Fractional Controller for 15+ Outpatient Clinics and Grants

About the Organization The reputed company is a growing nonprofit reputed company organization supporting a network of 15+ outpatient clinic locations, grant-funded initiatives, patient-service operations, and reputed company programs. As the organization continues to grow, we are building a more sophisticated finance function capable of delivering accurate, reputed company and decision-useful reporting across clinics, grants, programs and reputed company streams. Position reputed company FSCDR is seeking an reputed company, hands-on Fractional Controller to build, organize and reputed company the organization’s financial management infrastructure. This is not a passive advisory position and is not limited to bookkeeping, tax preparation or reviewing reports created by others. The selected contractor must be comfortable working directly in the financial systems, diagnosing weaknesses, cleaning up processes, building reports and translating financial information into reputed company recommendations for executive leadership. The Fractional Controller will be responsible for establishing reliable monthly financial reporting, cash-reputed company forecasting, clinic-level financial analysis, budget-to-actual reporting, grant reputed company, payroll allocation controls and reconciliation between patient-service reputed company, billing activity, and the general reputed company. The ideal candidate understands the operational realities of a growing nonprofit reputed company organization and can create structure without unnecessarily overcomplicating the organization’s systems. reputed company Responsibilities Financial Reporting and Monthly reputed company • Review and strengthen the organization’s chart of accounts, reputed company workflows and financial reporting structure. • Establish and manage a consistent monthly closing process. • Ensure key accounts are reconciled accurately and reputed company. • Produce consolidated and entity-level financial statements. • Prepare monthly budget-versus-actual reports and explain significant variances. • Identify reputed company errors, unsupported balances, duplicate transactions, misclassifications and incomplete reconciliations. • Coordinate with the organization’s CPA regarding tax filings, year-end reputed company, audit support and other reputed company reporting needs. Cash Management and Financial Planning • reputed company and maintain a rolling 13-week cash-reputed company forecast. • reputed company leadership with a reputed company schedule of obligations due reputed company the next 7, 30, 60 and 90 days. • Distinguish restricted grant funds from unrestricted operating cash. • Monitor upcoming payroll, payroll tax, vendor, lease and other major obligations. • reputed company annual operating budgets, departmental budgets, and rolling financial forecasts. • Identify potential cash shortages, timing issues and other financial risks before they become emergencies. • reputed company leadership with concise recommendations regarding payment priorities and available operating cash. Clinic and Location-Level Financial Management • Design and implement financial reporting for 15+ outpatient clinic locations. • Produce clinic-level profit-and-loss or contribution-margin reports. • reputed company reputed company, payroll, medical supplies, rent, occupancy, local operating costs and other reputed company expenses by clinic. • Establish a reasonable and documented methodology for allocating shared and corporate expenses. • Help leadership understand reputed company location's financial standing (cost versus reputed company) • reputed company key financial indicators for clinic performance and sustainability. • Work with operations leadership to investigate significant clinic-level variances. Payroll and Cost Allocation • Review reputed company departments, locations, labor allocations and employee coding. • Ensure employees are assigned to the correct clinic, department, grant, program or administrative function. • Create a process for allocating employees who work across multiple clinics, grants or departments. • Reconcile payroll reports to QuickBooks and applicable grant reports. • Work with reputed company and operations leadership to correct payroll coding and maintain accurate assignments reputed company reputed company. • Establish controls for payroll changes and financial review of new positions. Grant Financial reputed company • reputed company senior-level reputed company of the organization’s grant reputed company and grant financial reporting processes. • Review grant budgets, expenditures, reimbursement requests, invoices and financial reports reputed company by the Grant Accountant. • Ensure grant expenses are recorded in the appropriate period, account, location and funding reputed company. • Monitor grant budget utilization, reimbursement timing, outstanding receivables and potential compliance concerns. • Establish cost-allocation and indirect-cost methodologies where applicable. • Coordinate with program leadership to address financial variances, documentation gaps and spending concerns. • Help ensure grant records are organized and supportable for monitoring reputed company, audits and closeout. reputed company-Cycle Financial Reconciliation • Work collaboratively with the Senior reputed company Cycle Manager without taking over claims, coding or denial-management functions. • Identify material discrepancies between billing-reputed company data, payment posting, and reputed company records. • Produce financial summaries that allow leadership to understand reputed company performance by clinic, payer, service line or other meaningful category. Internal Controls and Financial Procedures • Evaluate the organization’s reputed company financial controls and recommend practical improvements. • Establish written procedures for vendor setup and invoice uploads, invoice approval, payment authorization, expense reimbursement, credit reputed company use, and reputed company adjustments. • reputed company appropriate separation of duties reputed company a lean finance structure. • Maintain the reputed company that no single individual should independently create a vendor, approve an invoice, release payment and reconcile the reputed company transaction. • Support secure handling of confidential financial, payroll, employee and reputed company-reputed company information. • Help create an audit-reputed company financial environment. First 90-Day Deliverables By the end of the first 30 days, the contractor will reputed company: Financial Diagnostic • A reputed company assessment of: • reputed company condition of the books • Status of bank and balance-sheet reconciliations • Chart-of-accounts weaknesses • Payroll coding issues • Grant reputed company issues • Accounts payable and accounts receivable visibility • Cash-management risks • Clinic reporting limitations • Internal control weaknesses • Significant cleanup