Controller
confidential • San Antonio, Texas • Full Time
Posted on Mon, Oct 12, 2026
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Controller with Methodist Hospital Metropolitan you can be a part of an organization that is devoted to giving back!
Job Summary and Qualifications
The Controller is responsible for ensuring accurate financial reporting, and providing leadership and direction. Direct Management responsibilities include planning, organizing, budgeting, controlling and directing, and cost/benefit analysis. Other responsibilities include general finance function, to include monthly financial reporting and all associated analysis, and to provide any and all needed financial analysis to management team to aid their decision making.
Essential Job Functions:
1. Ensures integrity and accuracy of reported financial information, to include all aspects of monthly financial close for Metropolitan and Northeast Methodist Hospitals, and all associated entities.
2. Prepares specific detail month-end responsibilities, including: Coordination of all month-end activities, Detail analytical review of managed care revenue and contractuals, by payer, Global revenue and expense analysis and Global Balance Sheet account review.
3. Prepares monthly financial reports, specifically: Monthly Executive Summaries and Net Revenue by payer schedules.
4. Prepares annual facility budgets.
5. Conducts routine (monthly) reviews of all balance sheet account reconciliations. 6. Develops and maintains facility specific audit program and financial report distribution packet.
What qualifications you will need:
- Must have a BS/BA in Finance or Accounting.
- Must have four years of progressive leadership experience with proven leadership capabilities within the healthcare industry.
- Must have a minimum of five years of financial/accounting experience.
Benefits
Methodist Hospital Metropolitan, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Methodist Hospital Metropolitan houses 370 bed. We house the largest emergency room in downtown San Antonio. Our women’s pavilion is the only freestanding, center city facility dedicated to the health of women and their newborn babies. We welcome nearly 3,000 newborns into the world each year. We are home to the Methodist Weight Loss Center. We have been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence®.
Our hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare. We are the first hospital in San Antonio to achieve Pathway to Excellence designation. Methodist Hospital Metropolitan has been recognized by Leapfrog for focus on safety and quality. We received a Grade A Hospital Safety Score for 8 consecutive rating periods. We are proud to be an Accredited Chest Pain Center by the American College of Cardiology and Primary Stroke Center by the Joint Commission. We were the premier Texas hospital to earn a Gold Seal of Approval for Sepsis Certification. Join our accredited team today.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Controller opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $110,000–$170,000 per year (median ~$137,000). This is an AuditFriendly estimate, not an employer-provided figure.
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What the data says about this job
- Advertised pay for Controller: a median of $129,000 across 5,890 priced postings. Explore the market
Measured from employers' own postings and public filings. How we measure