Interim Controller

A growing two-hospital health system in Providence, Rhode Island the northeast is seeking an experienced Interim Controller to provide financial leadership and operational oversight during a critical phase of organizational transformation. The health system recently transitioned from a for-profit to a not-for-profit structure and is seeking a strong, hands-on healthcare finance leader who can partner closely with the CFO to strengthen financial operations, improve processes, and drive efficiencies across the organization.

This engagement offers the potential to transition into a permanent role for the right candidate, including a future growth path toward a CFO position.

Location: Providence, Rhode Island
Engagement Type: Interim (6+ Months)
Schedule: Onsite
Reports To: Chief Financial Officer

Key Responsibilities

• Serve as a strategic partner to the CFO in overseeing all accounting and financial operations.
• Lead and mentor a team of 15+ finance professionals.
• Direct the monthly, quarterly, and annual financial close processes.
• Ensure the accuracy and integrity of financial reporting in accordance with GAAP and healthcare industry standards.
• Oversee general ledger, accounts payable, payroll, fixed assets, cash management, and financial controls.
• Support audit activities and regulatory reporting requirements.
• Assist with initiatives related to the organization's transition from for-profit to not-for-profit operations.
• Identify opportunities to streamline workflows and improve departmental efficiency.
• Drive the adoption of automation, AI-enabled tools, and technology solutions to enhance productivity and reporting capabilities.
• Partner with operational and executive leadership to support strategic decision-making and financial performance improvement initiatives.

Required Qualifications

• CPA designation required.
• Significant healthcare Controller experience within hospitals or health systems.
• Demonstrated success partnering directly with CFOs and executive leadership teams.
• Strong knowledge of healthcare financial operations, accounting, internal controls, and financial reporting.
• Experience leading and developing accounting and finance teams.
• Hands-on experience with process improvement, automation, and AI-driven efficiency initiatives.
• Ability to quickly assess challenges, implement solutions, and provide leadership in a dynamic environment.

Preferred Qualifications

• Experience supporting organizations through ownership, governance, or organizational structure transitions.
• Experience in not-for-profit healthcare organizations.
• Potential and desire to grow into a future CFO role.

Systems - Meditech experience strongly preferred.

Why Consider This Opportunity?

• High-impact leadership role within a complex healthcare environment.
• Direct partnership with an experienced CFO.
• Opportunity to help shape the future financial infrastructure of a growing health system.
• Potential interim-to-permanent pathway with long-term executive growth opportunities.