Lexington Health is a leading regional healthcare network consisting of six community medical and urgent care centers, 80+ physician practices, and the 607-bed Lexington Medical Center — consistently recognized as one of the Best Places to Work in Healthcare by Modern Healthcare. The organization is known for its excellence in patient care, innovative programs, and strong community focus. <br> The Controller will oversee all accounting operations for Lexington Medical Center and its affiliated entities, ensuring the integrity and accuracy of all financial reporting. This role is central to maintaining strong internal controls, implementing accounting policies and procedures, and ensuring compliance with GAAP, FASB, and GASB standards. <br> The Controller will partner closely with operational and financial leadership to provide strategic insights, improve financial performance, and enhance data-driven decision-making. The role includes direct supervision of the Assistant Controller of Operations, Budget Manager, Fixed Asset Manager, and General Ledger Manager. <br> Key Responsibilities: Lead and maintain an effective consolidated accounting system and ensure accurate, timely financial reporting across all entities. Oversee monthly, quarterly, and annual financial statement preparation and analysis. Coordinate and support all external audits and reporting requirements. Evaluate and improve financial systems, policies, and procedures to support strategic goals. Provide financial and operational insights to leadership for decision support and performance improvement. Ensure compliance with regulatory, debt covenant, and audit standards. Supervise, mentor, and develop accounting team members to foster collaboration and high performance. Serve as a key financial advisor on accounting policies, operational needs, and process improvement initiatives. Lead special projects and assist in the organization’s transition from annual to quarterly consolidations.

Education & Experience: Bachelor’s degree in Accounting or Finance required. Minimum of 6 years of progressive healthcare accounting experience. At least 5 years in a hospital controller or equivalent leadership role. CPA required Experience managing multi-entity healthcare organizations, including acute care, outpatient, ASC, and foundation structures. Proven ability to lead diverse teams through collaboration and mentorship. Strong understanding of both non-profit and for-profit healthcare accounting environments. Technical & Leadership Skills: Proficiency with enterprise systems such as Oracle (Accounting), Epic (Billing), PeopleSoft (HR/Payroll), and UKG (Timekeeping). Strategic mindset with strong analytical and problem-solving abilities. Skilled in financial reporting, statistical analysis, and operational planning. Ability to assess and modernize financial processes and reporting structures. Excellent communication and interpersonal skills to work effectively with leadership across departments. Additional Information: Reports directly to the Assistant Vice President of Finance, with visibility to the CFO. Opportunity to contribute to leadership succession planning as senior financial leaders approach retirement. Collaborative, “family-run” culture that values accessibility, transparency, and detail oriented growth.

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