Controller at LifeMed Alaska LLC – Anchorage, Alaska

At LifeMed Alaska, every flight, every mile, every dispatch matters. And behind every successful transport is a financial engine that ensures we can continue serving communities across Alaska.

We are seeking a Controller who understands that in medevac and EMS, revenue cycle management is mission critical.

This is not a back-office accounting role. This is a leadership role at the intersection of operations, clinical care, dispatch, and billing, ensuring every transport is captured accurately, coded correctly, and reimbursed fully. The Controller is responsible for financial accounting and reporting while also providing active oversight of LifeMed Alaska’s revenue cycle performance. This role works closely with the organization’s third-party billing partner to monitor billing accuracy, reimbursement trends, and collections performance for air and ground transports.

If you’ve worked in air ambulance, EMS transport billing, or complex healthcare RCM environments, you already know the details matter.

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

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