Executive Insurance Controller Jobs in Alaska (NOW HIRING)

Description

The Controller serves as the organization's financial leader, responsible for overseeing financial accounting, revenue cycle management (RCM), budgeting, internal controls, and management reporting. This role ensures the integrity, accuracy, and timeliness of all financial data, including oversight of the general ledger, month-end close, and financial statement preparation in accordance with applicable standards.

The Controller partners closely with operations, clinical leadership, and the billing team to ensure accurate capture of transports, proper charge capture, and strong cash collections. This position plays a critical role in optimizing reimbursement processes, monitoring key RCM metrics, and identifying opportunities to improve revenue performance and reduce denials.

This role provides actionable financial insights and reporting to executive leadership, enabling data-driven decision-making and supporting the continued growth and operational excellence of the organization.

ESSENTIAL JOB FUNCTIONS

Inspiring our team to achieve continuously improved results and excellence through:

1. Setting and communicating the highest expectations for performance while actively demonstrating personal belief in everyone's ability to realize superior results.

2. Establishing clear goals and associated metrics that support LifeMed Alaska's vision and drive sustainability.

3. Creating a climate of accountability at every level.

4. Ensuring an in-depth understanding of quality expectations.

Serve as an active agent in creating a culture that attracts and retains the best people through:

1. Recognizing individual and team accomplishments.

2. Involving team members in decisions that affect them through work groups and forums.

3. Creating a safe environment that ensures the best outcome for the patient and LifeMed Alaska.

4. Proactively supporting leadership initiatives among peer groups and other leaders.

5. Actively removing barriers to success for both the individuals and the team. 

Proactively work to assist others in achieving LifeMed's objectives to be safe, sustainable, and leaders in our community.

JOB DUTIES

Financial Leadership & Oversight

Lead all accounting operations including GL, AP/AR, payroll, fixed assets, and month-end close.

Maintain GAAP-compliant accounting practices and internal controls.

Manage monthly, quarterly, and annual financial reporting.

Prepare variance analyses, financial statements, and management dashboards.

Monitor key financial metrics including payer performance, denials, underpayments, and reimbursement trends.

Financial Planning & Reporting

Support the annual budget process and rolling forecasts.

Produce weekly/monthly operational performance reports for leadership and the Board.

Support rate modeling, segment performance, cost analysis.

Provide RCM-driven insights to support pricing, payer negotiations, and strategic planning.

Audit Compliance

Coordinate with external auditors, tax preparers, and regulatory bodies as needed.

Leadership & Collaboration

Lead and mentor accounting and team members.

Serve as a key business partner to operations, clinical leadership, and administrative staff.

Improve systems, processes, and automation across finance and RCM.

Requirements

Education: Bachelor's degree in Accounting, Finance, or related field.

Experience: Strong understanding of GAAP and financial reporting. Advanced Excel and financial modeling skills. Minimum 3 years experience in a senior financial role.

Preferred

• Experience in air ambulance, medevac, EMS transport, and/or hospital RCM.
• Familiarity with transport billing software (e.g., Image Trend, Zoll, ESO, Flight Vector billing modules).
• Knowledge of payor rules for Medicare, Medicaid, commercial insurance, and air ambulance billing.

Key Competencies

• High attention to detail and accuracy.
• Strong analytical and problem-solving abilities.
• Ability to work in a fast-paced environment with urgency and accountability.
• Excellent communication, leadership, and cross-functional collaboration.