Controller

Join Vaughan Regional Medical Center in Selma, AL, a 175-bed, Joint Commission–accredited community hospital that serves as a critical healthcare hub in the region. Vaughan delivers a full complement of hospital services, including emergency care, to the Black Belt area of southern Alabama. As part of ScionHealth, Vaughan combines system strength with strong local impact so that you can make your mark where your work truly matters.

Job Summary

The Hospital Controller is responsible for leading the hospital's financial operations including accounting, payroll, accounts payable, budgeting, financial reporting, and internal controls. This role ensures that financial practices adhere to GAAP and all applicable regulatory standards. The Controller provides financial insights to leadership to support operational goals, regulatory compliance, and strategic initiatives.

Essential Functions

Directs all accounting operations, including general ledger, payroll, accounts payable, fixed assets, and financial reporting

Prepares and analyzes monthly, quarterly, and annual financial statements and reports

Coordinates annual audit processes and third-party cost reports

Prepares and maintains hospital operating and capital budgets, monitors variances, and recommends corrective actions

Ensures accurate and timely month-end and year-end closings, reconciliations, and journal entries

Develops and oversees internal control procedures to safeguard hospital assets

Ensures compliance with all federal, state, and local laws and regulations, including Medicare/Medicaid reimbursement requirements

Oversees cash flow projections, banking relationships, and financial forecasts

Leads the financial aspects of strategic initiatives and special projects

Supervises accounting staff; responsible for hiring, performance evaluations, and development

Knowledge/Skills/Abilities/Expectations

Strong knowledge of GAAP and cost accounting

Proficiency in financial systems, reporting software, and Excel

Excellent analytical, problem-solving, and organizational skills

Effective communication and interpersonal skills for working with leadership and regulatory agencies

Commitment to ethical standards, confidentiality, and continuous improvement

Primarily sedentary role with frequent use of computers and office equipment

May require occasional standing, walking, lifting of materials up to 25 pounds

Office environment with minimal exposure to biohazards or clinical conditions

May involve extended work hours during audits or reporting cycles

Education

Bachelor’s degree in Accounting, Finance, or Business Administration required

CPA or Master’s degree preferred

Licenses/Certifications

Certified Public Accountant (CPA) preferred

Experience

Minimum five (5) years of hospital or healthcare financial management experience preferred

Minimum two (2) years of supervisory experience preferred

Shift: Day