Job Description

Culture Statement: At Blue Mountain Hospital, we are committed to a culture of excellence, empowerment, accountability, and affirmative communication.

Value Statement:
Excellence, Integrity, Respect, Cultural Sensitivity, Compassion, Accountability, Stewardship and Collaboration.

Vision Statement: Blue Mountain Hospital vision is to be the standard for rural hospitals.

Mission Statement: Blue Mountain Hospital is committed to providing an atmosphere of excellence in healing, quality physician care and inspired employees.

Occupational Title: Assistant Controller

Department: Finance

Reports To: Finance Director

Facility Location: Blue Mountain Hospital

Position: Full-time/Part-time

Description: Blue Mountain Hospital seeks an experienced accounting professional with strong general ledger and reconciliation skills to support its Finance Department.

The Assistant Controller is a Blue Mountain Hospital employee, supervised by the BMH Controller. The position focuses on BMH accounting operations and also provides accounting support to Utah Navajo Health System, working closely with both organizations’ Controllers.

This hands-on position requires the ability to independently complete complex accounting work, investigate discrepancies, maintain accurate supporting records, and meet reporting deadlines.

Hospital accounting experience is preferred but is not required. Candidates with strong technical accounting experience in other industries are encouraged to apply.

Key Performance Indicators:

Requirements

• Bachelor's degree in accounting, or Business Administration or a closely related business field with substantial accounting coursework.

• Five or more years of progressively responsible general ledger accounting experience.

• Demonstrated proficiency in general ledger accounting, journal entry preparation, and account reconciliation, verified through the required standardized accounting skills assessment.

• Experience completing month-end and year-end close responsibilities and preparing financial reports and supporting schedules.

• Experience preparing reconciliations and schedules for external audits and responding to auditor requests.

• Experience preparing budgets, monitoring actual results against budget, and investigating and explaining significant differences.

• Experience maintaining fixed asset records, calculating depreciation, tracking capital purchases and project costs, and reconciling construction-in-progress (CIP) accounts.

• Strong working knowledge of generally accepted accounting principles, accrual accounting, and internal controls.

• Strong Excel proficiency and data analysis skills, including the ability to use formulas, lookup functions, pivot tables, and large datasets to reconcile accounts, identify discrepancies, and prepare financial analyses.

• Ability to research accounting questions, learn unfamiliar reporting requirements, and complete assignments accurately with minimal direction.

• Ability to work on-site at Blue Mountain Hospital in Blanding, Utah. This is not a remote position.

Preferred Qualifications

• Critical access hospital accounting experience preferred. Other hospital or healthcare accounting experience is also desirable.

• Experience supporting Medicare cost reports, Disproportionate Share Hospital (DSH) surveys, or other healthcare reimbursement reporting.

• Experience with Sage Intacct, Hybrent, ADP Payroll, BILL, or DataBlend.

• Experience with intercompany accounting or grant accounting.

• MBA, master's degree in accounting, or CPA designation.

Experience, Training, and Qualifications needed to perform the job:

Duties and Responsibilities

• Perform general ledger accounting, prepare complex journal entries, and reconcile accounts.

• Complete month-end and year-end close responsibilities and prepare financial reports and analyses.

• Support budget preparation, monitor results, and explain significant differences.

• Prepare schedules and documentation for audits, Medicare cost reports, DSH surveys, and other required reporting.

• Maintain fixed asset and depreciation records and track capital purchases, project costs, and construction-in-progress.

• Perform assigned revenue, cash, accounts payable, payroll, intercompany, and grant accounting responsibilities.

• Research and resolve accounting issues, improve procedures, and provide cross-training and backup support.

• Use Excel and accounting system reports to analyze financial data, investigate differences, and develop accurate, well-organized supporting schedules.

Specific assignments will be determined by the BMH Controller in coordination with the UNHS Controller, based on organizational needs and the finance team’s experience and strengths.

Application Information

Applicants should clearly describe their direct experience with general ledger accounting, account reconciliations, month-end close, financial reporting, budgeting, fixed assets, Medicare cost report, and audit preparation.

Candidates will be required to complete a standardized, job-related skills assessment selected and administered through Human Resources to verify the position’s required accounting and analytical skills. The assessment will evaluate general ledger accounting, journal entry preparation, account reconciliation, Excel proficiency, and financial data analysis. Candidates must meet the proficiency standards established before testing. Reasonable accommodations will be available through Human Resources.

BMH hires in accordance with applicable Navajo Preference in Employment Act requirements.

General Requirements:

In addition to the specific duties listed above, the Employee is required to do the following:

• Any tasks, projects, or actions that are reasonably within the scope of the Employee’s position or employment, which the Employee’s supervisor, any member of BMH’s management, or BMH’s administration team—asks of the Employee. Tasks, projects, or actions are “reasonably within the scope” of the Employee’s employment or position unless the same are so far removed therefrom that no legitimate argument can be made that such tasks, projects, or actions are in any way related to BMH or the Employee’s employment or position within BMH.
• Act as professionally as should normally be required in a medical organization. This shall include giving all appropriate respect and deference to licensed medical providers and behavioral health providers (hereafter jointly referred to as “Providers”). Providers include, but may not be limited to physician assistants, nurse practitioners (or similar), and Physician Assistants.
• Keep all BMH business and patient information strictly confidential and to adhere to all other BMH confidentiality policies and procedures, as well as all laws affecting confidentiality.
• Refrain—whatsoever—from intentionally, purposely, knowingly, or negligently engaging in any conduct, actions, or speech that may cause concern, apprehension, confusion, or annoyance on the part of any BMH patient toward BMH as an organization or any BMH employee.
• Work congenially and cooperatively at all times with all other BMH employees. This includes maintaining a pleasant demeanor and attitude and executing position duties and administration’s/management’s other requests in a timely manner, diligently, and with a positive attitude. This requirement further includes refraining from personally degrading any other person or BMH employee. As part of this requirement, the Employee must refrain from engaging in gossip about any BMH employees and/or patients.
• Communicate complaints about BMH, its policies, procedures, managers, administrators, and/or other employees—only to and through the appropriate BMH channels, which are limited to BMH’s management chain of command. No complaints, judgments, or degrading comments about BMH, its policies, procedures, managers, administrators, and/or other employees—should be shared with anyone other than the appropriate persons within BMH’s management chain of command who have the ability to work to remedy any related problems. Unless the Employee’s direct supervisor is part of the problem or complaint—problems and complaints should first be voiced to the Employee’s direct supervisor and upward therefrom through BMH’s internal management chain of command as appropriate and necessary. It is an absolute dereliction of this duty by the Employee if the Employee ever—directly or indirectly (in conjunction or planning with others)—makes complaints or problems publicly known to anyone other than BMH’s management team or administrative team (neither include BMH Board Members).
• If applicable (having access to), check the Employee’s BMH email no less frequently than once daily.
• Absolutely refrain from communicating or releasing any “Private BMH Information” to the media and/or non-BMH persons or entities—without formal approval to do the same by BMH’s CEO. “Private BMH Information”, for purposes of this requirement, includes: (1) all information that requires confidentiality pursuant to any BMH policies or procedures; (2) all information that is protected by HIPAA or other applicable laws; (3) all information relating to BMH’s internal business workings, strategies, or plans; and (4) all information relating to any BMH employee or contractor. This requirement remains applicable and shall stand regardless of whether the information being requested is of a private or public nature—if the information sought fits any of the above listed types. Finally, this requirement remains applicable at all times, including when the Employee is off duty or away from BMH’s premises.

We offer the opportunity to work with a dynamic team providing care to medically underserved communities. BMH hires in accordance with NPEA standards.