Controller

Description:

At LifeMed Alaska, every flight, mile, and patient matters—and so does the financial engine that supports it.

We’re seeking a Controller who understands that in air medical and EMS operations, revenue cycle management is mission critical. This is a hands-on leadership role at the intersection of operations, clinical care, dispatch, and billing—ensuring every transport is accurately captured, coded, and reimbursed.

You’ll lead financial accounting and reporting while providing oversight of revenue cycle performance, partnering closely with our third-party billing team to monitor accuracy, trends, and collections for both air and ground transports.

If you have experience in air ambulance, EMS billing, or complex healthcare RCM environments, you know the details matter—and this role is where they make an impact.

What You’ll Own

Financial Leadership & Oversight

You will lead all accounting operations including general ledger, AP/AR, payroll, fixed assets, and month-end close, ensuring GAAP-compliant practices and strong internal controls.

You’ll produce timely financial statements, variance analyses, and management dashboards that leadership and the Board can rely on.

You will oversee department budgeting and provide financial insight that informs strategic decisions.

Revenue Cycle Management (RCM) Leadership

This is where you make impact.

You will oversee the end-to-end billing and collections process for all transport segments for Air, Rotor, and Ground.

You’ll partner with dispatch and clinical teams to validate flight logs, mileage, medical necessity, and payer responsibility.

You’ll monitor KPIs including transports, charges, collections, AR aging, DSO, denial rates, underpayments, and payer mix.

You’ll lead continuous improvement initiatives to strengthen workflows, optimize reimbursement, and reduce denials.

You will ensure LifeMed maximizes revenue opportunities through coordination with billing and compliance.

Financial Planning & Strategy

You’ll develop the annual budget and rolling forecast processes.

You’ll provide weekly and monthly operational performance reporting to leadership and the Board.

You’ll deliver rate modeling, segment performance analysis, cost analysis, and RCM-driven insights to support pricing strategy and payer negotiations.

Audit & Compliance

You’ll coordinate with external auditors and tax partners and ensure compliance with applicable financial regulations.

Leadership & Collaboration

You’ll lead and mentor accounting team members.

You’ll serve as a strategic partner to operations, clinical leadership, dispatch, and administrative teams.

You’ll improve systems, automation, and processes across finance and RCM.

Who You Are

You are analytical and detail-driven, but you also see the bigger picture.

You’re comfortable in fast-paced, high-accountability environments.

You communicate clearly with clinical leaders and finance teams alike.

You don’t just report numbers, you explain what they mean and what to do next.

Why This Role Matters

In Alaska, transports aren’t optional. They are lifesaving. Strong financial leadership ensures we can sustain access to care across remote communities. This role directly supports mission continuity and operational excellence.

If you want to build systems, improve reimbursement performance, and serve as a true strategic partner, we’d like to meet you.

PM21

Requirements:

What You Bring

• Bachelor’s degree in Accounting, Finance, or related field

• Strong GAAP knowledge and financial reporting experience

• Experience overseeing or working closely with healthcare revenue cycle operations or billing performance

• Experience analyzing revenue cycle metrics such as AR aging, denial trends, payer mix, and reimbursement performance

• Strong accounting and financial reporting experience

Preferred

• Experience in air ambulance, medevac, EMS transport, or hospital RCM

• Familiarity with transport billing systems (ImageTrend, Zoll, ESO, Flight Vector billing modules)

• Knowledge of Medicare, Medicaid, commercial insurance, and air ambulance payer rules

Compensation details: 130000-140000 Yearly Salary

PI3544ff1c63e7-26276-39983932