Controller

Overview

At LifeMed Alaska, every flight, mile, and patient matters, and so does the financial engine that sustains the mission. We are seeking a hands-on Controller who understands that revenue cycle management is mission critical in air medical and EMS operations. This leadership role sits at the crossroads of operations, clinical care, dispatch, and billing, ensuring each transport is accurately captured, coded, and reimbursed. You will lead financial accounting and reporting while overseeing revenue cycle performance and partnering with our third-party billing team to monitor accuracy, trends, and collections for both air and ground transports. Experience in air ambulance, EMS billing, or complex healthcare RCM environments will help you drive meaningful impact. Location: Anchorage, AK 99501.

Financial Leadership & Oversight

You will manage all accounting operations including general ledger, accounts payable and accounts receivable, payroll, fixed assets, and month-end close, ensuring GAAP-compliant practices and strong internal controls. Expect to 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 Leadership

This is where your impact will be felt. You will oversee the end-to-end billing and collections process for all transport segments across Air, Rotor, and Ground. You will partner with dispatch and clinical teams to validate flight logs, mileage, medical necessity, and payer responsibility. You will monitor KPIs including transports, charges, collections, AR aging, DSO, denial rates, underpayments, and payer mix. You will 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 will develop the annual budget and rolling forecast processes. You will provide weekly and monthly operational performance reporting to leadership and the Board. You will deliver rate modeling, segment performance analysis, cost analysis, and RCM-driven insights to support pricing strategy and payer negotiations.

Audit & Compliance

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

Leadership & Collaboration

You will lead and mentor accounting team members. You will serve as a strategic partner to operations, clinical leadership, dispatch, and administrative teams. You will improve systems, automation, and processes across finance and RCM.

Who You Are

• You are analytical and detail-driven, while also seeing the bigger picture.
• You thrive in fast-paced, high-accountability environments.
• You communicate clearly with clinical leaders and finance teams alike.
• You do not just report numbers; you explain what they mean and what actions to take next.

Why This Role Matters

In Alaska, transports are lifesaving and not optional. Strong financial leadership ensures continued access to care across remote communities. This role directly supports mission continuity and operational excellence. If you are looking to build systems, improve reimbursement performance, and serve as a true strategic partner, we would like to meet you.

Requirements

What You Bring

• Bachelor’s degree in Accounting, Finance, or a 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

Salary: $130,000 – $140,000 per year