Controller

Job Description - Controller

The Controller will establish and lead the company’s accounting function and own the integrity, timeliness, and accuracy of financial reporting across its multisite operations. This hands-on leader will manage the transition from the back-office services provider, build a scalable accounting team and control environment, and oversee general ledger accounting, financial close, financial statements, and audit coordination. The Controller will partner with the CFO and operational leaders to strengthen financial visibility, support cash management and planning, and deliver reliable company-wide and location-level reporting.

Essential Responsibilities

Lead the accounting separation from the back-office services provider, coordinating transfer of financial records, opening balances, reconciliations, system access, and process documentation while maintaining continuity of close, payments, and reporting.

Own general ledger integrity; establish journal entry approval standards and review balance sheet reconciliations, resolving historical issues and accounting discrepancies.

Own monthly, quarterly, and annual close processes, including the close calendar, assigned responsibilities, review procedures, and timely delivery of accurate results.

Lead preparation and review of internal and external financial statements in accordance with U.S. GAAP, including company-wide and location-level reporting and intercompany eliminations, as applicable.

Deliver financial analysis and variance explanations to the acting CFO and operational leaders; develop consistent location-level reporting and cost allocations to support budgeting, forecasting, and operating decisions.

Serve as the primary accounting contact for external auditors and tax advisors; coordinate schedules, supporting documentation, requests, and resolution of findings.

Establish accounting policies, documented procedures, approval authorities, segregation of duties, and internal controls appropriate for a standalone multisite healthcare organization.

Oversee accounting for accruals, prepaids, fixed assets, leases, and intercompany transactions, including supporting schedules and consistent treatment across locations.

Lead accounting systems and process improvements, leveraging Microsoft Dynamics to strengthen the chart of accounts, location reporting, data integrity, integrations, and automation.

Partner with revenue cycle, accounts payable, payroll, HR, and practice operations to ensure complete and accurate accounting; oversee reconciliation of patient revenue, contractual adjustments, receivables, and cash collections to the general ledger.

Oversee biweekly payroll processing and reporting for two organizations, including review of payroll reconciliations and coordination with HR and payroll service providers.

Partner with the acting CFO on cash forecasting and working capital management; oversee bank reconciliations, payment controls, and visibility into cash requirements.

Ensure accounting activities comply with company policies and applicable requirements; coordinate with legal, compliance, and external advisors as needed and safeguard confidential financial and patient-related information.

Build and lead the accounting team in partnership with the acting CFO; define roles, staffing needs, review responsibilities, and training to establish a sustainable Controller function.

Competencies Needed

Hands-on accounting leadership: Own accurate, timely close cycles and financial reporting while remaining willing to resolve detailed accounting issues.

Function building and transition management: Translate separation milestones into clear deliverables, ownership, and cross-functional dependencies without disrupting daily operations.

Technical accounting judgment: Review complex transactions and close schedules, document conclusions, and apply consistent accounting policies across locations.

Multisite financial insight: Connect transactional accounting, healthcare revenue cycle activity, and location-level results to clear financial statements and actionable analysis.

Control-minded problem solving: Identify root causes of reconciliation differences, remediate process gaps, and maintain balance sheet integrity.

Team development: Establish clear responsibilities, effective delegation, review standards, and practical training for the accounting team.

Effective communicator - the ability to effectively develop and communicate one's perspectives and ideas. This includes active listening and eliciting questions. Tailor message and deliverable to the audience. Focus on relevant format and content. Identify key takeaways and action items.

Creating new and different - This includes reevaluating current approaches and suggesting and/or implementing new ideas, looking into the future to create innovative and unconventional solutions, and working with others to generate multiple ideas. Must be comfortable in a changing environment.

Drive for execution & results - The ability to proactively identify what needs to be done and bring to completion. Consistently set high standards for performance and does not easily give up in the face of unexpected obstacles. Consistently achieve goals and complete tasks by their deadline.

Accountability and ownership of the accounting function, financial reporting quality, and timely escalation of risks to the acting CFO.

Ability to manage competing priorities in a fast-paced environment.

Qualifications

Bachelor’s degree in accounting, Finance, or related field.

CPA preferred but not required.

7–10 years of progressive accounting experience, including at least 3 years leading an accounting team as a Controller, Assistant Controller, or Accounting Manager with substantial close and financial reporting ownership.

Experience supporting multisite operations; healthcare provider or physician practice experience strongly preferred, including familiarity with patient revenue, contractual adjustments, and revenue cycle reconciliations.

Strong command of U.S. GAAP, financial statement preparation, internal controls, and general ledger systems; Microsoft Dynamics experience is a plus.

Advanced proficiency in Excel (pivot tables, lookups, and data analysis)

Excellent attention to detail, analytical, and problem-solving skills

Experience establishing or rebuilding accounting processes is highly desirable.

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Controller

Job Description - Controller

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