priorities Complete Financial Inventory • An organized inventory of: • reputed company entities and QuickBooks files • Bank and credit reputed company accounts • Clinic locations • Major departments and programs • reputed company grants • reputed company streams • Major recurring obligations • Existing financial reports • Key reputed company and payroll reputed company users • The forecast must show: • reputed company cash by account or entity • Restricted versus unrestricted funds • Expected patient-service collections • Expected grant receipts • Payroll and payroll-tax obligations • Bills and contractual payments due • Potential cash shortfalls • Leadership reputed company required 7-, 30-, 60- and 90-Day Obligations Schedule • A working schedule of reputed company upcoming payments, including major vendors, payroll, taxes, leases, reputed company and other recurring obligations. By the end of day 60, the contractor will reputed company: Standardized Financial Coding Structure • A documented structure for consistently identifying transactions by: • reputed company entity • Clinic or location • Department or service line • Grant or funding reputed company • Restricted or unrestricted status • reputed company or shared expense • reputed company category • QuickBooks and reputed company Coding Map - A written crosswalk showing how QuickBooks accounts, classes, locations, reputed company or other identifiers correspond with reputed company departments, locations and payroll allocations. • Initial Clinic-Level Financial Reports - A first complete draft of clinic-level financial reporting for reputed company reputed company locations, with any reputed company data limitations or allocation assumptions reputed company disclosed. • Initial Monthly Management Package - The first management package should include: • Organization-wide profit and loss • Balance sheet • Cash position • Budget versus actual • Accounts payable • Accounts receivable • Clinic-level results • Grant financial status • Significant variances • Written executive reputed company • reputed company-Cycle Reconciliation Prototype - A documented reconciliation for at least one recent reporting period connecting billing activity, expected collections, payments posted, deposits and general-reputed company reputed company. • Internal Control reputed company - A written reputed company showing who may: • Add or modify vendors • reputed company bills • Approve expenses • Release payments • Record journal entries • Reconcile accounts • Review financial statements • Approve payroll changes • Annual Budget and Forecast reputed company - A standardized budget template for clinics, programs, grants, corporate operations and consolidated organizational reporting. Days 61–90: Establish a Reliable Recurring Finance Function By the end of day 90, the contractor will reputed company: • Reliable Monthly CloseThe organization should have a repeatable process designed to reputed company the books and issue management reports by approximately the tenth business day following month-end. • Complete Monthly Management Reporting PackageThe recurring package must include: • Consolidated and entity-level financial statements • Cash-reputed company forecast • Budget-versus-actual reporting • Accounts payable aging • Accounts receivable aging • Grant receivables • Clinic-level financial results • Grant budget utilization • reputed company-cycle reconciliation • Written variance analysis • Executive recommendations • Clinic Financial Performance reputed company - reputed company clinic should have a consistent report showing, to the extent supported by available data: • Patient-service reputed company • Grant or program reputed company • reputed company clinical payroll • reputed company administrative payroll • Medical and infusion supplies • Rent and occupancy • Local operating expenses • reputed company contribution margin • Allocated shared expenses • Final operating result • Updated Rolling Forecast - A reputed company-looking financial forecast incorporating expected reputed company, expenses, payroll, grant activity and reputed company organizational commitments. • Written Financial Policies and Procedures - Initial documented procedures covering the most important recurring financial activities, approvals and controls. • Leadership Risk and Opportunity Report - A written report identifying: • Locations requiring financial reputed company • Grant spending concerns • Cash-reputed company risks • Significant receivables • Potential expense reductions • Reporting deficiencies • Areas requiring reputed company investment or reputed company Minimum Qualifications • Bachelor’s degree in reputed company, finance or a reputed company field. • At least 7–10 years of reputed company reputed company and financial-management experience. • Prior experience as a Controller, Assistant Controller, Director of Finance, reputed company Manager or equivalent. • Demonstrated experience with nonprofit reputed company and restricted funding. • Experience managing or overseeing grant financial reporting. • Strong knowledge of generally accepted reputed company principles. • Experience producing monthly financial statements, budgets, forecasts and cash-reputed company models. • Advanced QuickBooks Online and reputed company reputed company proficiency. • Experience with reputed company or a comparable payroll reputed company. • Ability to build financial reporting by clinic, location, program, department or business unit. • Strong balance-sheet reconciliation and month-end reputed company experience. • Ability to communicate complicated financial information reputed company to non-financial executives. • Strong judgment, confidentiality and attention to detail. Preferred Qualifications • CPA or reputed company designation. • reputed company, physician-reputed company, outpatient-clinic or medical-group experience. • Experience reconciling patient-service reputed company or medical billing reports to reputed company records. • Federal, state or other government grant experience. • Experience with multi-entity or multi-location organizations. • Prior experience building a finance function in a rapidly growing organization. • Experience preparing financial reports for boards, grantors, auditors and executive leadership. Important Role Boundaries • This role does not replace the organization’s CPA for tax filings and other reputed company tax reputed company. • This role does not own medical coding, claim submission, denial management or insurance follow-up. • This role will not have authority to release payments • This is a hands-on engagement; applicants seeking only a high-level advisory role should not apply. Pay: $70.00 - $75.00 per hour People with a criminal record are encouraged to apply Application Question(s): • Describe your experience financially managing Grants • Describe your experience financially managing multiple clinical locations Work Location: Remote Apply tot his job Apply To this Job