Billings Clinic

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

Regional Controller (Full-time/Billings)

Regional Healthcare Division (BILLINGS CLINIC CLINIC)

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Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Exempt)

Starting Wage DOE: Commensurate with experience

The incumbent is responsible to contribute to the growth and profitability of the assigned affiliate hospitals by professionally managing the financial services and activities. Responsible for strategic planning in conjunction with the affiliate hospital CEO and Board of Directors. Responsibilities include preparation of financials, interacting with auditors, federal and state agencies on cost reports/audits, preparation of annual financial and capital budgets, oversight of affiliate business office staff and related charge entry and patient billing and management of account receivable days, establishment of accounting policies/procedures, review and analysis of cost reports and tax returns, evaluation of vendor contracts/payments, evaluation of capital purchases, evaluation of supply chain management, securing bank loans, evaluating internal controls, charge master reviews, coding reviews, oversight of information system’s functionality, proformas for new services, compliance with HIPAA and CMS, etc.

Essential Job Functions

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.
• Develops, implements and leads the affiliate hospital CEO and Board Members through strategic financial/budgeting planning sessions and motivates team to execute strategic objectives.
• a) Works collaboratively with the Board of Director’s Finance Committees.
• b) Attends affiliate Board Meetings
• c) Interacts with bankers and secures bank loans as appropriate
• Ensures the success and credibility of affiliate hospital through the delivery of innovative, quality, cost efficient accounting and financial programs. Leads the administration and ongoing refinement of comprehensive financial/budgeting programs, including well defined protocols, policies and procedures. Provides consultation services for the community and health care providers.
• Develops/maintains financial and budgetary goals/objectives and assists with the development of business plans which support the affiliate hospital’s goals and objectives. Communicates and coordinates corporate and administrative information for use by the affiliate hospital leadership and governing bodies, including feasibilities, projections, and results reporting. Leads the budgeting processes.
• a) Provides oversight of the affiliate hospital’s business office staff, evaluation of appropriateness of charge entry and patient billing, evaluating vendor contracts and validating vendor payments, evaluation of payer payments for compliance with regulatory requirements, charge master reviews, coding reviews, and management of the days in accounts receivable.
• b) Provides oversight of the affiliate hospital’s supply chain management, evaluate capital purchases and access alternative funding for capital purchases, and establishment of a common ordering system.
• c) Evaluates payroll and human resource rates and hours paid.
• d) Evaluates and reviews workers compensation practices
• e) Preparation of financials (GASB and FASB)
• f) Interact with and assist auditors with annual audited financial statements
• g) Interact with federal and state agencies on cost reports audits
• h) Prepares annual financial and capital budgets
• i) Establishes accounting policies
• j) Reviews and analyzes cost reports
• k) Reviews and analyzes tax returns
• l) Evaluates internal controls
• m) Reviews and evaluates grant revenue compliance
• Practices process improvement principles and oversees assessment and improvement of the quality of the financial services. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Ensures accounting compliance with applicable legal, state and/or federal requirements and/or regulatory standards (i.e., HIPAA and CMS)
• a) Prepares analysis (Proformas) for new services
• b) Prepare ad hoc reporting as needing
• c) Provides support to affiliate CEOs with a variety of special requests
• Develops, retains, recruits, and leads a talented finance team committed to accomplishing the goals and objectives of Billings Clinic and the affiliate hospital. Conducts appropriate performance actions to include motivation, training, coaching, and counseling of employees. Acts as a mentor, promotes and encourages professional growth and development of all staff. Takes responsibility for own professional growth and development needs; meets all system educational requirements.
• Demonstrates and encourages an ethic of open communication and teamwork with the affiliate site. Builds an environment of shared commitment to the affiliate’s goals and responsibility to achieve quality outcomes. Maintains a high level of satisfaction within the affiliate hospital among physicians and employees by providing an environment conducive to maximum individual and collective productivity.
• Provides oversight for affiliate hospital information systems’ functionality and coordinates and interacts with Billings Clinic Information Services Department for support.
• Performs all other duties as assigned to meet the needs of the departments, service lines, and organization.
• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.
• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.

Minimum Qualifications

Education

• Graduate Degree in business or health care administration and/or Certified Public Accountant

Experience

• Eight (8) years financial management experience as well as health care experience

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.