversight and revenue operations.

Qualifications

Education & Credentials

• Bachelor’s degree in Accounting, Finance, or a related field required.
• Master’s degree and/or CPA strongly preferred.

Experience

• Minimum of 7 years of progressive accounting or financial leadership experience.
• Experience in nonprofit, healthcare, behavioral health, or grant‑funded environments preferred.
• Demonstrated experience with audits, budgeting, and multi‑fund or multi‑program accounting.

Skills & Attributes

• Strong knowledge of GAAP and nonprofit accounting principles.
• High level of integrity, judgment, and attention to detail.
• Ability to translate financial data into actionable insight.
• Comfortable operating as a senior leader in a lean executive structure.
• Strong written and verbal communication skills.

Success in This Role Looks Like

• Financial statements are accurate, timely, and trusted.
• Audits and financial reviews are well‑managed and low‑risk.
• Leadership has clear visibility into financial performance and risk.
• The organization’s financial infrastructure supports growth, compliance, and mission delivery.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Tuition reimbursement
• Vision insurance