Controller

Overview

A growing healthcare services organization is seeking an experienced Controller to lead day-to-day accounting operations and strengthen financial reporting across a complex, multi-entity business. Reporting directly to the CFO, this hands-on leadership role will own the monthly close, GAAP-compliant financial reporting, revenue recognition, cash flow analysis, budgeting, and internal controls.

The ideal candidate will bring strong controllership experience in a healthcare or similarly complex, multi-payer environment. Experience with healthcare reimbursement, revenue cycle accounting, or EMS is highly relevant. The Controller will also play a key role in systems optimization, M&A accounting, audit management, and developing the accounting team as the organization continues to grow.

Responsibilities

Own monthly, quarterly, and annual close processes across multiple entities

Ensure timely, accurate GAAP-compliant financial statements and lender reporting

Oversee healthcare revenue recognition, contractual allowances, bad debt, and payer-related reserves

Serve as the primary accounting owner for Microsoft Dynamics 365 Business Central

Review journal entries, balance sheet reconciliations, and supporting schedules

Develop weekly cash flow analyses and support liquidity planning

Lead annual budgeting and forecasting in partnership with operational leaders and the CFO

Manage financial statement, lender, regulatory, insurance, and payer-related audits

Develop and strengthen internal controls, accounting policies, and procedures

Support M&A accounting, including purchase accounting, fair value assessments, goodwill, and intangible assets

Oversee fixed assets, lease accounting, and other technical GAAP matters

Prepare management reporting and financial analysis for executive leadership

Lead accounting process improvements and automation initiatives

Supervise, mentor, and develop accounting and revenue-cycle personnel

Requirements

7+ years of progressive accounting and controllership experience

Bachelor's degree in Accounting, Finance, or a related field

Strong knowledge of U.S. GAAP and accrual-basis accounting

Experience leading multi-entity monthly and annual close processes

Healthcare accounting or reimbursement experience strongly preferred

Understanding of healthcare revenue recognition and payer reimbursement

Experience with ERP systems; Microsoft Dynamics 365 Business Central preferred

Strong financial reporting, reconciliation, and cash flow management skills

Experience developing internal controls and accounting policies

Experience managing external financial statement audits

M&A and purchase accounting experience preferred

Knowledge of ASC 842 and other technical accounting areas

Strong analytical, organizational, and problem-solving skills

Proven ability to lead, mentor, and develop accounting teams