Controller (Nashville Metropolitan Area)

Company: MaxWell Clinic

Location: Brentwood, TN — onsite

Reports to: Director of Operations

Compensation: $115,000–$135,000

Employment type: Full-time, exempt

This is not a steady-state controller job.

We run a functional medicine clinic that also operates as an R&D engine. Protocols, programs, and product concepts get developed inside the clinic, tested with real patients, and then productized. Some become service lines. Some become licensable IP. Some get spun out into standalone businesses with their own entity, their own P&L, and eventually their own capital.

You would be the accounting and finance backbone of that machine. That means owning a clean, boring, on-time close — and then, in the same week, building the first set of books for a business that did not exist a month ago.

If the phrase we're standing up a new entity next quarter and I need to know what it costs to run makes you lean in rather than sigh, keep reading.

• Full-cycle monthly close across multiple entities, including intercompany transactions and eliminations
• General ledger ownership, chart of accounts design and discipline, reconciliations, and accruals
• AP, AR, collections, payroll integration, and the month-end reporting package
• Cash management and a rolling 13-week cash forecast
• Coordination with outside CPAs on tax, reviews, and eventually audit readiness
• Internal controls appropriate to our size — real, but not bureaucratic
  

• Maintain the accounting architecture across our holding, operating, and future spinout entities
• Track and allocate shared services, management fees, and intercompany cost flows so each entity's economics are defensible
• Track R&D spend by concept so we know what each program actually cost to develop
• Support licensing and royalty accounting as those revenue streams come online

• Stand up books, banking, and reporting for new entities as concepts graduate out of R&D
• Build unit economics and contribution margin analysis for new products and service lines — from the drivers, not from a template
• Produce the financial diligence materials a franchise disclosure process, a lender, or an investor will actually ask for
• Flag when a concept's numbers are not working, before we scale the mistake
  

• Monthly reporting package the CEO and board can act on: entity-level P&Ls, consolidated view, KPIs, and variance commentary
• Operating KPIs alongside financials — patient volume, visit mix, provider utilization, revenue per patient, acquisition cost and retention by program
• Ad hoc modeling and analysis whenever a decision needs a number

• 5–9 years of accounting experience, with at least 2 as a Controller, Assistant Controller, or Accounting Manager running a close start to finish
• Strong technical foundation — you understand accrual accounting well enough to defend your judgment calls, and you know when to escalate the ones you shouldn't make alone
• Multi-entity experience, or clear evidence you can handle it
• You have built or meaningfully rebuilt something: a close process, a chart of accounts, a reporting package, a system migration
• Comfortable in the details and in the conversation with the CEO, sometimes within the same hour
• Fluent in the tools: QuickBooks, Excel at a genuinely high level, and willing to learn whatever else we adopt
• Healthcare, multi-site services, franchise, or early-stage experience is a plus, not a requirement

Deliberately Not Required

15+ years of experience, a CPA, Big 4, or public company background. We are hiring for range and judgment at this stage, not seniority. You will have access to a fractional CFO and outside advisors for the genuinely technical calls — revenue recognition on licensing, IP capitalization, entity structuring — so you are not alone on the hard ones.

• Are energized by ambiguity and would rather build the process than inherit it
• Can hold high standards on the close while the business around you keeps changing shape
• Are willing to say the answer is no or this isn't working to the CEO, with the numbers behind it
• Move fast without getting sloppy about the things that actually have to be right
  

• Need a mature process, a defined team, and a stable org chart to do your best work
• Prefer to stay in the general ledger and out of the operating conversation
• Want a role where the scope in month 12 looks like the scope in month 1

First 90 days — You own the close end to end and it lands on time. You've documented the current state and identified the three biggest gaps.

Six months — The close cycle is materially shorter and you feel comfortable producing the monthly package, and leaning into more operational involvement.

Twelve months — You can stand up a new entity's financial infrastructure quickly and repeatably. You are a real voice in whether a new concept should scale, and the books are in a condition that survives investor, lender, or franchise diligence without a scramble.

• Base salary of $115,000–$135,000, depending on experience and multi-entity depth
• Paid time off at 3 weeks per year
• Free enrollment in the MaxWell Care program, with immediate family eligible at a discounted rate
• Reduced rates on supplements, labs, and services for you and your immediate family
• 401(k) with up to a 4% company match, plus annual profit sharing

MaxWell Clinic is not a typical healthcare practice. We are a 12,000 sq ft Center of Excellence in Personalized Systems Medicine, the largest private outpatient apheresis center in the United States, and three-time winner of Best Holistic Clinic in Nashville. Our clinical team takes on the cases other practices give up on. Our patients are not transactions. They are long-term health relationships, and many of them come to us after years of not getting answers anywhere else.