Job Details

About the job Controller (interim)

Interim Controller
Your Next Adventure in Coastal Healthcare Finance

Are you a seasoned financial leader looking for meaningful work in a one-of-a-kind setting? We are hiring an Interim Controller to support financial operations at a nonprofit, critical access hospital located in a breathtaking coastal community in the Pacific Northwest. You'll join a tight-knit team delivering exceptional care across a diverse and vibrant region.

This is the kind of place where your morning commute might include eagle sightings and glacier views. With around 30,000 residents, the community offers a rare blend of small-town warmth, stunning wilderness, and access to the arts. Locals enjoy hiking, skiing, fishing, kayaking, and community events year-round, from music festivals to cultural celebrations. If you're looking to slow down without missing out, this is your place.

The hospital is city-owned and mission-driven, offering full inpatient and outpatient services, emergency care, behavioral health, hospice, and more. It is a trusted cornerstone in the region, known for its team-oriented culture and commitment to health equity across neighboring communities.

Position Overview
In this interim role, you will report directly to the CFO or CEO and lead finance and accounting operations, including reporting, budgeting, audits, and compliance. You will help support and stabilize the team during a key transition and make a meaningful difference right away.

Key Responsibilities

• Lead monthly and quarterly financial reporting
• Support budgeting, forecasting, and financial analysis
• Ensure regulatory compliance with Medicare, Medicaid, and nonprofit audits
• Manage accounts payable, accounts receivable, payroll, and general ledger functions
• Strengthen internal controls and financial systems
• Assist with external audits and grant reporting
• Mentor finance staff and provide guidance across departments

Candidate Profile

• CPA or CMA preferred
• 5 or more years in accounting or finance leadership, ideally in healthcare or nonprofit settings
• Strong understanding of Medicare, Medicaid, and nonprofit compliance
• Excellent communication and problem-solving skills
• Able to hit the ground running and support a rural team
• Experience with hospital ERP systems and financial reporting tools

Why This Role is Unique
This is a chance to lend your expertise where it is truly needed. Lead finance operations in a mission-driven hospital while experiencing life in one of the most beautiful and inspiring regions of the country. Make a real impact during a meaningful season of transition.

How to Apply
Click "Apply" or give us a call at 509-###-#### to learn more. We would love to connect with you.

Rural Staffing Services is an equal opportunity employer.