Controller

I am looking for a Controller to join a rapidly growing, investor-backed healthcare services organization with multi-state operations, scaling from roughly $250M toward $350M+ in revenue.

Why this role?

Build a modern accounting function from the ground up, including a full NetSuite implementation led by a CFO who has done it several times

Join early in a growth chapter with significant investment in technology, systems, and infrastructure

Real autonomy: the CFO is looking for a trusted partner to own accounting, not someone to micromanage

Competitive base, annual bonus, and equity participation

High visibility with executive leadership, the board, and investors

Headquartered in the Brentwood/Franklin, TN area

Key Responsibilities

Own the monthly, quarterly, and annual close across multiple entities, documenting the process with SOPs and driving toward a 10-business-day close

Help lead the NetSuite implementation, including chart of accounts design, data migration, workflows, controls, and reporting

Oversee healthcare revenue recognition under ASC 606, including contractual allowances, bad debt, payer mix, and AR reserves

Build and own processes for key accruals, including self-insured medical, auto, and workers' comp (IBNR) and bonus accruals

Establish ASC 842 lease accounting and fixed asset processes

Design a tiered approval hierarchy, centralize AP, and strengthen purchasing controls and payment workflows

Develop a monthly operating report with visibility at the market level

Prepare management reporting packages for the CFO, leadership, board, and investors, and present as needed

Lead the annual audit and coordinate lender, insurance, tax, and payer-related audits

Partner with brokers, actuaries, and outside advisors on insurance renewals and reserve adequacy

Support weekly cash flow reporting, budgeting, and liquidity planning with the CFO

Support acquisitions, including due diligence, purchase accounting, and integration

Work closely with billing and revenue cycle teams to ensure accurate reimbursement accounting

Lead, coach, and develop a lean accounting team as a hands-on player-coach

Requirements

Bachelor's degree in Accounting or Finance

Active CPA expected at this level

3+ years of recent Controller experience (5 preferred) at a healthcare organization of roughly $300M–$500M in revenue

Experience at multiple healthcare organizations, ideally provider-side, with exposure to different accounting environments

Track record helping scale a company through significant revenue growth

Multi-site, multi-state, multi-entity accounting experience

Private equity-backed experience strongly preferred

Hands-on experience with self-insured accruals, AR reserves, ASC 606, and ASC 842

Proven success building close SOPs, approval hierarchies, and introducing automation

Comfortable presenting to a board and investors

NetSuite experience strongly preferred, ideally through an implementation

Public accounting/audit background preferred (3–5 years)

Must live within a daily commute of the Brentwood/Franklin, TN area