Controller, Finance & Banking, Financial Reporting

At Island Health, people are at the center of everything we do. As part of the Accounting/Finance team, you’ll play a vital role in supporting our mission to care for those who care for others. You’ll help create a positive and seamless experience for every team member — ensuring they feel valued, supported, and heard.

Location: Anacortes, WA / Onsite

Schedule: Full Time / Days

Salary: $46.29/hr. ($96,279 annually) - $69.44/hr. ($144,440 annually)

• Supervise all accounting staff, including Account Payable Coordinator, Payroll Coordinator, Staff Accountant and Senior Accountants, and provide functional leadership to finance operations processes.

Financial Reporting, Close, and GAAP Compliance

• Lead monthly, quarterly, and annual close to produce timely, accurate, and complete financial statements in accordance with GAAP and applicable state/federal requirements.
• Oversee general accounting activities including general ledger, revenue recording, accounts payable/receivable support, and related reconciliations.
• Ensure consistent application of accounting procedures and effective bookkeeping practices across the department.
• Analyze complex financial data, resolve inconsistencies, and provide clear, actionable reporting to leaders (and Board-facing support as needed).
• Attend monthly Finance Committee meeting and take minutes.

Payroll Accuracy, Controls, and Risk Reduction

• Oversee payroll accounting processes to ensure payroll is accurate, fully supported, and properly recorded in the general ledger, with timely reconciliations and issue resolution.
• Ensure all pay rules are in alignment with all employee contracts including collective bargaining agreements.
• Partner with the Office of Talent Management to ensure reliable employee data flow (e.g., hires, terminations, job changes, leave) and to strengthen end-to-end internal controls that reduce payroll error risk.
• Design verification and review controls (pre- and post-payroll), including reconciliations, exception reporting, and documentation standards to reduce manual error and rework.

Accounts Payable Timeliness and Process Reliability

• Oversee AP workflows to ensure invoices are processed accurately and on time, aligned with approval policies, contract terms, and cash management priorities.
• Strengthen invoice routing/approval, matching/validation, vendor file controls, and exception handling to reduce delays and payment errors.
• Implement efficiency improvements and clear SOPs that reduce cycle time, prevent duplicate/incorrect payments, and improve throughput—especially during staffing transitions.

Internal Controls, Audit Readiness, and Documentation

• Maintain and continuously improve the internal control structure through documentation, education, monitoring, and enhancements.
• Evaluate and document accounting policies and emerging reporting issues; prepare written support (“white papers”) and audit‑ready documentation for key judgments and controls.
• Coordinate external audits and required reporting support, including tax-related items as applicable to the organization.
• Ensure compliance with applicable regulations, hospital policies, and payer/government reporting requirements as applicable.
• Maintain and improve internal controls over financial reporting, cash handling, payroll accounting, and disbursements.

Regulatory and Reimbursement Support (as assigned)

• Provide accounting support and coordination for Medicare/Medicaid cost report preparation and related audit requests, ensuring accurate inputs, reconciliations, and support schedules.

Budgeting, Forecasting, and Capital Planning Support

• Support development of forecasting models, the annual budget process, and multi‑year capital planning through accurate actuals, sound assumptions, and well-documented analyses.

Treasury and Investment Accounting Support

• Provide accounting and reporting support for treasury-related activities and investment reporting, including performance analysis against benchmarks where applicable.

Performance Management and Continuous Improvement

• Establish and monitor performance dashboards for finance operations (e.g., close timeliness, reconciliation completion, AP cycle time,…